Posted by Ritch on February 8, 2003, at 17:56:37
In reply to Re: Dexadrine and movement disorder? » Ritch, posted by zenclear on February 8, 2003, at 13:19:05
> Also, (and this is oen reason I have kept the dex dose low, after trial and error) I find that more often than not, I will feel very fatigued and logey right *after* I take my dex dose. I don't get much energy until about an hour later.
>
> Is this odd or common? As a consequence, I sometimes feel very uncertain about whether to take an additional dose later in teh day if I feel I need it, because odds are that I might either have the need for a sudden nap, or if I'm lucky, perhaps it will provide me the boost I need to finish a work project that's due that afternoon.
>
> Know what I mean? It's like a toss of the coin: take dex = either MORE fatigue (or) maybe MORE energy.
>
> This unpredictable effect also feels as though it might be postural hypotension, though it occurs so immediately *after my dose*.When I was trying dexedrine, I would get a "groggy" feeling for the first hour or two and my face seemed real relaxed and my eyes appeared tired and sleepy for some reason (my whole facial expression changed). Then I just felt alert.
The deal with postural hypotension is changing your posture suddenly (standing up quickly), which results in vertigo and dizziness (because your blood pressure *plummets*). Your heart rate picks up considerably to compensate. Is that what you are experiencing when you jump up suddenly from a chair after resting there for a while? That diastolic number of 90 is a wee bit high. You might try dividing your dose up into smaller amounts. Instead of taking 5mg twice daily, try 2.5mg 4x daily, i.e. My pdoc was considering adding some verapamil when I had some hypertension with Wellbutrin. WB and Effexor cause more BP spiking than stims for me.
poster:Ritch
thread:140098
URL: http://www.dr-bob.org/babble/20030208/msgs/140204.html