Posted by utopizen on July 24, 2003, at 14:16:13
In reply to Re: Dex Spansules are weak! » utopizen, posted by blondegirl47 on July 24, 2003, at 8:16:47
> Dextrostat seems to be the best, I didn't like the generic dexedrine.
> BlondegirlActually, Dextrostat generic is available from Barr. Barr also started making the generic dex spansules in Feb 2002, which I'm on now. So don't think you need "no substitute" just to get dextrostat, because the pharmacist should know Dextrostat generic and dexedrine generic are different things. How they differ, I have no idea, but Shire gives the impression that it's a higher tech immediate release formulation of dex by calling it "dextrostat". I only tried regular dexedrine generic before 6 months ago. Fun stuff, therapeutically speaking. I tried MEDLINE, and whenever I tried to learn about the differences between Dex-IR, Dextrostat and Dex Spansules, it just lumped all of them together as "d-amphetamine." I've yet to meet a doc who even feels comfortable with dosing spansules, much less dextrostat. Mine just trusts me at this point to tell her how much I need next time I see her. I'm thinking going for 30 Dextrostat or Dexedrine-IR and 30 15mg Dexedrine Spansules. Right now I take 2 10mg Dexedrine spansules.
I'd love to try Provigil, because it's $30 co-pay on my insurance, which to feel awake all day long is worth it, and the first month I can easily get samples. I just am so sick of using a stim to get me through times when I'm tired. Provigil might not work or give me some weird side effect, but typically I am rather resillent from side effects, and have only heard rare 'net reports of people being anxious. Nothing compared to amphetamines for that, so I have nothing to lose in that dept.
My doc asked me if I had any Desoxyn leftover, and I told her I had 10 5mg tabs. She said I could use those as needed if I needed to augument it with the Dex spansules. So far, so good- apparently the spansules create enough continously increasing dose of it so it smooths out potential for mood swings from Desoxyn at around 6-8 at night when I feel terribly down.
With spansules, I can take them at noon and still notice my heart beating faster than normal when I awaken the next morning (without any desoxyn the day before). It's suppose to last 12 hours, and I'm sure to some extent it does, but it does it in a very low-tech way.
It dumps half of it immediately, then the second half later on.
That's over-simplifying it, but basically Concerta's complexity puts it to shame. Spansules are liek a 40 or 50 year old technology Smith Kline made for dexedrine. Concerta has like 12 different mechanisms of releasing its contents, from increasing plasma concentrations at lunch time to multiple layers that sort of peel off at certain intervals.
I just wish they spent that technology on Dexedrine or Desoxyn, because when I tried generic ritalin it was soo boring. Shire sells Dextrostat, Barr sells Dextrostat Generic. Smith Kline sells IR Dex and Spanules, Barr sells generic spansules and generic IR Dex. I wish Shire took their technology they used to make Adderall XR into a Dexedrine long-acting. Why not?
I felt like a nerd, really. Anyone else feel this way? I switched to Adderall after trying Ritalin for a few months, and even though it made me anxious I was just happy it didn't make me feel nerdy. (Ritalin made me anxious too). Then I found Dex and Desoxyn to not be very anxiety-provoking at all.
poster:utopizen
thread:92051
URL: http://www.dr-bob.org/babble/20030723/msgs/244906.html