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Dr. Bob is Robert Hsiung, MD,
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Posted by starr7462 on April 6, 2004, at 16:54:42
ok i am on effexor xr 75 mg i take it when i get up and by mid afternoon i feel like crap again, i also take 3 adivan a day and ambien to sleep. i just feel like doing absolutely nothin at all no energy but no cant sleep but just real slugish. now in the am when i take the effexor i do fine til about 1 pm. so whats up? i know my doc had talked about dexedrine or dextrostat. but is it ok to mix all that stuff? please help!!!
candy
Posted by starr7462 on April 6, 2004, at 19:06:14
In reply to need some input before doc apt wed please, posted by starr7462 on April 6, 2004, at 16:54:42
i just really need input on this matter, i go to doc wed and want to know if this is safe? i know dex is a upper and the rest are downs so please help
Posted by waterfall on April 6, 2004, at 20:01:05
In reply to effexor 75 mg and dexedrine adivan ambien safe to, posted by starr7462 on April 6, 2004, at 19:06:14
They are uppers and I don't know whether it is safe to mix them. Try asking your doc about Provigil. It did me wonders for perking things up when I had no energy, etc.
Posted by chemist on April 8, 2004, at 23:46:32
In reply to Re: effexor 75 mg and dexedrine adivan ambien safe to, posted by waterfall on April 6, 2004, at 20:01:05
hi there...your condition worries me. for the record, i hold a ph.d. in pharmaceutical chemistry and regularly deal with the all too common shotgun approach in re: overmedication. you are overly sedated with the combination of ativan and ambien, although it is worth noting that ambien has a considerably shorter half-life than ativan. the effexor is stimulating in that there is significant synaptic quantities of norepinephrine and serotonin produced at the endplates of the receptors and moderate to mild dopamine flooding. dexedrine is the D enantiomer of amphetamine, which has a binding affinity roughly 10 times that of L-amphetamine (the racemic mixture, i.e., 1:1 L,D-amphetamine is what you get with adderall). ambien is not a benzodiazepene and is safer than ativan in terms of addiction potential and anterograde amnesia, not to mention other side effects. my opinion is to taper effexor while limiting dexedrine to no more than 30 mg qd while lowering the dose of effexor as well. your coktail is overstimulating upon wakening, and your afternoon lull is due to the fact that ativan crosses the blood-brain barrier slowly yet has a longer lasting effect once the crossing has been accoplished. hope this helps, chemist
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