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unteng10
06-03-2009, 12:05 AM
This morning before work, I took my normal does of adderall, 20 mg with a multi-vitamin. I bought a gallon of water, and was drinking on it all day. At about 2 I took my 2nd dose of 10 mg. By now I had drank almost half a gallon of water. About an hour later, I started getting real lightheaded, dizzy, and numb. My whole body felt like it was tingling, my fingers curled up into a fist and hurt if i tried to move them. Then anxiety kicked in and I started freaking out, and the whole body numbness got worse, my tongue began to get numb, and my eyes were swelling shut. At this point my co-worker took me to the hospital. They hooked me up to an IV, gave me a muscle relaxer, did blood tests and ran an EKG. The doctors conclusion was that I was dehydrated and had a reaction to my medicine. I accidently left my med in my center console of my car for the past 4 days, could that have caused them to breakdown?

I have never had a reaction like this, has anybody else ever experienced something like this?

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addprogrammer
06-03-2009, 09:53 AM
unteng,

That scare heck out of me too.

I had something similar but not as severe. I was working outside last summer on a very hot day. Hot day in PA is low nineties in the northern tier. I can't remember it ever hitting 100 F. I stopped sweating, felt tingly, and my throat felt stiff and constricted. Called RN friend who IDed it verge of heat stroke. Adderall raises my metabolic rate so was a contributing factor. After intake of few drums of water and a hour so indoors, symptoms vanished.

My last trip south was to Alabama in late spring. The heat was stiffling. I'll bet parts of the lone star state are in same humid subtropical climatic region - I think, isn't it? What was the ambient atmosphere at the time? What were doing?

Bob

unteng10
06-03-2009, 01:58 PM
It was in the 90s yesterday. When it happened I was simply sitting down inside the shop I work at. I didn't take it this morning, ate my breakfast, went to work. About 10:30 I ate a banana, and I've had a 32 oz Gatorade and close to a half gallon of water. A few minutes after eating the banana I began to get lightheaded again. Then my arms went numb and under my ribs began to feel numb also. I'm not sure what is going on with me

addprogrammer
06-03-2009, 02:23 PM
unteng,

See your doctor ASAP.

Bob

unteng10
06-03-2009, 05:13 PM
I have an apt at 9 tomorrow morning

unteng10
06-04-2009, 03:29 PM
Went to the doctor this morning. They did an echogram on me, watched my heart. They said that my heart looks good, nothing looks wrong visually. I am going back next week to get hooked up to a 24 hr heart monitor. They want me to continue with the adderall, but I'm honestly afraid to take it again. I had been drinking and been outside all day the day before, so maybe that had something to do with it. I really like the medication and it's effects, but I don't want to lose my social life from it, since I am a 21 year old college student.

marisuela
06-04-2009, 11:40 PM
This might sound like a stupid question, since you said the doctors said you were dehydrated, but could you have had too much water at once? I don't know the mechanics or how the body works with all that kind of stuff, but is it possible that you drank way too much water, and your dehydrated body couldn't handle it all, and maybe your symptoms were from water intoxication? Just a thought....

I've never heard of anyone reacting that way to adderall, dehydrated or not. I keep mine in my car all the time, and I've never had any problems with it. I would definitely keep on the doctor and figure things out!

addprogrammer
06-06-2009, 09:55 AM
unteng,

It could be the Gatorade. It's nasty stuff unless you are sweating like a pig. Then it replaces lost electrolytes. Electrolyte overload is my best guess.

The only way we can discover which variable is causing the bug, is to change the value of one and only one variable at a time. Otherwise there's no way of knowing which variable is at fault. A combination of variables may be the problem. For example, Adderall + Heat + Gatorade = the bug.

I'm with marisuela on the "not an Adderal reaction." And I understand your reluctance to take Adderall again. Try this combination: Adderall + heat + no Gatorade. There is no way to know any other way.

Since your doctor recommended continuing Adderall, I feel confident that I'm not giving you dangerous advice.

Whatever you decide, please keep us updated. I love a good mystery.

Bob

unteng10
06-08-2009, 12:45 PM
The day I went to the hospital I had not drank any Gatorade. I took 10mg Saturday morning before work. Although I did not have any of the symptoms, I feel that instant release adderall may be to much for me. I am going to talk to my doctor and see if there is something else I can try that is time released, and less in your face all at once type of medicine. I would like to try the XR, but there is no generic and I can't afford a name brand medication right now while in school. What about vyvanse, is it any different?

addprogrammer
06-08-2009, 01:03 PM
Yes on the Vyvanse is diff. It's an XR formulation based on a totally different technology than Adderall XR. Better? I don't know. Expensive? Yes.

Adderall XR is designed to release half the dose immediately and the other half four hours later. For example, 30mg XR releases 15mg and then 15mg more. Vyvanse should control the delivery better. The d-amphetamine is release from the lysine by normal digestive processes. XR by contrast releases by virtue of one coating being tougher than another.

Consider a lower dose of IR taken twice. Say 5mg at 8 AM and 5mg at 12. The hard coded numbers never work. Experiment under your doctors strict supervision. You got a good one. Sorry, again, about my premature trash job.

Bob

unteng10
06-09-2009, 12:21 AM
I will talk to her about the dosage and what she thinks. The weird thing is, before I was prescribed it, I tried a 20 mg IR from a friend. The results were amazing, I was concentrating like I never had before, and learned a lot. After being prescribed it, everything was good for about a week, then I wind up in the hospital. Now when I take even 10 mg, all I can think about is my racing heart. Of course my heart sped up the first time I took it, but now its all I can think about. Its almost like I am having hardcore anxiety, and am so worried about something happening, that all I think about is my racing heart, and any weird feeling I may get. Its almost like I am scaring myself into making the medicine not work, even though I am constantly telling myself that everything will be fine, and I need not worry, but yet I still do.

addprogrammer
06-09-2009, 06:56 AM
unteng,

You may have hit the second nail on the head - just might have been a psychophysiologic reaction. Nevertheless first nail was a physiologic reaction. What caused it?

You really need to keep clearly in mind I'm NOT a doctor, OK?

My best guess is first time was a physiologic reaction similar to mine. Do you worry alot in general? Do you find yourself anxious about a lot of stuff others brush off easily? Could have been physiologicpsycho reaction. Note: I got a bad case of paraphasia in real life. I coin words on the fly.

The heart monitor thing could conceivable cause another attack. It's a test. Could cause test anxiety. Talk to doc cause I don't know what I am talking about. Or more specifically, know enough to be dangerous.

Bob

unteng10
06-09-2009, 10:15 AM
Thanks a lot for all the advice. I am going to discontinue the med until I go talk to my doctor on Thursday. Also, I have noticed my heart rate is still accelerated somewhat in the morning when I wake up, is this normal?

marisuela
06-09-2009, 01:04 PM
Bob, I have always been wary of extended release drugs. How can anyone prove that they work the same in one person as they do in another??? I know they're designed to break down at a certain rate, but what if you have a lot of stress or some sort of acid reflux issues and so you have way more stomach acid than the "average" person? Would that cause the XR pill to break down faster? And wouldn't that cause overdosing issues? Just asking, Bob, because you seem pretty knowledgeable about the drugs..... and everyone I know that's been on XR has hated it because it did bad things to them.

Unteng10, I'd follow Bob's advice about sticking to the IR and cutting back the dose.

janewhite1
06-09-2009, 09:34 PM
Marisula, you are right. That's why the smart psychiatrists try a few different drugs and dosages, relying on the patient's results, rather than just arrogantly assuming that they can guess the proper medication on the first try.

addprogrammer
06-10-2009, 08:31 AM
Marisula, you are right. That's why the smart psychiatrists try a few different drugs and dosages, relying on the patient's results, rather than just arrogantly assuming that they can guess the proper medication on the first try.

Marisuela,

Jane has always been able to put into a few words more meaning than my million words. She's right that you are right.

Except: I am NOT knowledgeable about drugs. I know a little about the few meds that I've been prescribed. I've spent many hours journaling how I react and so have some knowledge about how they affect me. Journaling is a very effective way for me to define problems pretty accurately. Then it is up to my shrink and psyche to fix them.

Environment variables are everything. Worse yet, this case no hyperbole, there are trillions of them. Put the meds we take into the wrong environment - someones body - and they'll kill you dead on the spot.

Prescribing crazy-meds is a formidable responsibility that requires a humongous database of knowledge and ability to apply to a specific instance. That means lot of education and even more experience.

Don't abuse medication is one thing I know for a fact. The consequences that I experience (present tense) from meth abuse decades ago continue to haunt me. When I see someone post that they are abusing drugs, in no uncertain terms I must say, "don't do that." How many take heed? Probably zero. The one's that survive will be this board's next generation.

Oh, dang ADHD, your question: I don't know anyone who's benefited from XR. My shrink says many do. Reread Jane's few words.

Bob

addprogrammer
06-10-2009, 08:54 AM
Marisuela,

I must give credit where credit is due. I showed my psychologist's your CBT for moose track binging. "Perfect" is literally what he said.

My intent last psyche visit was solution integration. Psyche says "one thing at a time." Application: Continue to focus on binge control until you feel it's under control. Then move to next item. So far so good, no binges just a few close calls, since my beloved moose tracks hit the trash can with lid off so retrieval wouldn't become an issue.

I can't remember exactly when Tracks "dropped" into trash can. Replacement therapy is just now becoming automatic. Someone said it takes about three weeks to develop a good habit. I think the someone is correct.

Unteng,

I'm not hijacking your thread. More likely than not, you'll need professional help along with the medicine. There is no big mystery to psychological counseling. The psychologist "simply" shows how to correct bad habits developed because of ADHD. He gets my 90 bucks/month because I simply can't do it myself. Sometimes I pay him for stuff I've already learned from this board. Paying for advise is good therapy in itself. After I pay $90 for advise, I am sure as heck going to do it. Well I'll be, it works. The same free advise doesn't.

We, are, nuts. No bout-a-out it.

Bob

unteng10
06-11-2009, 05:46 PM
Bob, no worries.

I went to the doctor today, talked to her about the adderall. We both agreed I should try something else. She prescribed me concerta 18 mg, so we will see how that goes. I am taking night classes during the summer, so I hope I don't have a crash off of concerta before my class.

addprogrammer
06-11-2009, 09:20 PM
unteng,

Good choice on the Concerta. Has the best delivery system of them all.

View at as the first step toward the solution. Keep careful track of how you respond. Give a summary to doc next visit.

You schedule is one that I couldn't live with. College level classes are demanding. Your job likely places little load on your brain unless you got a summer job as a research scientist. Blowing your concerta on your summer job is most disconcerting to me. Crashing in class equates to failing in class to me.

All of us must learn to work with our ADHD brains. Use the Concerta for classes and crash on your job. Either reschedule your work to the graveyard shift or classes to the AM and job PM.

Bob

unteng10
06-11-2009, 09:46 PM
I am going to keep a good journal. As for my job, I am a state vehicle inspector, which takes no brain power at all. I think I am going to take it at 8 am my first day, and see when or if I crash. From there I will adjust when I take it during the day to get me through my class. I can do my job just fine without meds, as a matter of fact, cars are the only thing I can learn about or work on just fine in life.

addprogrammer
06-12-2009, 12:03 AM
untang,

I graded a back country dirt road with my car about a month ago. My right side tires went into a rut and the left side smoothed off the top layers of the hump.

My car wasn't designed to be grader. Shortly thereafter I heard a horrible grinding sound, the car was pulling to the right and the brakes went mushy. The bad noise came and went a few times, then stopped. Pulled the wheels and couldn't see anything out of whack. I checked the CV's, the struts, brake lines and nothing seemed amiss. I figured a wheel cylinder was hung up. Put new calipers on. Then for the life of me, I couldn't get the air out of the lines. My chief brake peddle pumper started screaming that she's quitting.

I broke down (no pun intended) and got out the Haynes. I'll be son-a-gun. This bucket has a weird bleed order: Left back, right front, right back, left front. Plus one must disconnect the ABS actuator to bleed the dang brakes. I couldn't find the dang ABS actuator in the maze UNDER the air intact system where unlike the good ol' days where one wing nut held it on, this one has a couple thousand sensors, hoses, and wires connected to it all of which have to be disconnected first, then you can start disassembly.

I took the bucket to Bernie. Bernie has an eight bay garage with a mechanic in each bay and in Bernie's office hangs thousands of certificates earned by his mechanics to prove they know what they do. They do. Car is fixed.

Did I mention Bernie has the same fee structure as a brain surgeon?

Why do you want college?

unteng10
06-17-2009, 10:10 PM
To be honest with you, I didn't want to go to college. I either wanted to work or go to a tech school. Now I have been in school for 3 years, have almost 70 hrs completed, need 127 to graduate. The only part of school I have enjoyed is the social life. I study countless hours, and barely get by. I am a mechanical engineer major, which is not easy. I would change to something easier, but there is nothing else in school that remotely interests me, but at the same time I want to quit everyday bc of how hard it is to me. I only came to school bc everyone told me it was what I was suppose to d and needed to do, but in all honesty I don't want to do it anymore. I am very mechanically inclined, but I don't want to turn my hobby into a career bc I'm afraid it will reach a point where the one thing I love to do becomes the thing I hate. I am thinkng about taking some time off from school and seeing where it takes me, but I'm afraid to bc of our current economic situation.

addprogrammer
06-17-2009, 11:11 PM
unteng,

I can guarantee you a few things.

1. You'll make the most dough doing what you do best.

2. When you turn a hobby into a career, your hobby becomes work. They call work, work because it's work. Sometimes work sucks. But you don't hate it.

3. If you pursue a career in something you don't like doing, then work sucks all the time. No need to hate it, though, cuz won't stay employed long enough to hate it. Then you go back to what you love to do and should have done in the first place.

Save yourself the iteration.

Bob

addprogrammer
06-18-2009, 07:29 AM
Unteng,

Don't quit college. I don't have anything against you but for some reason I consistently give you dumb advice. I just let my dog out. He sneezed and blew snot all over the back of my leg. See! God is punishing me.

Don't quit college. Finish if kills you. It's no good to quit.

Why my second reversal? Everything we learn makes us a better person. I suspect you won't work as a mechanical engineer mostly because of the current economy, then secondly, I think you'd hate it in real life.

However ...

The degree will put the pay you get for mechanical work through the roof. For instance, something I'd love to do is airframe and powerplant mechanic. Yikes, work on ultra nerdy techologies like turbines and the interfaces of the most sophisticated electronics in commercial use. You'll be a shoe-in with a mechanical engineering degree. Airlines/airport shops will beg you to work for them - after you complete technical school.

Don't want to work on aircraft? The principle applies across the board.

Don't quit college. Go to tech school after college. And except for this post, don't listen to anything I tell you again. Please. I lost sleep over it. Really.

Bob

addprogrammer
06-18-2009, 08:46 AM
Untang,

You mentioned college is hard on you. Hard does not equal impossible. Learning how to work with our bass ackward brains is at least equally important as medication.

Finding immediate practical application helps me. Strange why I remember this, why the [blank] use log tables / log of a number? What fer? Makes trig problems easier, MUCH easier to solve. Now I get it. Cool. I love logger-rhythms.

On complex stuff where every word is meaningful and skim reading just won't cut it, rather than take notes, I take "diagrams" so I can see the relationships.

Ordinal/cardinal number relationships - critical to programming - and similar relationships, I use graphs. In the good ol days, I used graph paper, now I use Excel. I use Excel a lot to work out and validate complex equations. As the list gets longer, my volatile brain RAM loses values before I'm done processing them. Virtual memory (paper and Excel) to the rescue.

Learning math stuff: I start by trying to solve the problems at the end of the chapters, when I get stuck, I start reading. Now that it's got my attention, it's a do.

I'm trying to redeem myself, Untang. Reply and tell me you are NOT quitting school. I swear I'll find you and ring your neck if you do. I don't want to live with it.

Bob

unteng10
06-18-2009, 12:45 PM
Those are good examples of ways to learn. As much as I am tired of school, I really want to graduate. However, I have been considering taking a semester off and working as much as possible, since I got into some legal trouble a few months back, and now have lots of money to pay. I guess most people screw up once though, it sucks though that it happened when I'm poorer than I have been the last 10 years. However, if I don't take the fall off, I think I'm going to move back home and commute to a school, I hate the current town I'm in, which I'm sure doesn't help me. I need to win the lottery.

addprogrammer
06-18-2009, 03:25 PM
Unteng,

I so glad to hear you're not quitting. Marisuela gave me some rock solid advice I'll pass on. As long as you don't quit trying, you haven't failed. Setbacks are inevitable. So is getting bummed out.

I hope you didn't get busted for drugs. That is something you don't want on your record. Driving 130 mph down an interstate is a very expense "mistake" here in PA but if you are young you get ONE free get-out-of-forever_screwed card for that type evil.

Please don't tell me about the "evil" you did. Resolve it ASAP.

Don't take the easy path. Take the fastest path to getting college successfully done. I don't know which option you listed is best for you. Whichever, take it.

BTW, you impress me as a level headed young guy with lots of potential.

Bob

unteng10
06-19-2009, 01:14 PM
It was not for drugs, just a stupid mistake that I have learned from. I am going to stick it out at my current school I think, just trying to figure out where I am going to live in the fall. Thanks addprogrammer





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