Discussions that mention adderall

Pain Management board


Hi everyone~
Ive been really struggling with the idea of going back onto my ADD meds. Its been 7 years since I was on Ritalin instant release 15 mg 3 times a day, and before that I was on Straterra, and another one I cant remember. Ive been on and off of them for the last 10 yrs.
I never liked the way they made me feel, but I did have a better life while on them. I know I need to be, but side effects, ect. I guess its all part of coping, so here I go again.
I had such a bad experience on Ritalin, that my doc and I are thinking about adderall. Is trhere anyone else here in PM that is also being treated for ADD/ADHD?
Ive also posted on the ADD board for some help as well.
Thanks for any info or any responses. It would mean alot to me...
xoxoxoxo,
IZZY'SMOM
IZZY'SMOM,

These ADD meds are central nervous system stimulants, and, as such, potentiate opioids (Adderall, Ritalin, Concerta, Dexedrine). Strattera is an exception. As you know, i's for ADD, but it is not a stimulant. My wife uses it for ADD. However, because it's in a different class, Straterra is not an opioid adjuvant either, but it may also not be a banned substance (as you may already know).

So if the tour gives you grief over Adderall, you might look at Straterra again. It's still under patent and fairly pricey.

steve
[QUOTE=gregar;3543949]I've been on adderall for about 5 years now for ADD. I'm not sure what you mean by these meds being a potentiate for opioids. Can you explain how they are supposed to interact? I've read that they can be used to help counter sleepiness from meds that cause drowsiness but I've never read anything saying they can help with making opioids more potent...

I'm not a chemist, but I'll try to relay some of what I've read regarding this feature of central nervous system stimulants potentiating opioid analgesia.

I think many have seen the benefit of caffeine on migraine headaches. For some reason, caffeine affects both the blood vessels surrounding the brain and other chemicals that helps to reduce migraine pain. Well, it seems meds like dexedrine (dextroamphetamine), Ritalin (methylphenidate), Adderall (mixed amphetamine salts) all enhance opioid analgesia. One reference I read states that these stimulants possess pain killing properties all by themselves (like caffeine), and also that they inhibit the uptake of noradrenaline, meaning that they prevent the body from absorbing noradrenaline, leaving it to continue to actively work - and this also has analgesic effects. So, by combining opioid analgesia with noradrenaline analgesia, you get a two-for-one attack on pain. The stimulants also serve to reduce the sedative effects of opioids, which allows the brain to make full use of the opioid without the depressing effect of sedation.

That's about all I have so far. If I run across any additional info I'll be sure to post it.

steve
I am on Adderall and Oxycontin. . . I have never had a problem and the pharmacy and doctors have said nothing. . . But who knows. . . If you read my posts. . . you'll see my many problems:D