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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by rjlockhart04-08 on October 29, 2008, at 9:55:07
Hey
Havent been around for a while. You know i'm at work right now its about 9:51am, I've taken Dexedrine Spansules 2 and 1 in the afternoon. First of all, i found out, i was taking 100-200mg of Seroquel at night which its half-life is 12 hours. So I stopped taking it.
I am really, what is going on, and i can't call my psychiatrist, because he's "weary" about the Dexedrine dosage. I currently take 45mg which is spread out, so i only get 15mgin morning, and 7.5mg in afternoon.
Advice?
rj
Posted by Phillipa on October 29, 2008, at 10:51:39
In reply to Having *Serious* problems in morning, posted by rjlockhart04-08 on October 29, 2008, at 9:55:07
RJ no more school? And is the question about seroquel or dexatrine? Phillipa
Posted by rjlockhart04-08 on October 29, 2008, at 11:24:28
In reply to Re: Having *Serious* problems in morning » rjlockhart04-08, posted by Phillipa on October 29, 2008, at 10:51:39
No school right now, my brother is supporting me currently thank god. Work for him, but no back to the main question, i get up in the mornings, I take 2 Spansules (15mg)delivered, and 1 in the afternoon (7.5) The total dosing is 45mg, but it's spread out in low doses through out the day.
What i'm asking, i cannot take Seroquel anylonger, i cannot function good in morning and it cancels out the Dexedrine's effect until 12pm when it wears off. I take 100-200mg, but know, its 0mg, i dont want to take that medication...because you cant function when you get up and have alot of things to do.
And the Dexedrine, my doctor put me on a medication called Vyvanse, previously, i dont understand why..... He put me on 140mg (2 70mg casules). It caused sweating, eye dialation, and paranoia about events, my god i'm glad off it, it caused more depression than anyother amphetamine-based medication there is. Adderall and Vyvanse, i cannot tolerate, Adderall is more "speed" because it has levoamphetamine mixed with it, which releases norephinephrine more, and adrenaline. So, it causes more stimulation in the nervous system. Dexedrine is just plain dextroamphatmine, effects usally dopamine increase, not norephenrine. So its less, "rough".
But, it's very stange that he put me on the "highest" skyrocketed dose of Vyvanse, he was ok! let go to 140! well, danm, i guess Shire or something is promoting him to write Vyvanse presiptions and he gets more money, since it's new on the market.
Dexedrine Spansules are smooth, do not cause irratic, or paranoid, it causes just focus. But, 3 spansules are not working at at their best, and i asked him, the dose is delivered diffrently than regular Dexedrine immidate release tablets, he's really "back-offish" about it. I do not understand why? I wake up, and my mind is "off", and is lethargic, and at the same time. I hate the feeling, its about 10:30am right now (at work, typing this really fast) and i'm starting to get into "work" mode.
He still writes my Xanax presciption, which i told him, directly and truthfully, it's vital, because at times, i litterly will "panic" and dissocate, and i dont think what's happening is "real" during "high-stress, or something i dont know how to deal with". So, morally he should do that.
But, as usally i write long responses, but i dont know when im going back to school, i may do an acting studio, but its incredible amount of money, but you do get to meet some directors of films. I already did my first visit.
Take care, and thanks.
rj
Posted by yxibow on October 29, 2008, at 19:03:34
In reply to Having *Serious* problems in morning, posted by rjlockhart04-08 on October 29, 2008, at 9:55:07
> Hey
>
> Havent been around for a while. You know i'm at work right now its about 9:51am, I've taken Dexedrine Spansules 2 and 1 in the afternoon. First of all, i found out, i was taking 100-200mg of Seroquel at night which its half-life is 12 hours. So I stopped taking it.
Seroquel is 6 hours, the shortest of APs. But the plasma level carries through the day.100-200mg for sleep is a really high dose -- 25 to 50mg is more what people would take because it starts to become psychoactive at that range and yes, it could be tiring.
-- Jay
Posted by llurpsienoodle on October 29, 2008, at 19:37:43
In reply to Re: Having *Serious* problems in morning » rjlockhart04-08, posted by yxibow on October 29, 2008, at 19:03:34
funny thing-- I was taking 300mg of seroquel for many months. For the first 4 weeks I was in a stupor for the first 6 waking hours. Then I got used to it, and was able to be alert within 2 hours of waking. That's pretty good for me, actually.
-Ll
Posted by azalea on October 29, 2008, at 23:12:49
In reply to Having *Serious* problems in morning, posted by rjlockhart04-08 on October 29, 2008, at 9:55:07
I'm a bit confused about your Dexedrine dosing. You mention 7.5mg in the afternoon, but the spansule does not come in that dosage. Could you clarify?
> Hey
>
> Havent been around for a while. You know i'm at work right now its about 9:51am, I've taken Dexedrine Spansules 2 and 1 in the afternoon. First of all, i found out, i was taking 100-200mg of Seroquel at night which its half-life is 12 hours. So I stopped taking it.
>
> I am really, what is going on, and i can't call my psychiatrist, because he's "weary" about the Dexedrine dosage. I currently take 45mg which is spread out, so i only get 15mgin morning, and 7.5mg in afternoon.
>
> Advice?
>
> rj
>
Posted by rjlockhart04-08 on October 29, 2008, at 23:52:46
In reply to Re: Having *Serious* problems in morning » rjlockhart04-08, posted by azalea on October 29, 2008, at 23:12:49
Each day, i'm prescibed to take 3 15mg spansules.
2 in morning, 1 in afternoon. Spansules are kinda old, from what i know. If i take 1 15mg, the first dose is 7.5 because it releases "half" of 15mg. And then when it wears off, it's released again at 7.5mg (but its plasma lasts a bit longer) That's how a Spansule works.
So what i mean by the how i take it 2 in the morning so that 2 15 mg, which is 30mg. So half of 30 is 15 and that's the dose is delivered. At 12pm the other 15mg is released. And i take 1 spansule at 12 or afternoon. So add 7.5 to 15 you get 22.5mg till 3pm. Then at 3pm the "morning" Spanules wear off, and then at 3 the 2nd delivery of the afternoon dose is delivered, 7.5mg, lasts till usally 6pm.
My doctor, with dexedrine, is really "back-off" about it. But, see, this not the correct dose. I told him that in the session, and my therpist is belives more spirituality and doesnt believe in medication, and he's getting tired of me, i mean, the man doesnt listen to whats in head...he just talks, about guidelines of life, well i have trouble with it, and i need to talk about it. He's like, "enough!" we do hypnosis, or medication. I mean, man when i close my eyes, when he tell me to medicate, "i peek open my eyes and see him typing emails". I caught a rat....but rats are everywhere.
So, even thought Dexedrine is at 45mg, it spread out in 15mg(7-12)-22.5mg(noon)-7.5mg(3-6). My therpist, i wrote him a letter stating what "disociation episodes, i have in the car when i'm lost running documents" I wrote him 2 pages, and also wanted to tell him that, the dexedrine dosage is not correct, or it's not benefiting. I talked with him, he thinks i have other "alters" in my head, which is true...because they where created because of trama of not knowing how to cope with life, so when i'm about to breakdown, they switch and take over the task i'm doing. It's not "switching" it's more, the mind, changes into a diffrent mode where it makes itself forget, and restart, before a burn-down.
So, one problem, Psychiatrist is nuts, gave me 140mg of Vyvanse, then wont even touch, or talk about dexedrine. 2nd Therpist thinks i need to be "sent" off to a place, where emotional trama is needed. Excuse me, I'm not putting up with that b*llsh*t, if that man has been qualified since 1960, and doenst understand a "warped" mind, he just "well, dont know what to do...go to psych help" My alter ego's are like "shut up!" when he's rambling, about "your always breathing hard! stop it!" it's almost Tiffany, a dominant mother that replaced my own mother, got sick and tired of this wasting money on some burned out therpist.
Sorry.....i mean, the idiots in my own "familia" dont understand, i do have alter ego's. Because why? its called having Asperger's and not knowing it, i mess up constantly, harrassed, put down, but you know, if they dont understand it....that's there own ignorance. Who cares...family is not psychiatric care, but my family goes behind my back and talks about me, and does "secret" "deciet", when there christain's. Let me say...even pastors talk sh*t behind people's backs. And this one i belong to, really is dyphuntional, my brother is proably the only rational one that understands, because we grew up together.
Ending it at that....
So, if they plan anything, i'll come here, and know what exactly what to do.
rj
Posted by azalea on October 30, 2008, at 9:55:18
In reply to Re: Hey, well here an awnser, but i have vent..., posted by rjlockhart04-08 on October 29, 2008, at 23:52:46
Thanks for the explanation. I agree that it is a bit unusual that your pdoc prescribed 140mg of Vyvanse as the maximum recommended daily dosage is 70mg. For Dexedrine, the maximum recommended daily dosage is 60mg.
One option to consider would be taking a 15mg spansule every 4 hours. For example, at 8am, noon, and 4pm. This might provide more even coverage throughout the day. If you have trouble falling asleep at night from taking the 4pm dose, you could try every 3 hours--8am, 11am, 2pm.
On a positive note, your pdoc was willing to change you from Vyvanse to Dexedrine and you're getting some benefit.
> Each day, i'm prescibed to take 3 15mg spansules.
>
> 2 in morning, 1 in afternoon. Spansules are kinda old, from what i know. If i take 1 15mg, the first dose is 7.5 because it releases "half" of 15mg. And then when it wears off, it's released again at 7.5mg (but its plasma lasts a bit longer) That's how a Spansule works.
>
> So what i mean by the how i take it 2 in the morning so that 2 15 mg, which is 30mg. So half of 30 is 15 and that's the dose is delivered. At 12pm the other 15mg is released. And i take 1 spansule at 12 or afternoon. So add 7.5 to 15 you get 22.5mg till 3pm. Then at 3pm the "morning" Spanules wear off, and then at 3 the 2nd delivery of the afternoon dose is delivered, 7.5mg, lasts till usally 6pm.
>
> My doctor, with dexedrine, is really "back-off" about it. But, see, this not the correct dose. I told him that in the session, and my therpist is belives more spirituality and doesnt believe in medication, and he's getting tired of me, i mean, the man doesnt listen to whats in head...he just talks, about guidelines of life, well i have trouble with it, and i need to talk about it. He's like, "enough!" we do hypnosis, or medication. I mean, man when i close my eyes, when he tell me to medicate, "i peek open my eyes and see him typing emails". I caught a rat....but rats are everywhere.
>
> So, even thought Dexedrine is at 45mg, it spread out in 15mg(7-12)-22.5mg(noon)-7.5mg(3-6). My therpist, i wrote him a letter stating what "disociation episodes, i have in the car when i'm lost running documents" I wrote him 2 pages, and also wanted to tell him that, the dexedrine dosage is not correct, or it's not benefiting. I talked with him, he thinks i have other "alters" in my head, which is true...because they where created because of trama of not knowing how to cope with life, so when i'm about to breakdown, they switch and take over the task i'm doing. It's not "switching" it's more, the mind, changes into a diffrent mode where it makes itself forget, and restart, before a burn-down.
>
> So, one problem, Psychiatrist is nuts, gave me 140mg of Vyvanse, then wont even touch, or talk about dexedrine. 2nd Therpist thinks i need to be "sent" off to a place, where emotional trama is needed. Excuse me, I'm not putting up with that b*llsh*t, if that man has been qualified since 1960, and doenst understand a "warped" mind, he just "well, dont know what to do...go to psych help" My alter ego's are like "shut up!" when he's rambling, about "your always breathing hard! stop it!" it's almost Tiffany, a dominant mother that replaced my own mother, got sick and tired of this wasting money on some burned out therpist.
>
> Sorry.....i mean, the idiots in my own "familia" dont understand, i do have alter ego's. Because why? its called having Asperger's and not knowing it, i mess up constantly, harrassed, put down, but you know, if they dont understand it....that's there own ignorance. Who cares...family is not psychiatric care, but my family goes behind my back and talks about me, and does "secret" "deciet", when there christain's. Let me say...even pastors talk sh*t behind people's backs. And this one i belong to, really is dyphuntional, my brother is proably the only rational one that understands, because we grew up together.
>
> Ending it at that....
>
> So, if they plan anything, i'll come here, and know what exactly what to do.
>
> rj
This is the end of the thread.
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