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re ADHD chat: if you've been on the same medication for a very very long time ask your doctor if there are any newer better treatments available. i was diagnosed with ADHD when i was 10 and saw a specialist paediatrician until i turned 18 and then i started seeing a psych. that dude prescribed me compounded slow-release dexamphetamine from when i started seeing him up until ~2020 when he abruptly retired. in the whole 14 year period that i saw that psych he never once suggested alternative medications and just kept me on the compounded slow-release dex which seemed to work okayish. in my first appointment with my new psych he suggested ditching the compounded slow-release dexamphetamine and instead taking lisdexamphetamine (vyvanse) with regular dexamphetamine. i'd never heard of vyvanse before but it sounded pretty nifty so i tried it out and it was a marked improvement over the compounded poo poo. it was also much cheaper (didn't have to pay the ~$60 compounding fee), easier to get (compounded stuff i could only get at PCCA compounding chemists) and more convenient (just one 70mg vyvanse per-day instead of 4x10mg compounded capsules lol). so yeah, it's a shame that it took having to change doctors to be made aware of the latest advancements in drugs. ofc i guess i could have been more assertive with my original doc but he was a bit poo poo in general tbh.
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Sep 1, 2022 13:24
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fisting by many posted:wonder if I should look into getting meds, I've just been self-medicating with caffeine which works okay but I guess it's pretty dumb not to take care of myself properly  i took meds all throughout childhood and through college and i hated how it totally dampened my personality, so i stopped taking them after college and i've been mostly doing fine by being aware of my tendencies and trying to better control my surroundings if i need to focus. i'm sure i could benefit from getting back on meds but i really hate the idea of going back to pumping myself full of amphetamines
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Sep 1, 2022 13:28
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oi a bollard knicked me trousers mate
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Sep 1, 2022 13:30
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HamAdams posted:
my two younger siblings also got diagnosed with ADHD in childhood but they both stopped taking meds after turning 18 and seem to be doing fine. i on the other hand cannot function without them lol. been on the drugs for 23 years now im certain my brain is porridge or something
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Sep 1, 2022 13:37
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Pile Of Garbage posted:re ADHD chat: if you've been on the same medication for a very very long time ask your doctor if there are any newer better treatments available. i dropped it because i didn't see any benefit over regular extended release dextroamphetamine, which is free, so i stopped taking it. once they stopped giving out the coupons my psych was like "yeah we don't prescribe that anymore", to which i lol'd heartily that usually means they got a kickback per rx. i don't know how it works by you but i'm glad you found something that works, adhd can be a bitch to manage
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Sep 1, 2022 13:42
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HamAdams posted:
yeah, I wasn't too keen on the meds I had in my teens. they'd make me hyperfocus, but not necessarily on something productive. and the appetite suppression wasn't healthy.
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Sep 1, 2022 13:43
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bollards remain undefeated
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Sep 1, 2022 13:49
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a delicious hard dick
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Sep 1, 2022 13:51
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bump_fn posted:a delicious hard dick
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Sep 1, 2022 14:01
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Captain Foo posted:bollards remain undefeated
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Sep 1, 2022 14:15
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Beeftweeter posted:vyvanse is super expensive here unless you get one of those coupons (it knocked like $150 off to make it $10 for me, at least) thanks friend. here in AU we have the Pharmaceutical Benefits Scheme (PBS) which applies automatic discounts to certain prescribed medications. thanks to the PBS i can get 30x70mg vyvanse for AUD$42.50 instead of AUD$98.80 (https://www.pbs.gov.au/medicine/item/10492F) which is pretty great. edit: there's no discount on the regular dex that i take alongside it however overall it's still cheaper per-repeat than the compounded slow-release dex which was like $40 for 100x5mg dex plus $60 for compounding.
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Sep 1, 2022 15:15
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Pile Of Garbage posted:thanks friend. here in AU we have the Pharmaceutical Benefits Scheme (PBS) which applies automatic discounts to certain prescribed medications. thanks to the PBS i can get 30x70mg vyvanse for AUD$42.50 instead of AUD$98.80 (https://www.pbs.gov.au/medicine/item/10492F) which is pretty great. they also had me try something called "evekeo" or "zezendi", which going by the coupon i have saved from 2016 (lol) are also dextroamphetamine reformulations. fwiw they did seem to lessen the regular dextro side effects quite a bit (sweating, heightened anxiety, etc) while still providing the same "benefit", but alas they stopped the kickbacks there, too. still, probably not a bad idea to ask about
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Sep 1, 2022 15:19
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i was diagnosed with add as a kid and did the ritalin/adderall thing through middle school or so. i've always massively self medicated with fuckloads of coffee and tried going back on adderall in my mid 20s. i had to quit again after a just a couple months because while it was effective, it also made me aggro as gently caress, and left me constantly wanting more drugs. in my late 30s now and while i'd love to give it another shot, my cardio system isn't in the right place for it.
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Sep 1, 2022 15:31
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I got the aggro thing from Vyvanse but not Adderall for whatever reason. Think I'm mostly in a good spot med wise at this point, except I tend to run out of steam about an hour or two before the work day is done. Not really enough time to warrant upping my dosage, and XR just works significantly less effectively for me while disrupting my sleep way more, so I'm kinda just rolling with what I've got for right now.
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Sep 1, 2022 15:33
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they actually were going to switch me from adderall to vyvanse when i was complaining about the aggro thing, but I never filled the vyvanse prescription and just went off meds.
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Sep 1, 2022 15:35
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https://twitter.com/shutyourhell/status/1564805032088051712
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Sep 1, 2022 15:35
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Beeftweeter posted:they also had me try something called "evekeo" or "zezendi", which going by the coupon i have saved from 2016 (lol) are also dextroamphetamine reformulations. fwiw they did seem to lessen the regular dextro side effects quite a bit (sweating, heightened anxiety, etc) while still providing the same "benefit", but alas they stopped the kickbacks there, too. for the last decade the Liberal/National coalition (basically aussie tories) has been in power and have been gutting the PBS and medicare. im certain that if they got another term they would have privatised medicare. thankfully they lost the federal election in may and we now have a majority Labor (union-backed party, like UK Labour but not total dogshit) government. here's hoping for a thousand year Labor government and that they resurrect Gough Whitlam to lead
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Sep 1, 2022 15:35
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nudgenudgetilt posted:i was diagnosed with add as a kid and did the ritalin/adderall thing through middle school or so. i've always massively self medicated with fuckloads of coffee and tried going back on adderall in my mid 20s. i had to quit again after a just a couple months because while it was effective, it also made me aggro as gently caress, and left me constantly wanting more drugs. in my late 30s now and while i'd love to give it another shot, my cardio system isn't in the right place for it. i was also diagnosed as a kid but had no idea, my parents literally hid the concerta rx i was given and i only found it when i cracked their safe (yeah i was a little bastard). it's a big ole hit of dopamine which would explain why you'd constantly want more drugs, and amphetamines are themselves crazy addictive. i'd also self-medicate with tons of caffeine and pseudoephedrine sometimes i worry about the cardio effects too, but my resting heart rate even on amphetamine is in the 60s so i hope i'm fine
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Sep 1, 2022 15:37
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InternetOfTwinks posted:I got the aggro thing from Vyvanse but not Adderall for whatever reason. Think I'm mostly in a good spot med wise at this point, except I tend to run out of steam about an hour or two before the work day is done. Not really enough time to warrant upping my dosage, and XR just works significantly less effectively for me while disrupting my sleep way more, so I'm kinda just rolling with what I've got for right now. the running out of steam issue is why my doc prescribed me vyvanse and regular dex. in the morning before work i take 1x70mg vyvanse and 1x5mg dex so that it kicks-in quicker and at 2-3PM in the arvo i take 1x5mg dex which keeps me going till at least 5-6PM. works well and lets me get chores and poo poo done when i get home from work before semi-crashing.
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Sep 1, 2022 15:38
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Beeftweeter posted:sometimes i worry about the cardio effects too, but my resting heart rate even on amphetamine is in the 60s so i hope i'm fine ive been taking some form of amphetamines almost daily for at least 23 years now. my resting heart rate is usually a bit elevated when i take them however i had an EKG recently as part of a general check-up and they didn't find any issues. so yeah you're prolly fine. semi-related but im now like 7 years smoke-free after a ~10 year habit which began in high-school lol. im surprised i managed to pull it off, was hard to imagine when i was smoking. i used to do off-shore work on the reg and would wear patches when i was out on the rigs. after one swing i just decided "gently caress it ima keep wearing the patches and go from there" and it worked. only good thing ive ever done lol
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Sep 1, 2022 15:44
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yeah, my issue is that i'm already sitting on a long-qt, high blood pressure, and nearly tachy resting heart rate. until i get all that under control stims just aren't an option. i'm not even allowed pseudoephedrine to clear my snotty sinuses out. as it turns out, years of abusing your body causes it to start failing pretty early
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Sep 1, 2022 15:58
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Dialing in my meds was tough (and is still an ongoing process somewhat at 5y). With the psychiatrists available to my insurance, you have to bully them into listening to you. My kid (actually the reason I got diagnosed as an adult) got recommended a psychiatrist who was not on any insurance, and she was expensive but god drat she was good at figuring out what needed to change in prescriptions, especially for a young kid. But alas, she retired and now I'm not unhappy with my kid's current provider, it just feels more like they're reading from a checklist at every appointment. EDIT: My borderline high blood pressure was not affected by stims. My psych was super concerned about it, but my primary care provider was not. Like we were monitoring before and after starting Vyvanse, and the numbers stayed bad but didn't get worse. MrQueasy fucked around with this message at 16:05 on Sep 1, 2022 |
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Sep 1, 2022 16:01
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Pile Of Garbage posted:ive been taking some form of amphetamines almost daily for at least 23 years now. my resting heart rate is usually a bit elevated when i take them however i had an EKG recently as part of a general check-up and they didn't find any issues. so yeah you're prolly fine. after i found out my parents had been lying to me and became an adult i just went to a psych on my own and was prescribed adderall, that was probably 18 years ago or so. still, after i took some after a killer hangover i sort of had a panic attack and my heart rate was in the 130-170 range so i went to mass general hospital to get checked out. they did an ekg and i was totally fine, but that's how i'm now on benzos for anxiety also lmao and yep i quit smoking in 2019, right before covid hit ironically lol. replaced that with vapes which imo probably isnt too much better but  that withdrawal makes me aggro as all hell
Beeftweeter fucked around with this message at 16:04 on Sep 1, 2022 |
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Sep 1, 2022 16:02
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i didn't think i could take stims for a long time because of my history of pretty severe panic disorder, but as long as i have something to kinda smooth out a stim, it's fine. I took propranolol concurrently for a couple years, and now i take guinfacine concurrently with adderall. it lowers my heart rate similar to propranolol, but with the added benefit of also being an ADHD med my meds struggle atm is that adderall XR works fine for me, but IR makes me feel kinda nuts, like it just dumps into my system and makes me feel strung out, and my pdoc had me start taking it as a sorta booster alongside the XR. I just do not like it. > 
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Sep 1, 2022 16:08
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I self medicate with 600mg of caffeine and a vape and it does ok. my resting heart rate seems to hover in the 55-65 zone, and my Apple Watch tells me every morning that my heart rate hit 35 or 40 while I was sleeping, so either I have athletic bradycardia or I somehow have sleep apnea while being pretty slim and fit doctor wasn’t too worried about the slow heart rate while sleeping so ¯\_(ツ)_/¯
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Sep 1, 2022 16:12
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FAT32 SHAMER posted:my resting heart rate seems to hover in the 55-65 zone, and my Apple Watch tells me every morning that my heart rate hit 35 or 40 while I was sleeping, so either I have athletic bradycardia or I somehow have sleep apnea while being pretty slim and fit although it's pretty rare to see it dip into the 30s, 45-50 while i'm asleep is pretty normal for me apparently
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Sep 1, 2022 16:16
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i'm hanging out at 90, having done nothing but sit at my computer after waking up about an hour ago.
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Sep 1, 2022 16:21
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Is everyone in yospos zooted on stims all the time
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Sep 1, 2022 16:31
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Because I sure am
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Sep 1, 2022 16:31
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PokeJoe posted:Is everyone in yospos zooted on stims all the time the goal is to not be zooted
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Sep 1, 2022 16:31
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i'll drink a red bull once in a while
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Sep 1, 2022 16:32
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not me. I'm tired as hell rn
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Sep 1, 2022 16:33
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nudgenudgetilt posted:i'm hanging out at 90, having done nothing but sit at my computer after waking up about an hour ago. yikes, nearly tachy indeed have you tried propranolol or something similar?
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Sep 1, 2022 16:34
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trying amlodipine besylate now, though obviously it hasn't had much of an effect yet. i'm due for another appointment in two weeks, so i'll see where it goes then.
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Sep 1, 2022 16:38
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Beeftweeter posted:
I was never a big fan of King of the Hill
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Sep 1, 2022 16:40
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PokeJoe posted:Is everyone in yospos zooted on stims all the time  Beeftweeter posted:have you tried propranolol or something similar?
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Sep 1, 2022 16:47
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PokeJoe posted:Is everyone in yospos zooted on stims all the time i am useless to capitalism without em
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Sep 1, 2022 16:48
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i want to program something again that isnt just for my job unfortunately i have no loving ideas whatsoever
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Sep 1, 2022 16:49
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hbag posted:i want to program something again that isnt just for my job i still sometimes suspect you of being a very high-effort gimmick account
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Sep 1, 2022 16:51
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i'm on propranolol right now for interview performance anxiety! vyvanse was great but i literally could not sleep and when i would i would "think" in my sleep anyways so it wasn't real sleep. adderall IR is ok and lets me get to sleep but i wish i could get the vyvanse effect in a shorter time period. the day i did my sleep study to set up my cpap pressure i felt like i had super powers after taking vyvanse.
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Sep 1, 2022 16:53
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