The title says I will explain my Adderal script and how it works with my bi polar disorder. It should say I will attempt to explain, with my limited knowledge of chemistry how my Adderal script works with the counter indication to not use such a drug, being diagnosed bi polar.
First off I will answer Gledwood's questions asked in the comment section of previous post when I mentioned I would be again using Adderal, but at a different release rate, and a different dosage. I should explain to those of you who have no background information about me. I have sever bi polar disorder, (also known as manic depression) and I'm a heroin addiction currently not actively using heroin because I am on methadone maintainece treatment. (aka MMT) In the past I was prescribed
Adderal XR, (which means it is released slowly into the circulatory system and the affects last longer) the Adderal was at a high dosage (30mg) BID. (twice daily) I should probably explain what exactly Adderal is. Essentially it is an Amphetamine known on the street as "speed". My medication bottle from the pharmacy literally says, "Amphetamine-Dextoamphetamin". I'm not just on Adderal I'm on a number of medication for my mental illness. Lexapro 20mgs which is an antidepressant, Lamictal 200mg which is a mood stabilizer, and Clonazapam 1mg BID which is an anti anxiety medication, along with aforementioned Methadone 90mg, (I recently went up 5mg) I was at 85mg.
When I was Adderal XR 30mg BID last time it tended to make my mental illness worse. My moods swings were much more intense and much more frequently than before I began taking the Adderal. Now here is where the chemistry and biology come in, and I'm not at all well versed with either studies. To my knowledge, the reason the Adderal was causing so many problems with my mental health is because, Adderal works on the same receptors in the brain that the antidepressant works on. Adderal is a man made chemical that is naturally released in the brain when you are happy, and stimulated. The antidepressant I'm on because theoretically my brain is not natural producing enough serotonin which is only one of the chemicals the brain produces that works on the brain like Adderal. Theoretically antidepressants help the body to naturally produce serotonin and other such chemicals that make "normal" people who are not depressed, and not maniacs stay that way. So my best guess is the Adderal floods the brain with these chemicals like serotonin that make you feel good, and when the Adderal floods the brain with these chemicals it kicks all the natural chemicals that the antidepressants helped create out and replaces them with these quick acting man made chemicals. Which means when the Adderal wears off I come down hard and stay down longer because my brain doesn't naturally produce the chemicals the brain needs to stabilize and feel "normal", which is causing the antidepressant to be pretty much not effective.
I stopped taking the Adderal XR because I felt lousy on them for the most part. The only good thing it does is make me able to concentrate on one thing for a much longer time than I normally would be able to. It also helps me think more clearly while the chemical is flooding my brain. Just imagine drinking 10 cups of caffeine at once and keep doing that all day long, and then just stop and boom no more energy etc.
My Doctor really wanted me to go back on Adderal because he thinks I'm too distracted all the time and moving from subject to subject without any order to my thought process. My Doctor believes this will cure me from being so distracted and random all the time. I was very against going back on it. Not just because of how it made me feel last time I was on it, and because every other doctor I asked if it was a good idea to put a person with bi polar disorder on Adderal which again is speed. Every doctor I asked aside from my personal doctor said it is not a good idea to put a person with bi polar disorder on Adderal.
Even though I was against going back on Adderal my doctor persisted, and hounded me to go back on it. So when I saw him last I just gave in. I figured I'd let me write me the script and I could just not take it. Then he would be appeased, and I wouldn't have to keep hearing how much Adderal would help me. This time I told the doctor the only way I would take the Adderal is if they were the rapid release kind, and I the dose had to be much lower. My doctor finally wrote out the script he wanted to write for so long. Adderal 10mg. He wrote it out for me to take twice daily (BID), but he said I did not have to take it twice daily. He said if 10mg was not doing anything I could take two 10mg pills at the same time equaling 20mg once daily.
When I first got the script filled and I saw amphetamine I was freaked out. I thought to myself people are always looking for these pills to get high. Here I am an addict and I'm being told by my doctor to take a medication which is equivalent to speed. I've been in rehab with people who were addicted to this medication. The thing is I do not like the feeling this medication gives me. I do like how I'm able to sit down and write a blog about one subject in an orderly manner. The upside to the rapid release and lower dose is it doesn't linger. I get the crash and I go to sleep. I forgot to mention I also have doctors script for sleeping pills. As well as the anti anxiety med I mentioned earlier, and this helps alleviate the problems I had with the long acting higher dosage Adderal. I've been taking one pill in the morning, and it wears off by 5pm if not sooner. I don't take them on the weekend, or on days I feel depressed, or overly happy.
I'm not sure how many people are really interested in medication, and its effects on me aside from Gledwood. So this one's for you Gleds. I'm pretty sure I got the chemisty and biology totally wrong. I tried.