Sabtu, 14 April 2018

adderall effects | ¿Qué es Adderall (Adderall XR)?





¿Qué es Adderall (Adderall XR)?



Adderall es la marca de un medicamento recetado que se usa para tratar el trastorno por déficit de atención con hiperactividad (TDAH) en niños y adultos.

Adderall es una combinación de dos drogas estimulantes, anfetamina y dextroanfetamina .

Adderall XR es una forma de liberación prolongada de la droga.

Los médicos también recetan Adderall (pero no Adderall XR) para tratar la narcolepsia.

Adderall puede ayudar a las personas con TDAH a controlar sus actividades y aumentar su capacidad de atención.

El medicamento también puede prevenir los síntomas de la narcolepsia, que incluyen somnolencia excesiva y ataques repentinos de somnolencia diurna.

La Administración de Alimentos y Medicamentos (FDA) aprobó Adderall en 1960. La agencia también aprobó la combinación de anfetamina y dextroanfetamina como medicamento genérico.

DSM Pharmaceuticals fabrica el medicamento de marca y muchas compañías farmacéuticas fabrican una versión genérica.

Adderall pertenece a una clase de medicamentos llamados estimulantes del sistema nervioso central. El medicamento funciona aumentando los niveles de la dopamina química cerebral, que estimula el cerebro.

Esta estimulación tiene un efecto calmante y de enfoque en las personas con TDAH.

Adderall 'alto' y abuso
El uso de Adderall ha aumentado en los últimos años.

La investigación muestra que el número de medicamentos para el TDAH recetados a los niños aumentó un 45 por ciento entre 2002 y 2010.

Of these drugs, Adderall was the second most prescribed medication.

Sales of the drug increased more than 3,000 percent between 2002 and 2006. In 2010 alone, the total number of Adderall's prescriptions exceeded 18 million.

One reason for the increase in Adderall prescriptions is that more and more children and adolescents are diagnosed with ADHD.

However, doctors also prescribe the medication to children and adults who do not have ADHD.

This increased availability of Adderall has led to widespread abuse of medication.

Because Adderall increases dopamine levels, it can trigger a feeling of euphoria among people who do not have a medical reason to take it.

As a result, it has become a drug of choice among people who try to get high, who often crush and snort the pills or mix water and inject.

Because stimulants such as Adderall increase alertness and attention, an increasing number of people who do not have a diagnosis of ADHD are using the medication to improve their ability to think and concentrate.

This unauthorized use of Adderall is a growing trend, especially among high school and college students who try to study for exams or increase their academic performance.

Stimulants like Adderall, sometimes called "smart pills", are currently the second most common form of drug use on college campuses.

Despite the widespread belief that Adderall can improve a person's ability to learn, the drug does not improve thinking ability in people who do not have ADHD.

Young people who do not have ADHD but are taking Adderall to get better grades in school or gain an academic advantage are at risk of life-threatening side effects.

Adderall and weight loss
Adderall can also suppress appetite, and an increasing number of people who want to lose weight also abuse the drug as a diet pill.

However, the use of Adderall or Adderall XR to lose weight can cause serious side effects, including psychosis, addiction, stroke, cardiac arrest and death.

Adderall warnings
Adderall can increase your risk of heart problems, high blood pressure and stroke.

If the person taking Adderall has a history of a heart defect or other heart problems, there is a risk of sudden death.

Doctors should monitor children for any heart problems before prescribing Adderall.

Adderall may increase your risk of mental health problems, such as depression, bipolar disorder, and unusual behaviors, including aggressive or hostile behavior.

Children in Adderall can also develop psychotic symptoms, which include seeing things that are not there (hallucinations) and believing things that are not true (delusions).

Adderall can create habit. This is more likely if you take Adderall in larger doses, more often, or for longer than recommended by your doctor.

You may need to take increasing doses to control symptoms, but taking larger doses increases the risk of heart and mental health problems.

Children under 3 should not take Adderall, and children under 6 should not take Adderall XR.

Always tell your doctor if you are allergic to any medication. Tell your doctor about any:

Reactions that you have had to other stimulants
Family history of heart problems, high blood pressure, or stroke
Family history of mental problems
Previous drug or alcohol use
Several other conditions that your doctor should know before prescribing Adderall for you include a history of:
Hyperthyroidism
Glaucoma or any eye problem
Anxiety
Tourette's syndrome or any sudden and uncontrolled movement
Seizures
Liver disease
Kidney disease
If your child is taking Adderall, you should talk to your doctor about the risk of stunting.

Some stimulants can slow down growth and development in children. A doctor should check your child regularly while the child is in Adderall.

It is also important to confirm a diagnosis of ADHD before treating a child with Adderall.

Sometimes, poor school performance or behavior problems are symptoms of other problems that require treatment, such as trauma, dyslexia or mental illness.

Medical experts do not know if Adderall is safe for the elderly.

If you are over 65, ask your doctor if there are other medication options that may be safer for you.

Withdrawal from Adderall
If you stop taking Adderall suddenly, you may have Adderall withdrawal symptoms, also known as "Adderall block."

The withdrawal symptoms of Adderall may include depression, insomnia or other sleep disorders, irritability and extreme fatigue.

You have a higher risk of addiction to Adderall if you have abused drugs or alcohol in the past.

Abstinence from Adderall can be controlled with the help of your doctor, who can advise you to slowly decrease your use of the medication.

Adderall and pregnancy
Adderall could be unsafe during pregnancy.

Because of this, talk to your doctor before you start Adderall if you are pregnant or can get pregnant, and call your doctor immediately if you become pregnant while using Adderall.

Also, do not take Adderall during breast-feeding because the medication can pass through breast milk to a breast-feeding baby.

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Frequently asked questions
Q: My husband takes Adderall for ADHD. He is taking a generic form through Express Scripts. He was fine for quite some time, but now he is having a blurred vision and sometimes even seeing stars. Coffee makes it worse. In addition, he became quite irritable, anxious and depressed. He stopped taking the medication and made an appointment to see his doctor. Is this a common side effect?
A: Adderall is a medication used to treat ADHD in children and narcolepsy in adults. There are several side effects with Adderall that you should inform your healthcare provider, including, but not limited to: Confusion, tightness in the chest, chest pain or palpitations, difficulty breathing, depression, more extroverted or aggressive behavior than normal , Strange behavior, Hallucinations (seeing, hearing or feeling things that are not really there), Agitation or restlessness, Fainting, Uncontrolled movements of the head, neck, mouth, arms or legs (known as tics). You should definitely inform the doctor about these new side effects so that he or she can decide what is the best action measure for your condition. Here is a link to get more information about Adderall: Lori Mendoza, PharmD Poulin, PharmD
Q: What are the normal ranges of amphetamine dose for a 57-year-old woman (weight 180 lbs) with ADHD? I have noticed a significant improvement in focus, anxiety, ability to initiate and complete tasks since I started treatment about 2 years ago. I am currently taking 3omg 3 times a day, but it does not seem to be as effective since I gained weight.
A: Amphetamines and dextroamphetamine are combined into a single pill (brand name Adderall) for the treatment of attention deficit hyperactivity disorder in children and adults. The product is available in an immediate release form and in an extended release format. Both forms are dosed according to the answer. According to the package insert, the immediate release form starts at 5 mg once or twice a day with increases of 5 mg per day at weekly intervals until an optimal response is achieved. Generally, doses do not exceed a total of 40 mg per day. The prolonged release begins at a rate of 20 mg per day and increases as needed weekly to achieve efficacy and tolerability. It is recommended that treatment with amphetamines be interrupted occasionally to determine if there is a recurrence of behavioral symptoms that requires ongoing therapy. It is important that you take this medication exactly as prescribed by your doctor. Amphetamines are habit and can be diverted. Do not take this medication in larger or smaller amounts or for longer than recommended. Follow the instructions on the label of your prescription and if you have concerns or need more specific information, consult your doctor or pharmacist for guidance based on your health status and current medications, in particular before taking any action. Greetings, Michelle McDermott, PharmD
Q: Can Adderall alter your brain permanently? What is the worst side effect? If someone wants to stop taking it, what can you suggest?
A: Adderall (the generic name is dextroamphetamine with amphetamine) is generally used for a couple of conditions. Adderall (dextroamphetamine / amphetamine) works by stimulating the central nervous system, which is not a long-term effect. Adderall has a series of side effects, the most common being overstimulation, restlessness, headache, nausea, vomiting, weight loss and dry mouth. More serious side effects can affect the function of the heart and brain. All new or worsening behavior and thinking problems should be reported to your doctor. Also any chest pain, palpitations, shortness of breath or any discomfort in the chest should be reported to your doctor. If someone wanted to stop taking Adderall, it is important not to stop abruptly and talk about decreasing the medication with their doctor. Adderall (dextroamphetamine / amphetamine) can cause tolerance and dependence, therefore, stop treatment This medication should be administered slowly. This information is exclusively of an educational nature and is not intended to diagnose or treat conditions. It is important to discuss any questions or concerns about Adderall with your doctor. I have attached a couple of links to get more information about Adderall.
Q: What type of over-the-counter cold or over-the-counter pain medication can I give to my 14-year-old son if he takes Adderall for his ADD?
A: Adderall (amphetamine / dextroamphetamine) is a medicine used to treat AD / ADHD or narcolepsy. It is in the class of medications that are considered stimulants and, although it goes against the way you would think a stimulant would work, it calms the patient with ADD / ADHD. The Adderall prescription information does not specifically list any interaction with the ingredients of the cough / cold products. However, you should be aware that products that contain a decongestant (pseudoephedrine, phenylephrine) can cause an increase in blood pressure, either by themselves or together with the ingredients in Adderall. You should use the least amount of decongestant for the shortest time possible when using over-the-counter cough / cold and Adderall products. For more specific information, consult your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Lori Poulin, PharmD
Q: How long does it take for Adderall to leave the body?
A: Adderall is a combination of amphetamine and dextroamphetamine, both central nervous system stimulants. This medication affects chemicals in the brain and nerves that contribute to hyperactivity and impulse control. Adderall is used to treat narcolepsy and attention deficit hyperactivity disorder (ADHD). ADHD is a neurological condition related to the chemistry and anatomy of the brain. ADHD manifests as a persistent pattern of inattentiveness or hyperactivity / impulsivity. Common side effects of Adderall include headache, dizziness, insomnia, dry mouth, unpleasant taste in the mouth, diarrhea, constipation, loss of appetite, weight loss and loss of interest in sex. This is not a complete list of the side effects that can occur with Adderall. The amount of time it takes Adderall to clean your system depends on whether it is the product of immediate release or prolonged release and the age of the patient. nte. Both forms of Adderall, IR and XR have exactly the same amphetamine-based ingredients and an identical composition, with the only difference being the amount of time they are released into the body. On the basis of body weight, children are taller than adolescents or adults. The average half-life for d-amphetamine is 10 hours in adults; 11 hours in adolescents aged 13-17 years and weighing less than or equal to 75 kg / 165 lbs; and 9 hours in children from 6 to 12 years old. Most pharmacists believe that after 3 to 5 half lives, about 90% of the drug has been eliminated and no longer affects the body. Therefore, it usually takes up to 2-3 days to completely remove Adderall from the body. Sarah Lewis, PharmD
Q: Does Adderall or the drug that is administered for ADHD have any long-term effect on a person's personality, etc.?
A: Unfortunately, many long-term effects of medications are not known as many medications are not studied for more than 6 to 12 months. Adderall (amphetamine / dextroamphetamine) is a medication that has been used for many years in the treatment of ADHD and narcolepsy. The prescription information lists the most common side effects of this medication that include loss of appetite, dry mouth, insomnia, headaches, emotional changes, diarrhea and increased heart rate. The only documented long-term effect of Adderall is an increase in blood pressure over time. There are some side effects that should be mentioned to your doctor, such as agitation, strange behavior, more extroverted or aggressive behavior and restlessness. These are not considered normal side effects of the medication and should get a doctor's attention. For more information about Adderall, click on this link: For more specific information, consult your doctor or pharmacist for guidance based on your current health status and medications, especially before taking any action. Lori Poulin, PharmD
Q: Is it safe to take Adderall if I am still breastfeeding?
A: Adderall is a stimulant of the central nervous system. It affects chemicals in the brain and nerves that contribute to hyperactivity and impulse control. Adderall is used to treat narcolepsy and attention deficit hyperactivity disorder (ADHD). Adderall passes through breast milk. The manufacturer's prescription information indicates that patients should refrain from breast-feeding while taking this medication. Therefore, if you are breastfeeding or plan to breastfeed, be sure to talk with your health care provider. He or she can decide whether or not to take Adderall during breastfeeding depending on their particular situation. Lori Poulin, PharmD
Q: Does Adderall reduce the sperm count?
A: Adderall (amphetamine / dextroamphetamine) is a combination medication that is classified into a class of medications known as central nervous system (CNS) stimulants. Adderall is used in the treatment of attention deficit hyperactivity disorder (ADHD) and narcolepsy. Adderall works by stimulating the release of the chemicals, norepinephrine and dopamine. Adderall has a stabilizing effect on AD / HD and can stimulate the brain to help with alertness. According to the prescription information of Adderall, the decrease in the sperm count was not reported as a possible side effect of the medication. Impotence and changes in libido (sexual desire) are listed as possible side effects of Adderall. Some of the common side effects associated with Adderall include weight loss, headache, insomnia, dry mouth, decreased appetite and abdominal pain. For more specific information, consult your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Kristen Dore, PharmD
Q: Can Adderall reduce my metabolism? A: Adderall does not affect your metabolism, but it can decrease your appetite, which will cause you to lose weight. You should not see weight gain with this medication.
Q: Do medications for ADHD, like Adderall, hurt you if you have multiple sclerosis?
A: Adderall (amphetamine / dextroamphetamine) is a stimulant approved by the US Food and Drug Administration. UU (FDA) for the treatment of attention deficit hyperactivity disorder (ADHD) and narcolepsy. Some of the most common side effects associated with the use of Adderall include insomnia, headache, anorexia, dry mouth, abdominal pain, nausea, weight loss, increased heart rate and agitation. Contraindications to the use of Adderall, or disease states in which Adderall should not be used, include arteriosclerosis (hardening of the arteries), cardiovascular disease, hypertension (high blood pressure), hyperthyroidism (overactive thyroid), glaucoma, agitated states , patients with a history of drug abuse and patients who have been under a monoamine oxidase inhibitor antidepressant (MAOI) in the last 14 days. The Adderall prescription information does not state that patients with multiple sclerosis (MS) should avoid treatment with Adderall. Multiple sclerosis (MS) is a disease of the central nervous system (CNS). Multiple sclerosis directly affects the myelin sheath, which is a layer around the nerves that helps transmit signals. The symptoms of MS vary widely among individuals, but may include muscle spasms, tingling, weakness, and loss of balance. Multiple sclerosis is a progressive disease, which means it can get worse over time. Some MS patients have mild symptoms and can live very active lives, while those with very severe MS may have lost the ability to walk or talk. There are several different treatment options to treat MS. Your doctor will determine which treatment options are best for you based on the severity of your MS, what symptoms are most bothersome to you, your other medications, and your general health. For more specific information, consult your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Laura Cable, PharmD
Q: Can you give me a list of medicines that have amphetamines as an ingredient?
A: It may not be 100% complete, but here is a partial list: Adderall (amphetamine dextroamphetamine); Didrex (benzamphetamine); Ritalin (methylphenidate); and Dexadrine Spansule (dextroamphetamine). William Gault, PharmD
Q: Can one become tolerant with Adderall over time? Are there alternative treatments for ADHD?
A: Attention Deficit Hyperactivity Disorder (ADHD) is currently treated with stimulant medications and the stimulant Strattera (atomoxetine). Stimulant medications include Ritalin, Concerta, Daytrana (methylphenidate), Detroamphetamine-amphetamine (Adderall) and Dexedrine (dextroamphetamine). It is believed that stimulants balance chemicals in the brain called neurotransmitters. Stimulants are formulated in different forms, such as short-acting and long-acting. Short-acting forms such as Ritalin (methyltin) can last approximately 4 hours. The forms of prolonged action, as they can last around 6--12 hours. Adderall is an example of a stimulant available as a short-acting and long-acting formulation. Adderall (amphetamine and dextroamphetamine) is a stimulant that affects chemicals in the brain that are associated with hyperactivity and impulse control. Adderall is used in attention deficit hyperactivity disorder (ADHD). Adderall is available as a short-acting and long-acting formulation. Adderall is usually taken in the morning. Doses of Adderall at the end of the day may cause insomnia or trouble sleeping. Adderall can be taken with our without food. Common side effects with Adderall include headache, dizziness, trouble sleeping, dry mouth, diarrhea, constipation and weight loss. Concerta is available as a long-acting formulation. Concerta (methylphenidate) is a stimulant that affects chemicals in the brain that cause hyperactivity. Concerta is indicated for attention deficit disorder (ADD) and attention deficit hyperactivity disorder (ADHD). Common side effects include nervous feeling, trouble sleeping, weight loss. Ritalin is a stimulant available as a short-acting, intermediate and long-acting formulation. Some Ritalin is also available as generic. Ritalin (methylphenidate) is a stimulant that affects chemicals in the brain and nerves that affect hyperactivity and impulse control. Ritalin is used in attention deficit disorder (ADD) and attention deficit hyperactivity disorder (ADHD) and, sometimes, narcolepsy. Side effects include weight loss, trouble sleeping, nervousness. Strattera (atomoxetine) affects chemicals in the brain and nerves that cause hyperactivity and impulse control. Strattera is indicated to treat attention deficit hyperactivity disorder (ADHD). Common side effects of Strattera include decreased appetite, dizziness, drowsiness, dry mouth, difficulty sleeping, and headache. Talk to your doctor about an alternative option and a cheaper medication for Adderall. Your doctor can determine the best treatment for your current medical condition. Kimberly Hotz, PharmD
Q: I take Adderall for ADHD and OCD. I also take analgesics and Xanax for anxiety. Do they work separately in the brain or do they work against each other? Narcotic pain medications are soothing, right? Would they work like that against Adderall?
A: Adderall is a central nervous system stimulant that contains amphetamine and dextroamphetamine. It is believed that amphetamines block reuptake and increase the release of chemicals in the brain called neurotransmitters. Adderall is used to treat attention deficit hyperactivity disorder and narcolepsy. Narcotic analgesics and Xanax (alprazolam) are depressants of the central nervous system. So, in general, these drugs have the opposite effect of Adderall. However, narcotic analgesics work on opioid receptors in the brain to relieve pain. Xanax belongs to the group of medicines known as benzodiazepines and these sedatives work in a different brain chemical known as GABA. A review of the prospectuses and the medical literature did not show reports of an interaction between the specified medications; However, it is possible that the depressant effects of the central nervous system, such as fatigue and alteration of thought, increase with the combination of a narcotic analgesic and Xanax. Patients should not operate a car or heavy machinery without knowing how the drugs affect their ability to react. Michelle McDermott, PharmD
P: What is the range in the Adderall dose levels when used to treat adult attention deficit disorder?
A: Adderall is a psychostimulant medication composed of amphetamine racemic ammonium aspartate, racemic amphetamine sulfate, dextroamphetamine saccharide and dextroamphetamine sulfate for use in Attention Deficit Hyperactivity Disorder (ADHD) and narcolepsy. Use the lowest individualized dose possible; administer the first dose as soon as you are awake; use intervals of 4 to 6 hours between additional doses. The initial dosage of Adderall is 5 mg once or twice a day; increase the daily dose in increments of 5 mg at weekly intervals until an optimal response is obtained. The usual maximum dose is 40 mg per day administered in 1 to 3 divided doses per day. For more detailed information, check with your doctor or pharmacist for guidance based on your specific condition and current medications, particularly before taking any action. Shereen A. Gharbia, PharmD
P: I am currently prescribed 120 mg of Adderall IR daily, 4 times 30 mg tablets. They are generic and manufactured by Barr (Teva) and my pharmacy could not get that mark from their wholesaler, so they ordered CorePharma instead. Is it me or could there be a big difference, even though the FDA says they are AB equivalents? The standard response of the line on the part of the majority is that it has to have the same active ingredient. Later I discovered that this "exact" means 80 to 120 percent equivalent, which for psychological medications seems a lot. I called my psychiatrist and I am returning the rest of the medications in the original container with the letter, etc., and he is so kind to write another script that I will pay in cash. Therefore, it is working well, but I would really like the opinion of a professional about the manufacturing process, AB equivalents, binders, fillers, etc.
A: You are right in saying that all medications must meet FDA standards, but in a very different range than suggested, between approximately 98 percent to 101 percent, much stricter levels. Some people notice a difference between generic drugs and name brands due to the fillers and binders used, but the active ingredients are the same. Each person responds to these medications a little differently. If possible, it is better to stay with a manufacturer once you get good results, but sometimes the pharmaceutical company does not have the supply and the pharmacy must order another company.
P: I was taking Lonamin to lose weight. It made me terribly depressed. Is there any possibility that Adderall XR also has this side effect?
A: The fact that Lonamin (phentermine) is depressing you can be a diagnosis of a much more serious problem. This type of medication usually makes people feel energetic. By virtue of the fact that you may have had a paradoxical reaction (as opposed to typical) you can shed some light on what else is happening with you. I doubt talking about Adderall XR with you at this time. It is important that you talk about the effect that phentermine has on you with your provider. Write in detail what types of depressive symptoms you had. When did they start? How intense were they? In what activities did you get involved when you were "depressed"? Give these descriptions to the doctor. You can also find useful information about phentermine in. Matt Curley, PharmD Q: My daughter has ADHD and bipolar disorder. She started taking Adderall when she was 5 years old. Now she is 12 years old and only weighs 57 pounds and is 4 feet tall. She is not in that anymore. Will she always be small or do you think she will reach her size?
A: Stimulants, such as Adderall (amphetamine / dextroamphetamine), are by far the most frequently prescribed medications for attention deficit hyperactivity disorder, and all have the potential side effect of reducing growth. The main way they do it is by reducing the child's appetite. In children and adolescents who are still in their growth period, Adderall can suppress linear growth. Doctors generally interrupt treatment, if possible, on weekends and holidays, when children are not in school, for the recovery of growth. Children and adolescents who take Adderall require close monitoring for the suppression of growth and the periodic measurement of their height. On average, the growth decrease with stimulants is small (a few centimeters maximum) and children can recover a bit by growing up for a longer period of time during puberty. So, although they are short as teenagers, they often reach normal height in adulthood. A child who is small or small to start with may have more problems and may need to adjust their dose, or perhaps a different medication altogether. The best thing would be to consult with the prescribing doctor about your concerns. He or she is in the best position to answer any questions you may have about your child's growth. For more specific information, consult your doctor for guidance based on your health status and current medications, especially before taking any action. Lori Poulin, PharmD
P: I am 67 years old and have been taking Adderall twice a day. Are there any concerns about a heart problem with long-term use?
A: Adderall is a combination of amphetamine and dextroamphetamine. Adderall is a central nervous system (CNS) stimulant used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy. According to the prescription information, the most common side effects of Adderall are loss of appetite, insomnia, weight loss, abdominal pain, mood swings and vomiting. As a result of the stimulant effects of Adderall, this medication should not be used in people with advanced or symptomatic cardiovascular disease, moderate to severe hypertension (high blood pressure), hyperthyroidism (overactive thyroid gland) or glaucoma. Blood pressure and heart rate should be monitored routinely in people taking Adderall, especially in people with high blood pressure. An increase in blood pressure should be controlled by decreasing the dose of Adderall. Amphetamines are controlled substances because of their high potential for abuse. Tolerance and psychological dependence have been produced with amphetamines. Tolerance is the need for increasing doses of the drug to achieve the same degree of stimulating effect. Physical dependence is when the body gets used to the medication and if it stops suddenly, symptoms of withdrawal (such as extreme fatigue and depression) may appear. Addiction is different from dependence or physical tolerance in that addiction results in drug desire behaviors and the inability to control drug use. Amphetamines should only be taken as prescribed by a health care provider and only by the person for whom they were prescribed. For more specific information, consult your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Michelle McDermott, PharmDP: A patient has been diagnosed with ADHD and also has bipolar disorder. The patient is taking Adderall for ADHD. What drugs can be taken for bipolar disorder in combination with Adderall?
A: Bipolar disorder is a lifelong condition. It runs an unpredictable course of ups and downs. When left untreated, these ups and downs can be devastating. The recurrent manic and depressive episodes that characterize the disease make it difficult to lead a stable and productive life. In the manic phase, it can be hyperactive and irresponsible. In the depressive phase, it can be difficult to do anything. Early diagnosis and treatment can help you avoid these problems. Successful treatment of bipolar disorder depends on a combination of factors. Medication alone is not enough. To make the most of treatment, it is important to learn about the disease, communicate with your doctors and therapists, have a strong support system, choose a healthy lifestyle and stick to your treatment plan. A comprehensive treatment plan for bipolar disorder aims to relieve symptoms, restore functioning capacity, solve the problems the illness has caused at home and at work, and reduce the likelihood of recurrence. Medication is the cornerstone in the treatment of bipolar disorder. Taking a medication that stabilizes mood can help minimize the ups and downs of bipolar disorder and keep symptoms under control. Psychotherapy is essential to treat bipolar disorder and the problems it causes in life. The management of symptoms and prevention of complications begins with a thorough knowledge of the disease. Education is a key component of treatment. Lifestyle management involves maintaining a regular sleep schedule, avoiding alcohol and drugs, following a constant exercise program, minimizing stress and maintaining exposure to stable sunlight throughout the year. Support: Living with bipolar disorder can be a challenge, and having a strong support system can make a difference in your perspective and motivation. The support of friends and family is also invaluable. Medications called mood stabilizers are used to prevent or mitigate manic or depressive episodes. Mood stabilizing medications with proven efficacy include lithium and anticonvulsants such as Depakote, carbamazepine and lamotrigine. Atypical antipsychotics are approved by the FDA for the acute treatment of mania (quetiapine, olanzapine, risperidone). Generally speaking, medications to stabilize mood are more effective in treating or preventing manic episodes associated with bipolar disorder; However, some medications (ie, lamotrigine, fluoxetine, quetiapine) have shown efficacy for the treatment of bipolar depression. They are all different, so finding the right medication or medicines for you will probably take some trial and error. This requires patience, since some medications need eight weeks or more to have full effect. In general, only one medication is changed at a time so that your doctor can identify which medications work to relieve your symptoms with less bothersome side effects. This may take months or longer, and medications may need to adjust as your symptoms change. In medicine, each medication has its side effects: medications for bipolar disorder are no exception. It is important to note that each medication is associated with a unique profile of side effects. Medications should be taken as directed by a doctor. Sometimes a person's treatment plan needs to be changed. When changes are needed in medications, the doctor will guide the change. A person should never stop taking a medication without asking a doctor for help. For more specific information, consult your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Shereen A. Gharbia, PharmD Q: Is Adderall safe for children? My son is 13 years old and has autism, and has begun to develop behavioral problems after taking this medication for years.
A: Adderall (the generic is amphetamine salts) is a common medication for autism. The immediate release version is used for ages three years and up. An alternative stimulant for three years and up is Dexedrine or Dextrostat (dextroamphetamines). Other alternative stimulants are for ages six years and older, and include Adderall XR (XR amphetamine salts), Concerta, Focalin, Metadate ER and Ritalin (methylphenidate). Strattera is not stimulant for ADHD and is also used for autism. In addition to stimulants, antidepressants are often prescribed as well. Antipsychotic medications can help with irritability, and mood stabilizers are sometimes recommended. You should talk with your child's doctor to find the right medication for him or her. Patti Brown, PharmD
Q: Can I take Adderall if I am breastfeeding my baby?
A: Adderall is a stimulant of the central nervous system. It affects chemicals in the brain and nerves that contribute to hyperactivity and impulse control. Adderall is used to treat narcolepsy and attention deficit hyperactivity disorder (ADHD). Adderall passes through breast milk. The manufacturer's prescription information indicates that patients should refrain from breast-feeding while taking this medication. Therefore, if you are breastfeeding or plan to breastfeed, be sure to talk with your health care provider. He or she can decide whether or not to take Adderall during breastfeeding, according to their particular situation. Lori Poulin, PharmD
Q: What are the long-term effects of Adderall? Can it be combined with Wellbutrin, Zoloft and Klonopin?
A: Adderall is an amphetamine-based medicine. Each time an amphetamine is administered with selective serotonin reuptake inhibitors (SSRIs), such as Zoloft, caution should be exercised. The possibility that a serotonin syndrome occurs increases since both function in the brain neurotransmitter called serotonin. Symptoms of serotonin syndrome include changes in mental status such as irritability, confusion, hallucinations, increased heart rate, increased sweating, and nausea and vomiting. A doctor should know that a person is taking both medications and monitoring the situation. In addition, Adderall taken with Wellbutrin can reduce a seizure threshold that is important in people who have a history of seizures. Alcohol should be avoided when Adderall, Wellbutrin, Zoloft and Klonopin are used, as the combination may cause an increase in drowsiness and potentiate side effects. For more information about medications, visit Everyday Health at. Kimberly Hotz, PharmDQ: Is Adderall addictive? Can you stop taking it once you start or you have to take it forever?
A: There is a possibility that Adderall is addictive. However, if you use it under the supervision of a doctor, it is much safer. Some people experience tolerance to the medication and may need an increase in dose. If you are in Adderall, you do not have to stay in it forever. Many people remove the medication if for some reason it is no longer necessary or they can switch to another medication. If you are concerned about the addictive properties of medications, it would be good to talk with your doctor about your concerns. Megan Uehara, PharmD
Q: My adult son, 27 years old, has taken Adderall since he was 17 years old. Is that dangerous to your health?
A: Adderall is a brand-name psychostimulant medication composed of racemic amphatemint aspartate monohydrate, racemic amphetamine sulfate, dextroamphetamine saccharide, and dextroamphetamine sulfate, which is believed to work by increasing the amount of dopamine and norephinephrine in the brain. It has been widely reported that Adderall increases alertness, libido, concentration and overall performance of cogitives while decreasing user fatigue. It is available in two formulations: IR (Instant Release) and XR (Extended Release). The immediate release formulation is indicated for use in attention deficit hyperactivity disorder (ADHD) and narcolepsy, while the XR formulation is approved for use only with ADHD. In the United States, Adderall is a Schedule II drug under the Controlled Substance Act because of its potential for abuse and addiction. Your question relates to the safety of Adderall. High prolonged doses of amphetamines followed by abrupt cessation can cause extreme fatigue and mental depression. Chronic abuse of amphetamines can cause the manifestation of amphetamine psychosis. Because Adderall has a powerful effect of increasing blood pressure, it carries the same risk of sudden death, stroke, and heart attack, as does Ritalin (methylphenidate) and other stimulants used to treat ADHD, as well as the same risk of seizures in patients with a history of seizures Do not stop the medication. Consult your doctor about any change or decrease in dose. For questions or immediate concerns, contact your doctor or health care provider. Joseph Hall, RPh.
Q: I have a sleep disorder and I take Adderall. If I go 2 days without him, I sleep. But when I start again, it takes days for the medicine to work again. Why?A: Adderall (dextroamphetamine + amphetamine) is a psychostimulant that increases the levels of dopamine and norepinephrine in the brain to improve the symptoms of AD / ADHD (Attention Deficit Disorder / Attention Deficit Hyperactivity Disorder) and narcolepsy. When a medication is started, in order to reach what is called the "stable state", an average of 5 half-lives are needed to reach this state. The steady state is when the medication is at the therapeutic level in the body twenty-four hours a day. The half-life is how long it takes for the medication to be removed at half the amount in the body. The average half-life of the two ingredients in Adderall (dextroamphetamine + amphetamine) is 10 and 13 hours. Therefore, constant states would be reached at 5 times those hours, which are 50 and 65 hours on average. Everyone reacts / responds differently, so these average times can have a range of action time around them. Another factor on the absorption of the drug is acid. The pH levels in the stomach and urine can influence the absorption of Adderall (dextroamphetamine + amphetamine). In the stomach, acid substances, such as citric acids, can decrease the absorption of the drug and, in the urine, they can decrease the reabsorption in the kidneys. Alkaline agents, such as antacids, can increase reabsorption in the kidneys, which can cause a dangerously high level. For more specific information, consult your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Patti Brown, PharmD
Q: Can I take Adderall with pregnancy? If not, is there a safer drug?
A: Adderall is a combination of amphetamine and dextroamphetamine. It is a central nervous system stimulant that affects chemicals in the brain and nerves that contribute to hyperactivity and impulse control. Adderall is used to treat narcolepsy and attention deficit hyperactivity disorder (ADHD). The US Food and Drug Administration UU It has a classification system of medicines to use during pregnancy called Pregnancy Categories. The categories are based on whether the study information is available or not and whether the information comes from animals or humans. The FDA then analyzes whether the available information shows that the medication can be harmful or not. Adderall is classified as pregnancy category C. This means that there is not enough information to know whether or not it will harm the unborn baby. According to Adderall's prescription information, studies in rats have shown adverse effects in their babies. However, there are no adequate studies in pregnant women to know if the same effects occur in humans. In this case, Adderall should only be given if the benefits to the mother outweigh the potential risks to the baby. Your doctor can help you determine whether or not to take Adderall during pregnancy. Contact your doctor immediately to receive recommendations. For more specific information, consult your local doctor or pharmacist for guidance based on your current health and medications, especially before taking any action. Sarah Lewis, RPh, PharmD
Q: What can I do to have a 10-year-old in Adderall eat healthy foods?
A: Many people who take Adderall (amphetamine and dextroamphetamine) often lose appetite and, therefore, weight, as a side effect. I'm not sure if you're asking what you can do for your child to eat or if he's trying to eat healthy foods because he's currently eating unhealthy foods. In either case, you may want to try to keep nutritious snacks that you enjoy at home. If you like sliced ​​fruit, keep some precut fruit so you can easily grab it whenever you want. If you like granola bars, nuts or cookies, have some on hand. If he is experiencing loss of appetite, you may want to consider a liquid supplement such as PediaSure or Boost. Many children tend to enjoy these types of drinks, and can be an easy way to consume calories and nutrition. For main meals, try cooking with lean meats, such as chicken breast or turkey. These will provide proteins without much saturated fat.
Q: My doctor put me in Adderall. Can this medication increase someone's sexual desire?
A: Increasing and decreasing sexual desire are both possible side effects of Adderall. In general, the male sex drive tends to decrease while in Adderall, and the female sex drive tends to increase. However, this is not true for all cases, each person is affected by Adderall differently. If the medication is causing an increase in sexual desire at the beginning, over time it may decrease once more. For more information about Adderall, follow this link: Lori Mendoza, PharmD Mendoza, PharmD

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