Adderall 20mg 3-4 day, effexor (venlafaxine) 150mg 57yrs old, adhd, high b/p, getting aggressive behavior, and obese, on b/p medications, many highs, & lows, why?

Checked in with doc?: There sound to be a lot of things going on at once here and I can't be sure they all have to do with either the Adderall (dextroamphetamine and racemic amphetamine) or some other single problem. You should call your doc and get in for another examination or have them make some adjustments based on your conditions. They know you better than anyone.

Time to see the doc: It sounds like you are having some serious medical symptoms (like elevated blood pressure) as well as mood symptoms (rather than improvement) with your SNRI/ stimulant combination. While these meds may have helped you in the past -- you clearly need a thorough in office visit to determine your next steps!

Adderall (dextroamphetamine and racemic amphetamine) problems: Have you discussed this with your doctor? Have you ever looked up the side effects of Adderall (dextroamphetamine and racemic amphetamine). If you were my patient, I would discontinue your Adderall (dextroamphetamine and racemic amphetamine), as it's probably making you worse. 80 mgs per day is not a low dose. If you're not careful, you could end up in a hospital. You should contact your doctor now. You are at risk for heart attack or stroke.