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A 41-year-old male asked:

Hi, i am a 41 year old male with osa and use the cpap but still have fatigue. what do you recommend. i've taken 40-50 mg of adderall (dextroamphetamine and racemic amphetamine) ir daily but don't like the emotional effect.

2 doctor answers6 doctors weighed in
Dr. Ho-Sheng Lin
ENT and Head and Neck Surgery 17 years experience
Retitration: If you are compliant with the use of CPAP and still feel fatigued during the day, you may want to go back and see your sleep physician to get your CPAP pressure retitrated. If you have been using the CPAP for couple of years, you may need your pressure readjusted. This is especially true if you have gained significant amount of weight or have started on new medications.
Dr. William Singer
Pediatric Neurology 51 years experience
Alternatives: Speak to your doctor about alternatives to Adderall (dextroamphetamine and racemic amphetamine). these might include Provigil, Nuvigil and sustained release methylphenidate like Concerta. Hopefully you will not experience emotional side effects.

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Last updated Apr 8, 2015

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