presc. adderall ir for sleep depriv. and drowsy behind wheel. dr upped dose to 30mg am & noon. what are sign the dose is too high?

Question

What should I do if i feel sleepiness when I am on adderall (dextroamphetamine and racemic amphetamine)?

Answer 1

Tx side effects: Sense of heart racing, chest pain, heightened anxiety, tremulousness, paranoia, hallucinations. Be sure your total sleep time and sleep quality are a topic of treatment as well.

Answer 2

Insomnia: Insomnia can cause a hyper arousable state with increased adrenaline which can cause pupillary dilation.

Answer 3

Pinched nerve: Pinched nerve at the wrist (carpal tunnel syndrome) is a common cause for such symptoms. However other causes of peripheral neuropathy should be considered and ruled out by history, physical exam and some blood tests. Diabetes, thyroid disease and some medications are common causes. I suggest you discuss with your pcp.

Answer 4

Nerve compression.: Numbness and tingling in the hands is usually caused by nerve compression. The nerve can be compressed in the neck, the extremity or both. Your symptoms are consistent with carpal tunnel syndrome (cts). Cts is due to median nerve compression at the wrist, causing numbness/tingling in the thumb, index, long and 1/2 of the ring finger. Cubital tunnel syndrome affects the other fingers in the hand.

Answer 5

Memories 14 yrs ago?: There is no way to tell without all the details from that time 14 years ago, so one can go see a new neurologist a couple of times to together decide if it is worthwhile to go back in time. Sometimes there is a need to know exactly what happened. Other times, patients can be treated according to their present status without fully knowing what really happened long ago.

Answer 6

Don't know: I would see a neurologist now and probably get another eeg. Especially if you haven't had a seizure in 14 years.

Answer 7

Back off: Jeff - please find yourself a good doctor to talk to face to face. Do not keep sending the same questions. Set your mind at ease and resolve your conflicts. That will be the only way to resolve your concerns!

Answer 8

No: Having back pain on waking up, does not suggest at all that u have been having seizures in your sleep. Please consult your pcp. Thanks.

Answer 9

MAD: The machine, cpap, can be very effective. There are new designs of the masks, which can now cover just the nose, controlling pressure and direction isi proving that type of care. A mandibular advancement device, or mad, is made by a dentist. It holds the lower jaw forward to help, keep, the airway open. Also, sleep, position, weight loss, reduce alcohol can help.

Answer 10

2 other options: The CPAP machine is the best treatment, but it you cannot tolerate it, there are 2 other options. #1 see a dentist trained in treatment of sa and he/she may be able to make you an oral appliancce to improve your airway. #2 surgery, though not always effective.

Answer 11

Tap 3 snore guard: Depending on how bad your sleep apnea is, you can try the tap 3 snore guard appliance. This has to be professionally fitted. The appliances that you can order on the internet are practically useless. You should also ask your ENT specialist about the pillar procedure.

Answer 12

Surgery is an option: Surgery is an option for those who can't tolerate cpap. CPAP is the treatment of choice. Nasal surgery can sometimes lead to ability to tolerate cpap. Mild sleep apnea may be treated with dental appliances. The pillar procedure may help mild sleep apnea but in my experience isn't great. Surgeries of the palate, tongue and larynx can be very effective in the right patient, but can be painful.

Answer 13

Not as good.: There are surgical procedures and bite plates which can help, but the machine is the best treatment. If you're overweight and lose weight, you may not need anything.

Answer 14

Some helpful hints: There are things that can be done to help lessen symptoms and depending on severity, may eliminate them. Weight loss, avoidance of sedating chemicals or medications, avoiding supine sleep can help. There is an oral device that a dentist can make and some medical therapies from an ENT that can help. Pap therapy is still the gold standard treatment and splints the airways open.

presc. adderall ir for sleep depriv. and drowsy behind wheel. dr upped dose to 30mg am & noon. what are sign the dose is too high?

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