Doctor insights on:
Bipolar And Amphetamines
Does rapid cycling in bipolar ppl lead too drug use or does drug (amphetamines)use cause rapid cycling cause? Or can amphedimienes help cycling?
See below: Yes yes, & it will make it worse. ...Read more
A psychostimulant, controlled drug schedule ii, with abuse potential. It acts to enhance Dopamine and norepinephrine in the body, including the brain. It can decrease appetite- was used as a diet pill, treat narcolepsy and adhd, pathological fatigue, sea sickness. Derived from ephedra plant ...Read more
Yes: Amphetamines can mimic mania, and both amphetamine use and mania can provoke hypersexual activity. "deviant" is here a difficult word to understand--whether you mean it colloquially or in an older sense referring to abnormal (now called "paraphilic"). But in general, impulses of many kinds--sexual, aggressive, risky--that one might not want to act on can be disinhibited and exaggerated by both. ...Read more
I have anxiety depression. Asked my dr if anger is part of anxiety and now he thinks I could be bipolar. Meth is a big player in the role?
I agree with other: Physician if u want help with u symptoms, u need to come clean with u psychiatrist and refrain from all illicit substance use. ...Read more
Been on amphetamine for a while now. Suddenly got major depression still on it. A lot of stress in my life now too.&have bipolar. Which me to get sick?
What is the recommended treatment for ADHD in someone who is bipolar and suffers from anxiety/panic disorders? Are amphetamines worth trying?
YES: Amphetamines could trigger a Manic episode. You would need to be on a satisfactory mood stabilizer. I usually try to find someone who is in frequent contact with the patient and can help monitor for onset of an episode. Amphetamines often have a paradoxical calming effect on ADHD patients and the anxiety may be reduced. Close contact with the prescriber is essential. ...Read more
Can one fully recover from meth psychosis, or will some negative personality traits stay? Long term drug abuser with bipolar in family history.
Drug abuse: With professional help and great personal commitment, it's possible to recover from meth addiction and psychosis. However, pre-existing personality issues and possible bipolar disorder will still need to be addressed. It's not just a matter of stopping the meth -- it was the person's attempt to deal with problems, so new methods will be needed. Ongoing 12 step programs can be essential. ...Read more
Can a lot of stress cause major depression or amphetamine abuse for someone who is bipolar and on meds for it?
Not exactly: Stress does not cause major depression or amphetamine abuse, but bipolar people can become depressed, & amphetamine abuse can destabilize someone with bipolar disorder. Often substance abuse leads to disrupted sleep cycles, & forgetting to take mood stabilizing medications -- thus worsening the illness. Recovery programs for drug abuse and talk therapy to learn to deal with life stresses, help. ...Read more
I was on Adderall, (dextroamphetamine and racemic amphetamine) stopped it & was diagnosed bipolar and skizo-affective. I'm being treated but I still suffer gravely from ADHD What should I do.
Follow up: Your prescribing doctor should have asked you to schedule a follow up appointment to track your progress on your current medication regiment. This appointment would be the ideal time to discuss these troublesome ADHD symptoms and ways to address it. Best wishes ...Read more
What side effects does celexa taken with Adderall (dextroamphetamine and racemic amphetamine) have on bipolar patients?
Depends: There is no one answer. To respond to this question, I would need to know your medical and psychiatric status, your medical history, and why these medications were chosen for you. I suggest you talk to the doctor who prescribed the medications to get a better answer than I could provide without the above information. ...Read more
Was on Adderall, (dextroamphetamine and racemic amphetamine) stopped & was diagnosed bipolar and skizo-affective. I'm being treated but I still suffer from ADHD. Doc. Ignores me what should I do?
Talk to doctor: The "affective" part in schizoaffective disorder includes mood symptoms seen in bipolar disorder. Adderall (dextroamphetamine and racemic amphetamine) is a stimulant which can trigger anxiety, mania and psychosis to which you seem vulnerable. Talk with your doctor to clarify your diagnosis and to get a better explanation of why no Adderall (dextroamphetamine and racemic amphetamine) for you. Ask about alternative meds and strategies for your ADHD. ...Read more
Can abruptly discontinuing Adderall (dextroamphetamine and racemic amphetamine) cause a mixed state in bipolar patients? I have Bipolar I Disorder and ADHD. I quit Adderall (dextroamphetamine and racemic amphetamine) for the summer break
Probably not but. ..: It is likely not to be a problem but the wisest thing would be to discontinue the adderall (dextroamphetamine and racemic amphetamine) slowly and note the effect of doing so. I strongly advise patient with bipolar I disorder to only change meds with medical supervision since the consequences of things going badly can be so great. ...Read more
What is the consensus between combining benzodiazepines with Dexedrine or Adderall (dextroamphetamine and racemic amphetamine) in resistant bipolar patients with comorbid anxiety and ADHD?
Tough question: There is no consensus that I am aware of on this issue. Patients are individuals and each case should be taken on a case by case basis. Issues to consider include prior responses to medication, substance use issues, family history, current sxs, past sxs, suicidal behavior, past psychiatric hospitalizations, etc, etc.... ...Read more
Can sensory sensitivity/irritation mean improper dosage of rx'ed adderall, (dextroamphetamine and racemic amphetamine) esp as it wears off? Could glu or na be involved? (adhd, bipolar, & ptsd)
"Rebound" symptoms: Including emotional lability & worsening adhd symptoms that occur as an appropriate dose of Adderall xr wears off in a patient with no comorbid mood disorder or ptsd usually responds to increasing the dose, changing time of administration, switching to vyvanse, (lisdexamfetamine) which causes less irritability or to methylphenidate.. Stimulants infrequently cause psychosis, which can also occur in bpd itself. ...Read more
Very difficult: This is a very difficult combination of problems, and would need a dual diagnosis program to work with both bipolar disorder and meth addiction. They each need care -- and long-term aftercare monitoring. If you find a credible program, and the person is truly committed to recovery, s/he has as good a shot as possible for success. Success in addiction recovery, though, is a day to day process. ...Read more
Can be effective: Effectiveness depends on many things, including the commitment of the patient. You need a program for "dual diagnosis" -- meaning they treat both the substance abuse and the bipolar disorder. When the person is actively using, it can be hard to tell mood episodes from drug effect. Meth is a very challenging drug, and ongoing outpatient recovery efforts are still needed long after discharge. ...Read more
Yes It can: Yes it can.Get a more detailed answer ›
This is difficult to say, but I am an addict of meth and typically have to get high because the withdrawls are so severe. I notice that I started getting dehydrated, and by the time I notice its too late. Well friday my left sidevn back started hurting. S
Incomplete question: Your question was cut off. Please re-ask and clarify. ...Read more
I heard the bornavirus is a major cause of bipolar disorder. How common is this virus in the U.S.?
Not likely accurate: "Absence of evidence for bornavirus infection in schizophrenia, bipolar disorder and major depressive disorder." (http://www. Ncbi. Nlm. Nih. Gov/pubmed/22290118) indicates "Our results argue strongly against a role for BDV in the pathogenesis of these psychiatric disorders." ...Read more
Unpredictable: The single most dangerous feature is that at any time -- the first or the 100th use -- you may suddenly discover you can no longer be happy without using it. You will continue compulsively and not stop until the adverse effects of the drug have killed you. The last stages are quite horrible. The stories about people ripping off their own flesh are true. ...Read more
Which meth?: I actually HATE that word, because some people use it for methadone, and others for methamphetamine. Both are medications. Methadone is a pain medication, used in severe chronic pain as well as the treatment of opioid addiction. Methamphetamine (Desoxyn) is used to treat the same things Adderall or RItalin (methylphenidate) are used for - ADHD, narcolepsy, sleep shift disorders and conditions needing stimulants. ...Read more
Amphetamines are drugs which are structurally similar to the naturally occurring stimulants that our bodies make - epinephrine, norepinephrine and dopamine.
Synthetic amphetamines, especially substituted ones like methamphetamine and mdma (extacy) are far more potent, can cause major and psychiatric reactions, including heart attack, stroke and psychosis. Methamphetamine is especially toxic. ...Read more
Yes: If you do not have a reliable source of marijuana, then you should not smoke it, precisely because it can be cut with lots of things - including synthetic cannabinoids like spice or k2, methamphetamine, phencyclidine (pcp or angel dust) and many other things. Methamphetamine can raise blood pressure and pulse, cause palpitations and other heart problems, and make people paranoid. ...Read more
Overstimulated: Users show signs of hyperactivity and nervous energy. They may talk fast and be unable to focus on one thing for any length of time. Their eyes will show pupil enlargement (dilation) and sensitivity to bright lights. Users will have a rapid heartbeat, dry mouth and increased blood pressure. ...Read more
No different from: Rehab for anything else, mostly. Rehabilitation involves learning alternative coping skills, learning how to use a support system, and living a life free of drugs and alcohol, and is really pretty much the same no matter whether it is alcohol, methamphetamine or heroin. There may be some specific issues with methamphetamine (like dental problems, premature aging) that are dealt with. ...Read more
Mania and depression: Mania is the most distinctive feature of bipolar. Most people also have depressive episodes. Mania is characterized by impulsivity and decreased need for sleep and often increased irritability. Depression leads to decreased interest, motivation, and energy along with feelings of worthlessness, hopelessness, and that life is not worth living or suicide. It is important to get treatment. ...Read more
Though depression is not required for diagnosis most people have both manic and depressive episodes and may have mixed episodes with features of both. Length of episodes vary, but are separated by "normal" periods of emotion and behavior. See my answers to similar ...Read more