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Doctor insights on: Bipolar And Amphetamines

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Amphetamine (Definition)

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


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Can iatrogenic amphetamine psychosis and bipolar disorder cause deviant sexual behavior?

Can iatrogenic amphetamine psychosis and bipolar disorder cause deviant sexual behavior?

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.

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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.

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Dr. Alan Ali Dr. Ali
2 doctors agreed:
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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?

Dr. Alan Ali Dr. Ali
2 doctors agreed:

Bipolar: Not sure if u r on antidepressants/mood stabilizers, but please review your current medications with your prescribing doctor.

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What is the recommended treatment for ADHD in someone who is bipolar and suffers from anxiety/panic disorders? Are amphetamines worth trying?

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.

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Can one fully recover from meth psychosis, or will some negative personality traits stay? Long term drug abuser with bipolar in family history.

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.

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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.

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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.

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

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What side effects does celexa taken with Adderall (dextroamphetamine and racemic amphetamine) have on bipolar patients?

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.

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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?

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.

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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

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.

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What is the consensus between combining benzodiazepines with Dexedrine or Adderall (dextroamphetamine and racemic amphetamine) in resistant bipolar patients with comorbid anxiety and ADHD?

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....

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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.

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How effective is drug rehab for meth addiction for someone with bi-polar disorder?

How effective is drug rehab for meth addiction for someone with bi-polar disorder?

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.

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Can you tell me how effective is drug rehab for meth addiction combined with bi-polar disorder?

Can you tell me how effective is drug rehab for meth addiction combined with bi-polar disorder?

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.

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I heard the bornavirus is a major cause of bipolar disorder. How common is this virus in the U.S.?

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."

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How is meth use treated?

NA or CA: Consider attending a meeting of narcotics anonymous or Cocaine anonymous.

Dr. Donald Jacobson
758 Doctors shared insights

Manic Depressive Disorder (Definition)

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


Dr. Alan Ali
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Bipolar Disorder (Definition)

Also known as manic-depressive illness, bipolar disorder is a brain disorder that in its most severe form causes dramatic shifts in mood, ...Read more