Top
20
Doctor insights on: Isobutyl Alcohol Ir Spectrum

Share
1

1
What are the potential risks of moderate/high daily alcohol use combined with taking Rx meds Adderall XR (30 mg, 2x/daily) & Xanax (alprazolam) XR (2mg, 2x daily)?

What are the potential risks of moderate/high daily alcohol use combined with taking Rx meds Adderall XR (30 mg, 2x/daily) & Xanax (alprazolam) XR (2mg, 2x daily)?

Major consequences: Combining alcohol in any quantity together with prescription medications & especially those that affect the brain can result in complications. When the quantity of alcohol is as high as you imply then, complications are magnified and can include death. Whoever's involved should seek professional addiction counseling. Questions? www.healthtap.com/drsaghafi Key Code: PDXFNR to make an appointment. ...Read more

See 2 more doctor answers
5

5
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.... ...Read more

6

6
Which would be more recommended, Adderall (dextroamphetamine and racemic amphetamine) XR 20 mg once a day or Adderall (dextroamphetamine and racemic amphetamine) ir 20 mg 2x a day? Any difference in side effects or effectiveness?

Which would be more recommended, Adderall (dextroamphetamine and racemic amphetamine) XR 20 mg once a day or Adderall (dextroamphetamine and racemic amphetamine) ir 20 mg 2x a day? Any difference in side effects or effectiveness?

Depends on situation: There are a lot of factors that would need to be considered including lifestyle, capacity to readminister a medication throughout the day given the schedule, need for alertness at the very beginning of the day, frequency of the experience of insomnia, and sensitivity to appetite suppression. Also, it should be noted that Adderall (dextroamphetamine and racemic amphetamine) 20 mg twice a day would be twice as many milligrams of adderall (dextroamphetamine and racemic amphetamine). ...Read more

See 1 more doctor answer
7

7
Is it okay to take 20mg of Adderall (dextroamphetamine and racemic amphetamine) salt if i'm only prescribed 10 mg?

No: You need to work with your psychiatrist on any medication changes. This is a partnership, and follow-ups are opportunity to discuss results you're experiencing. Then your doctor can make adjustments in dose or changes in medication as needed. ...Read more

8

8
Prescribed Adderall (dextroamphetamine and racemic amphetamine) 15 mg twice daily and klonopin 1 mg...Is it safe to take a klonopin and then an Adderall (dextroamphetamine and racemic amphetamine) 3 hours later?

Step back a second: Sometimes it is worth stepping back and revisiting why you are on a stimulant and a sedating anti-anxiety agent. Please consider seeking a second opinion with a board-certified psychiatrist on your DX and medications. ...Read more

See 1 more doctor answer
9

9
Differences in ativan 5mg and Xanax (alprazolam) 1 mg and diazepam 10 mg?

Differences in ativan 5mg and Xanax (alprazolam) 1 mg and diazepam 10 mg?

Depends: These antianxiety meds can cause dose related levels of drowsiness or even coma. How someone reacts will depend of his/her metabolic enzyme system. The Ativan (lorazepam) dose should be closer to 1mg for it to be equivalent to the other two meds. ...Read more

See 1 more doctor answer
10

10
I take 300 mg of bupropion HCl XL & 200 mg of lamotrogine daily. Is it okay to combine Adderall (dextroamphetamine and racemic amphetamine) with these to help me focus?

I take 300 mg of bupropion HCl XL & 200 mg of lamotrogine daily. Is it okay to combine Adderall (dextroamphetamine and racemic amphetamine) with these to help me focus?

The way this : Question is worded ; the fact that Adderall (dextroamphetamine and racemic amphetamine) isn't listed under your medications, makes me concerned that you may not be going through your psychiatrist (or prescribing physician) on this. I will elect to withhold specific medical guidance ; encourage you to discuss this with your provider before making any changes to your meds. Take care. ...Read more

11

11
Whats the difference b/w adderall (dextroamphetamine and racemic amphetamine) xrand d-amphetamine salt combo xr? does the latter cause more side effects?

Whats the difference b/w adderall (dextroamphetamine and racemic amphetamine) xrand d-amphetamine salt combo xr? does the latter cause more side effects?

All amphetamine: Adderall (dextroamphetamine and racemic amphetamine) is a combination of 4 amphetamines. D-amphetamine is one of the 4. the combination pf adderall (dextroamphetamine and racemic amphetamine) salts refers to a generic form of adderall (dextroamphetamine and racemic amphetamine). ...Read more

See 1 more doctor answer
13

13
I was prescribed Prozac 40 mg, Ritalin 10 mg, Concerta 108 mg, Remeron 30 mg and Risperdal 3 mg. Is this number of drugs safe?

I was prescribed Prozac 40 mg, Ritalin 10 mg, Concerta 108 mg, Remeron 30 mg and Risperdal 3 mg. Is this number of drugs safe?

Depends...: on what you and your doctor decide together. There are theoretically some interactions among the drugs you've listed, but that doesn't necessarily mean that you will experience them. It's difficult to know all of the possible interactions when you have this many medications in combination. Some of the drugs' metabolism could be affected or you may have increased risk of side effects. ...Read more

See 1 more doctor answer
14

14
What does mix of Xanax (alprazolam) and alcohol do?

What does mix of Xanax (alprazolam) and alcohol do?

Side effects: You risk increased over-sedation and breathing problems. This can be a bad combination and you should always contact your doctor and follow their recommendations when mixing any medications. ...Read more

See 1 more doctor answer
15

15
Any negative effects of buspar (buspirone)? Alcohol interactions? I'm on propranolol. Synthroid. And vitamin d daily.

Any negative effects of buspar (buspirone)? Alcohol interactions? I'm on propranolol. Synthroid. And vitamin d daily.

All meds have some: No known interactions between buspar, (buspirone) Propranolol and synthroid. There are cautions for known sensitivity to that drug class, recent use of MAO inhibitors (a type of antidepressant) or use in the setting of kidney or liver problems. Generally well-tolerated, but here is a link to possible side effects: http://www.Mayoclinic.Com/health/drug-information/dr600277/dsection=side%2deffects. ...Read more

16

16
Do margaritas effect the absorption of adderall (dextroamphetamine and racemic amphetamine)? 20mg

Do margaritas effect the absorption of adderall (dextroamphetamine and racemic amphetamine)? 20mg

Yes: The alcohol increases toxicity of amphetamines. The alcohol and citrus juice will alter the liver metabolism. I do not approve of adderal in adults. ...Read more

17

17
27y/o f narcolepsy/sle/anxiety/add benzodiazepines paradoxically increase anxiety any suggestions for nonbenzo anxiolytic? Pt takes Adderall (dextroamphetamine and racemic amphetamine) and apri.

27y/o f narcolepsy/sle/anxiety/add benzodiazepines paradoxically increase anxiety any suggestions for nonbenzo anxiolytic? Pt takes Adderall (dextroamphetamine and racemic amphetamine) and apri.

Tough question: Switch to another psychostimulant or reduce the dose to start. Sometimes selective beta blockers can be added (naldolol, metoprolol). Low dose trazadone can be added (low antichiolinergic profile) it has some anxiolyt. I suggest making only one change at a time if possible. Buspar (buspirone) can be tried but BP has to be watched. I'm assuming the diagnosis of narcolepsy and add have been carefully worked up. ...Read more

See 1 more doctor answer
18

18
I'm taking Cymbalta 20mg(once a day), Adderall XR 30mg, and Gilenya (fingolimod) 0.5mg. Is it safe to take these together? Especially Cymbalta & Adderall.

Medication effects: I commend you for safety concerns about medications which you are taking. Cymbalta may increase the effects of Adderall- jitteriness, nervousness, anxiety, restlessness, and racing thoughts. Combining these medications can also increase the risk of a rare but serious Serotonin Syndrome with confusion, hallucination, seizure. Please go to ER and see a Psychiatrist for Diagnosis and treatment. ...Read more

19

19
Is mixing small amounts of Adderall (dextroamphetamine and racemic amphetamine) to 20mg of hydrocodone safe?

Why?: "mixing" varying amounts, at your discretion, of a drug used to treat add and a narcotic for pain, both of which need prescriptions from physicians allowed special access to prescribe them, sounds highly unusual and inappropriate. Such a combination would require direct supervision from each of these physicians. ...Read more

20

20
Damage of nervous system with Adderall (dextroamphetamine and racemic amphetamine) use. Is this true?

No reported evidence: If adder all is used as prescribed there is no reported evidence of nervous system damage.There certainly are ways that it might be misused that might be damaging. ...Read more