Doctor insights on:
Modafinil And Narcolepsy
Is there any significant difference in effectiveness and side effects between armodafinil/ Nuvigil and modafinil/ Provigil for narcolepsy/sleep apnea?
Nuvigil is the right: side of the Provigil molecule. Efficacy & side effects are the same. See http://www.diffen.com/difference/Nuvigil_vs_Provigil. Provigil now comes in a generic form. Nuvigil may last a little longer, causing more risk of insomnia. Both are FDA-approved for narcolepsy, Obstructive Sleep Apnea for the 30% of CPAP or BiPAP users who don't respond optimally to their use alone & shift worker disorder. ...Read more
Justified taking Adderall (dextroamphetamine and racemic amphetamine) to combat daytime sleepiness?
It might: Stimulants are often used to help treat disorders of excessive sleep. One potential difficulty is the possibility of becoming tolerant to the effects over time. I would recommend you seek out a sleep disorder clinic and let them guide in with respect to best treatment practices. ...Read moreSee 1 more doctor answer
Took sleep test, diagnosed w/ idiopathic hypersomnia. Take Adderall (dextroamphetamine and racemic amphetamine) & Nuvigil. Any suggestions for how to improve wakefulness w/o more meds?
Adderall (dextroamphetamine and racemic amphetamine) Better: In my experience with children primarily Adderall (dextroamphetamine and racemic amphetamine) has a much better profile of effectiveness and less side effects. In adults a trial of both may be suggested if there is some side effect that is uncomfortable. ...Read more
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Why does Adderall (dextroamphetamine and racemic amphetamine) make me sleepy, spacey and forgetful. 20mg XR once a day for low dopamine depression. Also on Fetzima, 80mg once a day.
?Drug interaction: Adderall (dextroamphetamine and racemic amphetamine) should not cause the side effects you mention. In fact, it's given for ADD/ADHD to improve forgetfulness, distractibility and poor focusing. Contact prescribing doctor without delay to review how you're feeling. Possible serotonin syndrome or too much serotonin in your system can result from drug interaction which might be serious. Good luck. ...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 Adderall (dextroamphetamine and racemic amphetamine) cause insomnia in someone who has hypersomnia?
Both Sleep Issues: Insomnia is the inability to fall asleep and can be due to many causes: the use of stimulants, the inability to quiet oneself down prior to sleep, the use of electronic devices prior to bed, irregular sleep routines, etc. Classic narcolepsy is due to the loss of brain cells which produce the chemical orexin. Leads to fragmented sleep, excessive rem activity, other symptoms, including insomnia. ...Read more
Hi, I have ADHD, Inattentive type and NOS learning divisibility. Whats best for me? Concerta, Adderall XR/IR, Vyvanse, (lisdexamfetamine) Ritalin, Methylphenidate??? :)
Closely: The symptoms of narcolepsy are those of parts of rem sleep intruding into wakefulness. These elements include sleepiness; hallucinations (dream imagery) while falling asleep or waking up; and cataplexy and sleep paralysis (both from the normal muscle paralysis that occurs during rem sleep). ...Read moreSee 2 more doctor answers
Yes and no: There are no regulations that a pharmacy must carry "all drugs". Depending on the area the pharmacy services these types of drugs may not be in demand and so they don't carry them. ...Read more
Would wellbutrin and Vyvanse be a good combo for narcolepsy and severe apathy w depression? Pristiq (desvenlafaxine) worked but no longer
Does Adderall (dextroamphetamine and racemic amphetamine) cause depression and serious personality changes?
Possibly: Adderall (dextroamphetamine and racemic amphetamine) and other stimulant medicines can cause a side effect of increased moodiness and depression. Severe problems in this area are not commone but can occur. If you have concerns that this is happening it would be important to contact your physician to discuss the situation. ...Read more