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.
SSRI meds. Alternatives to benzos would include medications as Seratonin re uptake inhibitors like Prozac or Paxil (paroxetine). Another is Wellbutrin.

Related Questions

Started adderall (dextroamphetamine and racemic amphetamine) for narcolepsy. Xr in morning then ir 3x per day. Worked for 2 days stopped. Increased dose=50mg. Worked for a week then stopped. Why?

Tachyphylaxis. You need to educate yourself about the characteristics and behavior of amphetamines. What you're experiencing is common and you need to be informed about it. Taking stimulants is not like popping an ibuprofen for a strain. Especially as your condition is permanent and can't be cured, only treated. Knowledge is power; arm yourself. . Read more...
Tolerance. Would suggest using either modafanil or Provigil, as expect either would work better. Read more...

When I take Adderall (dextroamphetamine and racemic amphetamine) even in higher dosages it makes me very sleepy? Is this normal or am I having a paradoxical reaction.

Paradoxical . This is a paradoxical response if it is a actually making you sleepy. See your doc and try a different med . If it persists then it may be an underlying sleep disorder. Sleep consultation would then be appropriate. Read more...