6 doctors weighed in:

50mg Vyvanse (lisdexamfetamine) & 20mg dex ir (when needed) for narcolepsy. My BP spikes to 140/100 with chest tightness once in awhile and feels horrible. Doc said ok?

6 doctors weighed in
Dr. Louis Cady
Psychiatry
5 doctors agree

In brief: Nope

"chest tightness" + "bp spikes" - represents a cardiac event waiting to happen.
Not ok. Based on what docs call the "pharmacokinetic curves" of both of your two forms of dextroamphetamine) - you are probably getting a spike at around the 2 - 4 hour mark. I would investigate either Provigil or Nuvigil - both approved for narcolepsy. They are first line + don't typically have cardiac se's.

In brief: Nope

"chest tightness" + "bp spikes" - represents a cardiac event waiting to happen.
Not ok. Based on what docs call the "pharmacokinetic curves" of both of your two forms of dextroamphetamine) - you are probably getting a spike at around the 2 - 4 hour mark. I would investigate either Provigil or Nuvigil - both approved for narcolepsy. They are first line + don't typically have cardiac se's.
Dr. Louis Cady
Dr. Louis Cady
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Dr. Joseph Shen
Cardiology - Cardiac Electrophysiology

In brief: Get tested

You might benefit from sleep apnea test, if not yet done and a session of multifunction cardiogram to see if your have ischemic heart disease.
Call dr. John strobeck http://www.Ratemds.Com/doctor-ratings/174528/dr-john+e-strobeck-hawthorne-nj.Html he is the best in northern jersey!

In brief: Get tested

You might benefit from sleep apnea test, if not yet done and a session of multifunction cardiogram to see if your have ischemic heart disease.
Call dr. John strobeck http://www.Ratemds.Com/doctor-ratings/174528/dr-john+e-strobeck-hawthorne-nj.Html he is the best in northern jersey!
Dr. Joseph Shen
Dr. Joseph Shen
Thank
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