I have discovered that these forums can be a very effective way to get honest and valuable information from others who actually suffer through the same thing that I do each and every day.
I was medically separated from the Air Force in 2007 with a Bi-Polar II and ADHD diagnosis which was determined to be service-connected. I have tried numerous medications over the years and I thought that I had found a suitable combination until just recently. I was put on Adderall and Prozac. I take 40mg per day of Prozac which I use to offset some of my mood swings, help with a little anxiety, and stabilize my impulses. The Adderall was to help me increase my attention and focus, help me become more organized at work and elevate my mood (which it did for a while.) I started out by taking 15mg (once daily) of generic Adderall (peach round pill) because I don't have insurance that covers Adderall for adults over 18. It was a very nice combination for the first few weeks, then I felt less and less of an effect from the Adderall. Accordingly I had my dosage increased to 20mg once daily. I truly didn't notice a difference. I am now at 30mg (double what I started with back in July 2011) and I am concerned that I have now developed a tolerance. My phychiatrist insists that I can't develop a tolerance but that is a bunch of BS in my opinion. I am very health conscience. I exercise 6 days a week, eat very healthy and want to take care of my heart, but also improve the quality of my life; and I know that there is a trade-off to acheive that balance which I have accepted. I have had blood work done and an EKG performed and eveything came back great. I hadn't suffered from some of the marque side effects of Adderall until just recently. The initial "take off" feeling you get when it first kicks into gear only lasts about an hour now and then wears off. I feel exhausted all the time now, and even when I am on the Adderall I sometimes feel drained. I sleep enough, stay hydrated, eat healthy and don't live a stressful lifestyle so I really can't explain it. In order to get the best advise, here is a bit about me:
I am 27, I don't drink, I don't smoke, I don't do drugs.
I am 6'2" 180 lbs
Overall very good health
So the quesions that I have for all of you knowledgable and experienced members of the ADD Forums:
1. Would I benefit from the generic Adderall XR if I can get it?
2. Would Dexedrine, Vyvanse or other be a better fit for someone like me?
3. Should I be worried about the continuous increase in required dosage to maintain beneficial effects of the generic Adderall (i.e. for my size am I still at a reasonable dosage level)?
The most debilitating symptoms I am trying to overcome with my Bi-Polar II and ADHD are:
- Poor attention span (lack of attention to detail)
- Inability to focus
- Severe and explosive mood swings (don't want my kids to see their daddy acting like a 8 year old that got put in a timeout.)
- Moderate Fatigue/ Sleepiness
- Impulsiveness (spending money/ not able to rationalize or put things in perspective.)
I know that was a lot, but I know that there are many out there who are in a position similar to mine who have found a successful treatment plan to manage their symptoms. Please advise and thank you in advance for any advise you can offer!