I've been diagnosed with adhd since grade school, I started in 4th grade. I'm going to be 29 years old this year. I'm concerned about the potential cardiovascular issues. It seems like none of the psychiatrists I speak to even mention anything about it, or it is just constantly downplayed. Any resources for this?
Look into guanfacine for lowering sympathetic drive (BP & HR), another way to lower cardio impact is to consider something like a bupropion + low dose stimulant combo or bupropion + qelbree + low dose stimulant combo. You can use guanfacine as required for bp + hr overdrive control. Nearly as long in years of experience as you so I know what you mean by cardio concerns. if you look into it many options are available
Dr. Kruse has a video about potential cardiovascular risks of stimulants on this channel, it's called ''Cardiovascular Risks of Stimulants''. He also has a written article on that subject on his medium account, but it requires a paid membership for full access.
The cardio risks are dose dependent, but it’s also stimulant type dependent. The L isomer of amphetamine is more peripherally active (more on the body) than the R isomer. So basically, taking eveko vs adderal, vs vyvanse(dexamp) and desoxyn they all are gonna have different risks. So if you take Vyvanse, or desoxyn the chances are much less than eveko and adderal.
very healthy F75 diagnosed 30 years ago on Methylphenidate 2 x10mg three times a day. Tried Lisdexamfetamine 60mg for 1 year until shortages in 2023 so returned to MPD Which is superior for older brain?
At a group level, lisdexamfetamoine has greater benefits and greater risks for adults with ADHD, including older adults. But that doesn't tell us what would be optimal for any given individual.
It would be interesting to know if adhd medications can have any effects on asthma symptoms. I have asthma and adhd. I take medications for both of those.
I don't think they harm the brain, in fact they are helpful, but at the same time we are not just our brains and I do think they harm the rest of the body like heart, arteries, etc.. and it is probably sensible to take something to support homeostasis!
@@Truerealism747 I don't know what's best. Given that homeostasis is by large regulated by the endocannabinoid system, I suspect that a mix of cannabinoids (like CBD, CBG, CBC, etc..) would be a good start, but it is probably more complicated. To some extent antidepressants may also fill that role or at least be supportive, since most serotonin-receptors are in your body and apparently some do have anti-inflammatory properties. In the end it will most likely be a combination and everyone has to find his best mix. Unfortunately all ADs I've tried gave me brain fog and/or "dementia". I might give Agomelatine a last shot at some point.
In the summaries and meta-analyses they often are lumped together, but more studies, particularly in children, are done with methylphenidate than with amphetamines.
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Good video, enjoyed it!
I've been diagnosed with adhd since grade school, I started in 4th grade. I'm going to be 29 years old this year. I'm concerned about the potential cardiovascular issues. It seems like none of the psychiatrists I speak to even mention anything about it, or it is just constantly downplayed. Any resources for this?
Look into guanfacine for lowering sympathetic drive (BP & HR), another way to lower cardio impact is to consider something like a bupropion + low dose stimulant combo or bupropion + qelbree + low dose stimulant combo.
You can use guanfacine as required for bp + hr overdrive control.
Nearly as long in years of experience as you so I know what you mean by cardio concerns. if you look into it many options are available
Dr. Kruse has a video about potential cardiovascular risks of stimulants on this channel, it's called ''Cardiovascular Risks of Stimulants''.
He also has a written article on that subject on his medium account, but it requires a paid membership for full access.
I think cardiovascular issues are more likely with doses above 60 mg/day (for adderall-type stimulants)
Cardiovascular issues happen usually if you have a congenital heart abnormality or at too high dose
The cardio risks are dose dependent, but it’s also stimulant type dependent. The L isomer of amphetamine is more peripherally active (more on the body) than the R isomer. So basically, taking eveko vs adderal, vs vyvanse(dexamp) and desoxyn they all are gonna have different risks. So if you take Vyvanse, or desoxyn the chances are much less than eveko and adderal.
thank you
very healthy F75 diagnosed 30 years ago on Methylphenidate 2 x10mg three times a day.
Tried Lisdexamfetamine 60mg for 1 year until shortages in 2023 so returned to MPD
Which is superior for older brain?
You feel better from synthetic pills ? Some kind of merit ?
At a group level, lisdexamfetamoine has greater benefits and greater risks for adults with ADHD, including older adults. But that doesn't tell us what would be optimal for any given individual.
@@DrJohnKruse people like being sick pills will fix ya! Yeah/no People never learn.
@@DrJohnKruse I guess that's to be expected. I'm grateful for your reply.
It would be interesting to know if adhd medications can have any effects on asthma symptoms. I have asthma and adhd. I take medications for both of those.
Me too
Do you take Dexamphetamine? It's a bronchodilator and helps with asthma in that sense.
@@digxx I take vyvanse for adhd and symbicort for asthma
I don't think they harm the brain, in fact they are helpful, but at the same time we are not just our brains and I do think they harm the rest of the body like heart, arteries, etc.. and it is probably sensible to take something to support homeostasis!
What do you recommend
@@Truerealism747 I don't know what's best. Given that homeostasis is by large regulated by the endocannabinoid system, I suspect that a mix of cannabinoids (like CBD, CBG, CBC, etc..) would be a good start, but it is probably more complicated. To some extent antidepressants may also fill that role or at least be supportive, since most serotonin-receptors are in your body and apparently some do have anti-inflammatory properties. In the end it will most likely be a combination and everyone has to find his best mix. Unfortunately all ADs I've tried gave me brain fog and/or "dementia". I might give Agomelatine a last shot at some point.
@@digxx aderol have you dementia I hope.not.any food helped you ldn helps my fatigue I take s runbose also any pain symptoms?
@@Truerealism747 With "dementia" I meant that ADs slowed my thinking and cognition and I became somewhat more forgetful.
Is this true or amphetamines as well as methylphenidate ? Or primarily/just latter?
In the summaries and meta-analyses they often are lumped together, but more studies, particularly in children, are done with methylphenidate than with amphetamines.