The Adderall Effect: Strategies for Minimizing the Crash
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- Опубликовано: 15 май 2024
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I would point out that unless you live alone, someone with ADHD needs evening coverage too. They don't just stop living and interacting with people at the end of their work/school schedule. For example- interacting with family, preparing dinner/grocery shopping and driving!
Edit- I stand corrected. Even IF you live alone! You still need help to take care of yourself, of course, which some with ADHD need stimulants for. Just to live a normal life and take care of themselves.
So you're proposing being high on stimulants 18-24 hours/day? You don't need adderall to socialize, adderall is meant to make your brain have more pleasure and focus on boring, mundane tasks that you're not all that interested in, not to socialize or drive. That's a sign of addiction requiring adderall to socialize.
What makes socializing harder is adderall crash, something to keep in mind
This is the big unspoken problem isn't it - modern life in western countries requires people to function far beyond their natural limitations. Trying to fit a safe medication regime into a life that demands too much of you. I hope you find a way forward that works for you and your circumstances
I live alone & still need the post-work coverage. I’m blessed to own my home & that’s a whole other job after (and sometimes during) work. We have to stop thinking of productivity & focus only in terms of employment. I need help after I’m done making a buncha money for my employer & getting a tiny fraction of that time & money to live my life.
@@whitneyw.7919 think referring to the therapeutic effect of a medication as “being high” is both inaccurate description and offensive. There is no feeling of being “high” in my experience. Unless NOT having your daily functions severely disrupted by symptoms of a diagnosed disorder as being high.
@@whitneyw.7919 lol there’s no way I can be described as “high” when I take my adderall..
I really appreciate you bringing up that I need to have a more realistic expectation of my mental energy in a day.
Maybe the problem is the expectation for ADHD people to be as functional and productive as Neurotypicals
This!!
It's a pharma bs consumerist game........ give us ways to fuck up our brain, have ads and pills ready to be taken to fix the issue (btw most pshychiatrists get commissions of their scripts written no joke)
Honestly I don't think any of my mental health issues are an issue in my opinion, but even every one around you constantly acts like you're a big problem is really hurtful. That makes other mental health disorders happen for me... we need a way to level out. Not put on a band aid so we're shut off.
I believe it's like adhd is just data processing quicker. How's that bad?
Yup
This is true but I do want to be able to have basic executive function, working memory, and be able to do basic things like chores without it taking 2 days of uninterrupted time. I just want the very basic things in life that seem easier for others.
Oh and edited to add: I like not feeling like I have to fall asleep at 2 pm!
@@monicarenee7949 I totally understand you, I'm a minimalist by nature and a mess by ADHD but it's also true that our expectations and desires may be linked to the society expectations especially the industrial/post-industrial society has such high standards for cleanliness, minimalism, tideness, punctuality, relatability on a lot of complex *boring* stuff and so on.
We've been left behind and we'll come back in the post scarcity era but meanwhile (apparently) we are supposed to stuff ourselves with heavy drugs 24/7.
A certain % of disability recognition would bring so much rationality in the condition but we live in reckless societies unfortunately... So reckless that they have convinced us to be reckless towards ourselves too
I feel fortunate in that instead of developing a tolerance, I became sensitized to it. So 10 mgs a day is just as effective for me as 40 used to be.
I feel like something that's really important that isn't being touched upon in this video is that THE GENERIC MATTERS.
Teva, the manufacturer of the brand name Adderall, also makes a generic. For me, I was doing amazing. Keeping my house clean, myself clean, working on my art and myself. Then the Adderall shortage happened, and I couldn't have Teva anymore and got switched generics twice. My house became a mess and so did I. I started crashing HARD. Passing out in my computer chair. My doc suggested raising the dose a little so I would stop crashing. The crashing stopped, but now my hands shake on and off and I can't do my art when this happens.
Since the Adderall shortage seems to have resolved, my next refill I will be getting Teva again. I never had horrible shaking or crashes on the Teva. They are not all the same. I'm sure Teva is awful for some people while the one that I don't like is good for them. Everyone is different, trying different generics is worth it.
Don't forget about nocebo, so wild ✌️
Yeah, I'm trying to remember if that's what happened with me. There was a batch produced in the spring that seemed to be less effective for many people to the point where they complained online and the company had to release a statement.
Arent all the generics the exact same though??
Drug dependency much?
@tongpoo8985 Generic medications are allowed to be as low as 70% the dosage of the brand name medication. Organic chemistry is very complicated, and even using the same ingredients in the exact same steps can lead to different outcomes in the lab. The manufacturers don't have to test every batch either, as long as the batches that they do test are consistent.
I remember the crash showing up as becoming very irritable, very quickly.
Adderall XR would last just long enough to get me through my work day, by then my family had to deal with me in that irritable, withdrawal state. I didn't want that for them.
I'm glad that I was able to switch to Strattera, which treats my ADHD twice as well as the best that Adderall did, with no crash and irritability. I get to be my regular self with my kids.
That is such great advice (as usual)! I've recently started to accept that, as a night owl, I am simply doing my best work at night - without ADHD meds! So I take a morning dose, and then only a half-dose in the afternoon (if at all). That way I can keep the overall dosage low while still being able to function :)
This could not be better timed for me! I received my very first month's supply of ADHD meds today, and can begin taking them tomorrow. I'm not someone who believes in fate, but I sure feel blessed to have a video addressing one of my big worries, just before I begin a new phase of my 40-something life. Thank you, Dr Marks, as always for providing non-judgemental advice and guidance on so many topics.
I started medication on June 8th. I have cried happy tears almost every day. I just turned 29 on the 4th. I feel almost as if I have a second chance at life.
@@Hekeepblessingme Oh bless your heart! I am so, so glad to hear you are doing well with your meds! It is so kind of you to share your experience!
I'm so excited for you! Being diagnosed and starting medication in my 40's was absolutely life changing! I was so scared to take medication, I waited a few days before I was brave enough. 20 minutes after taking it, it was like my brain came alive. One of the first things I noticed is that I could read a sentence *once* and comprehend what I read, not the "normal" 3 or more times! I thought, "wow, this is what it's like for a neurotypical person?!"
One bit of advice, don't be afraid to tell your doctor if your medicine isn't working, type of med AND dose. One med changed my life, while another did nothing for me. One dose was too much, while a lower dose was perfect. Sometimes it takes some time to get it right. I hope all goes well for you!
@@SweetStuffOnMonarchLane You are such a sweetheart - thank you so much!! I'm nervous, mostly excited. The big thing I have to remember is however my brain feels tomorrow, I still have many physical issues, and to try and stop looking at everything and saying "Oh I'll get that done tomorrow!" completely forgetting that I have half a dozen other conditions that keep me mostly in bed!! But, hey, would it be a proper ADHD day if we don't forget something!! I am really so grateful to you for your kindness, I feel a bit calmer about it all now. Bless you, lovely person
I was diagnosed at age 44 last spring. Been over a yr slowly trying a medicine, a dose and trying to get relief. Changed psychiatrist too. My issue is I don’t want to take when I work in case I have side effects etc and some days off I don’t want to try because some meds made the day ruined and I HAVE to get some stuff done. I am nearly out of options and need to ask for a higher dose of my last choice; Adderall, she tried me on 10 mg. Focalin gave me horrible thumping in right ear like a helicopter. Vyvanse worked somewhat some days. Concerta 36 mg made me more hyper I felt each time! Good luck everyone. After being a SAHM 21+ yrs I need to make progress at work and not be ADHD brained! Management is happy with my performance but it is such an insane struggle and exhausting trying to focus once I am done at work my brain feels like runny useless jello often.
I wanted to note that one issue with having ADHD and making decisions about how to address is it that everybody seems to have an opinion even when they have little or no knowledge. Also sometimes when they do. I know some folks are anti medicine for many conditions, but the fact that this medicine is often controlled causes people to get all judgey about it. That is just an extra stress in dealing with the problems caused by living with ADHD.
Thankfully there are a few ADHD medications that aren't controlled substances, which for some people actually work better. (Guanfacine, Clonidine, and sometimes Amantadine.) Good doctors will work with their patients to help find what works best for each individual patient, instead of trying to force a "one size fits all" approach on all of their ADHD patients.
Not antimedcine here myself...but thete is addiction and oxy big pharma one does have to watch for. Sure other side is cults neglecting kids medically and con artist scammers with cure all bs...though I am in the middle where I remember humans are failable about even lobotomy seen as a science at one time now thankfully not and conversion therapy is a sad abusive thing that still exists. Though yes medicine can help
@@Dulcimeristyes
yes. it heightens the stigma and also makes it a pain in the ass and sometimes a whole interruptive deal in life when something gets screwed up from insurance to the doctors to policy change to pharmacies 🫠 calling every month, shoving in appts, limited ability of providers at times. my ADHD ain't got time for that 😂
@jayabee YES AMEN YOUR RIGHT some people do get all judgmental about it an it does cause heavy stress especially having to deal with family for example that are against in mean time while it actually works an makes some people like me feel normal I can relate to you big time hang in there @jayabee i understand you completely an agree with you!! Thanks for relating needed that!!
I use to take dextroamphetamine and I went through a divorce and he cancelled my health insurance without even telling me as soon as we separated and I went through extreme withdrawals and was falling asleep at work and school. Had to quit nursing school and also got fired. Horrible time in my life.
More isn't always better! Many people actually do better on low doses. I've lowered my dose three times now (I've lost weight since starting it). Also my doc did a genetic test to see how fast I metabolize it.
I take Adzenys XR-ODT, same active as Adderall, and it's soooo much smoother. Just 15 mg Adderall-XR gave me headaches, neck tension and hot flashes. Adzenys is also orally dissolving and starts to take effect immediately. But it's a pain in the butt to get in my state and very expensive if you don't use a coupon. There's another orally dissolving one that has three releases for longer coverage as well. I think the long acting is definitely the way to go.
I would not call the drug wearing off "withdrawl" for those who take it daily. You have to plan to be able to sleep. Remember taking Vitamin C in the evening will help the meds wear off. Also eating citrus. And no caffeine after 3.
Thanks for this! Confused about one thing…you’re saying yes or no to citrus
@@user-lq9es6wm9s Yes to citrus, but in the evening, because it'll help your meds wear off more quickly. If you take too much and feel jittery, you could have citrus or vitamin C to help it calm down then as well.
@@user-lq9es6wm9savoiding anything with high vitamin C or acidic in the morning when you take the medicine. If you have trouble sleeping at night , having something high in vitamin c will help your body metabolize the medicine out of your body quickly.
Have you tried vyvanse?
@@lookingupwithwonder I have not tried Vyvanse. I really like my Adzenys because it takes effect right away, and also there are supply problems with Vyvanse. But I do know plenty of people who are on it and like it.
The graphics really helped keep me focused & to understand the information. Gr8 job & thank you.
Enjoy listing to your videos. You speak very clear and easy to understand.
Out of experience you couldn’t be more spot on… thank you for your insight and information…❤
I dont enjoy feeling like i have a "normally functioning brain" when im on it, I use it as a nessecity for my studies but it has ruined my friendships and the way i see myself.
This is one of the most Solid videos Ive seen or even found on this topic! THANKYOU
I've been dating someone who takes Adderall and he can't get to sleep until 1AM. Sometimes 2AM but wakes up with me at 7AM. After several weeks of this - he goes through a burnout and shuts down. I barely hear from him for a week. I've asked him to ask his doctor about it at his 3 month check up - but it feels like general providers don't have good advice on Adderall.
Most medical professionals suck lol. I get most of my health info from youtube
@@jobunny919 Yeah, now they just look on their phone to check for drug interactions but they never THINK things through for each person. We're all just guinea pigs until 'something' works, right? Who knows what we've done to ourselves in the meantime. For example, Wellbutrin 300 XR was my holy grail for my depression in combo with my Dexedrine. For years! Then, the heart palpitations got so bad, I had to have a stress test, an echocardiogram, etc. It took AGES for them to figure out it was the Wellbutrin and switch me to something else, but it doesn't work the same.
I LOVE YOU, DOCTOR‼️ You’ll never know how much this video blessed me‼️ The way you articulated exactly what I was feeling when I couldn’t explain it myself…thank you…just…THANK YOU‼️
Perfect timing of this video! I just started Concerta on Saturday, and felt a big crash last night, and needed some ideas on how to cope! Thank you!
Yeah the come down is very depressing for me! I go way down into a dark place!!
Because of this I am trying to Modafinil and so far it seems to be way better!
High quality information. Thank you!
God I hope my ADHD ass brain doesn’t forget to keep watching this video and that I manage to apply some of this great knowledge to my daily routine. Such good stuff that never gets addressed.I’ve been taking Adderall for years. I take 30XR along with immediate release 5 or 10 as needed. This is the first video I’ve seen that breaks down the importance of the precise daily timing of dosing, the hourly timing of the efficiency of the meds and what to expect with certain dosing levels and how to deal with what happens when the meds wears off. So helpful! Thanks Dr. M ❤
Wow. A adhd brain joke. What next? You saw a squirrel. Us folks with real diagnosed adhd don't talk like that...
Your videos have provided me more information than the weekly
treatment I’ve gotten over the past 15 years. I had alway felt like a failure. I was always told I had such potential but was such a disappointment. It ended up with me in the hospital after I made an attempt on my life. The doctor in the hospital was the first one to tell me about ADHD and that all the mental health and sadness I was experiencing might be related to that. He changed my life outlook and gave me hope. Unfortunately when he left the practice, the quality of care went down greatly and I’ve managed to fall slowly back into the prison I’ve made for myself. Listening to your videos gives me hope that there are providers out there who can help.
Now we just need to deal with the adderall shortages which are causing people significant disruption in their lives
This is very helpful thank you! I just started taking Adderall so this helps a lot 🌹
This was very helpful. I've yet to even be diagnosed so we'll see what happens, but I feel like I have a better understanding now.
Adderall was great for me…until it wasn’t. I am in no way any type of medical professional, so take this with a grain of salt as everyone will respond differently… But Adderall was giving me SEVERE mood swings. It made me very very anxious and also lost WAY to much weight. I eventually learned I also had undiagnosed Bipolar disorder. My doctor said the adderall was probably compounding my bipolar symptoms and making them WORSE. He switched me to a non-stimulant ADHD med before starting my new bipolar med… but the withdrawal from the Adderall sent me into a DARK suic!dal depression. After being on Adderall for a couple years, coming off of it was the worst. I couldn’t get out of bed for days at a time for about a month.. I wished so hard that I had never started taking it in the first place, because the dark places my mind went to when withdrawing was horrifying. Please consider the negative side effects before taking this drug. It is a miracle drug… but at a cost.
💯…I quit 1.5 months ago and the detox was *terrible*. The dark places in my mind…I mean I feel like I’m out of the worst of it but it was scary. I still feel awful. It made my depression and anxiety worse but now all I feel is either filled with dread or just …flat. I need to know how to fix myself after this screwed me & my dopamine up so badly. I’d never go back on it, I got scared straight for real
@@firstmiddlelast1697 YUP! I moved recently and my new doctor was trying to get me back on Adderall and I refused. Although I miss the hyper focus, I would never ever in a million years out myself through those withdrawals again. Hang in there, it does get better🩷 It took me a couple months to feel like I was back to my baseline. If I could offer any advice, when you feel really anxious or depressed, do your best to think about what you’re grateful for in life. Training your brain to “rewire” and replace negative thoughts with positive thoughts takes time but one day you’ll find yourself handling a stressful situation well and it’ll click that all the hard work paid off. You got this!
I had trouble coming off Ritalin after 3 months of use, I can imagine how much worse it was to you! Today I use 300mg of Bupropion daily and it is enough for an efficient and healthy routine. There is no justification for working and studying so much and not living, at least that's the conclusion I came to.
I'm a Java developer, when I have some work that I need high performance then I use Ritalin on demand. Last month I used 4 pills, 2 a day for 2 days. This month I haven't used any and I hope I don't need to.
I wish you get better!
I’m glad my doctor put me on generic Ritalin. I think adderall would be too intense for me. Though I could use the weight loss 😂
This!! The exact same for me too. It was terrible coming off of it. Not many talk about the long term side effects of adderall hence being a “quick solution” for many
Perfectly timed for me as well! I’ve been feeling like my Adderall, hasn’t been as effective. But I’ve been drinking pretty minimal water and getting less sleep… I really need to do better at those!!
Thank you so much for this Video. I been taking AD for 2 years and I learned a lot more from this video
Thank you for these videos! It gives me ideas on how to present medications to patients.
Totally can relate here, I try not to take it on the weekend and sumplament the crash with an extra cup of coffee or tea. Also beeing extremely mindful of fluids since it's a diuretic and exercising 6 times a week.
Dr. Marks is the BEST! Who else agrees?
Thank you so much doc, for making this video 👍🏻 very useful information for me
You are always so precise and helpful
Thank you, I'm happy to be helpful. 👍🏽
@@DrTraceyMarkshow can I contact you directly. I would love to talk more about my now 10 year old.😊
patient education is the key to success! great 👍 video 👍👍👍👍
the side effects mentioned, this is me before stims. when I am out of stims I would just go home and sleep.
ADHD appears differently for a variety of people and what works for some may not work for others. It may take time to find what works for you and desired results will not be instant!
Thank You So much for this information!
You have helped me so very much. Thank you from the bottom of my heart ❤️
Yeah, Adderall and other psychs are readily accessible from this dude I cop from he's super reliable and also ship's discreetly to any location 💯
@LARAMUSH_10..
so helpful.. thank you !
a video has never described how i feel on adderall so perfectly
Adderall and other psychs are readily accessible from this dude I cop mine he's super reliable and also ship's discreetly to any location 💯
@LARAMUSH_10..
Thank you for this video. It is heaven sent. With all the medication shortages it has been a roller-coaster of emotions. I feel like I'm losing my mind. I'm in such a dark place half the time.
You are so welcome. Yes, the shortages are so frustrating to manage.
@DrTraceyMarks You have helped me feel seen and understood. I truly appreciate you. 🙏 My story and case is pretty rare so much of the time there are so few who can relate to my experience. But, you make me feel seen. Your work is so appreciated and I share your videos with others and even my therapist.
@@MaggieAAdams Awesome! I'm so glad feel seen!! You are SO not alone with these difficulties even though it can feel that way. ❤
@DrTraceyMarks Thank you. As a 36 year old black woman who was adopted at 1 by a white family in the 80s, I've always felt different and alone. But, in that feeling I've found joy in studying people and myself. As a journalist who has a love for anthropology, I've learned over the years how to turn my curiosity inward and begin finding out more about myself after a car accident that hospitalized me for a month. I was also blessed to grow up with a father who had a doctorate in pharmacology and a mother who was wise enough to get me into therapy after his passing when I was a preteen. I was diagnosed early on with depression and ADHD but found it has impacted my life in different ways throughout the years. The more research I do on it the more I understand. You have been a huge part of my path forward. Thank you again.
I was up to 60mg when I quit cold-turkey two years ago-just got back on meds this year, and my new dr started me at 40 like before, though so far 20-30 has been ok. Been trying to make my supply last due to the shortage
Thank you this is very helpful!
TL/DR: sometimes a smaller dose works better than a bigger dose
My dr was baffled by the fact that stimulants made me extremely drowsy. She kept telling me the same two things: “it can have a calming effect which might feel like drowsiness” and “it’s probably the crash/comedown” but while these may have been contributing factors, it was almost like a sedative. An hour after taking my pill I would be unable to keep my eyes open.
Then I saw an Andrew Huberman podcast that explained that with stimulants, more does not mean better. Each person responds to a very specific dose. He tells of a 300 lb man whose most effective dose is 2.5 mg of adderall per day! Having recently been bumped to 20mg twice a day, i asked my dr if i could try microdosing. I thought maybe smaller doses at a time would potentially be more effective than bigger doses less frequently.
To my utter surprise and delight, I discovered that 5 mg is my magic dose. I don’t know if i’m a slow metabolizer or what but apparently too much of the drug at a time overwhelmed my system and made me sleepy. Now I have virtually no side effects and all of the effectiveness I was seeking. If you are having similar issues, it might be worth a chat with your dr.
I'm so glad you found the solution was smaller doses and shared that - that could really help a lot of people.
All of them put me to sleep too. Unfortunately, they all put me to sleep at the lowest doses. I'm on several other medications for various conditions though, so it's most likely the combination of how I metabolize them and interactions with those meds. Since I really need those other medications, we had to give up on ADHD meds.
Do you take the 5mg 2x per day or just once?? I take 5mg once in the morning and do not take it on the weekends... I have noticed after 5 months of taking it week days and not taking it on the weekends there has been a slow built up tolerance to it...I am thinking about omitting a 3rd day?? Thoughts?
5mg club here too ! I had the same reaction to the higher doses.
Mate, can you post the link? His videos are so long and I can think of at least 2 you could be referring to, but which I haven't yet watched
The nonstimulant ADHD medications Guanfacine/Clonidine have worked much better for me, with none of the side effects and other issues that the stimulant medications have. Guanfacine and Clonidine also reduce anxiety, since they directly calm the body's "fight or flight" panic and anxiety response. They also eliminated my sleep issues and migraines.
Did they help with motivation at all though? I found them less effective on their own for inattentive adhd
@@RossFeighery I also take Amantadine, which acts as a mild stimulant, and increases dopamine for motivation. It was prescribed for fatigue, but it has helped a lot with motivation.
Diagnosed with adhd since I was 5 and never took medication till yesterday for my night shift and it was great during the shift, but I stayed up all night, slept for 5 hours after that, only to come to me right now in bed, with severe nausea, jitters, a racing heart beat, and insomnia like a mf. Thankfully finding some comfort in this video rn..
I've said this before and I'm going to say it again, you are a Saint! You're videos are invaluable. Thank you!
Great video; just started on meds a few weeks ago, and thought I'd try a break this weekend. Felt immense fatigue, disinterest and laid on the couch all weekend. Was at a loss to figure out why.
❤Tomorrow I finally get to see my Doctor Yea !! 68 and to get my head straight.
Problem is if you have to do the chores after work, I think ADHD is a disability
I'm on mental health Disability for ADHD and panic disorder
@@Sagittarius0nFire Well done 😉👍
And there are always a lot of psychological comorbidities to these disorders anyways
Thank you so much, I have had some insane sleep problems and crash problems taking everything in one dose which is a weird combination, I’ve been splitting my dose in half and using the mini crash to help fall asleep along with my other medication and waking up feeling amazing!
I like to use it for playing videos games while listening to lectures on quantum mechanics.
Not funny, but... 🤣!
My Adderall crash involved Exploding Head Syndrome (EHS) 😅It happened a couple times, but once as I was falling asleep for an afternoon nap, I legit thought someone had wrecked their car into our building because that's sure what I heard, lol. I flew up out of the bed and opened the window, expecting to see it. When I didn't, I was so confused as to why people weren't yelling or running to see what happened.
Thank goodness for RUclips. I'd watched a video awhile before about EHS and realized that's probably what I was experiencing.
BUT, I also have a paradoxical reaction to all the stimulant ADHD meds, where they all put me to sleep. I don't just mean on coming down. I mean within a few hours of taking it, I can barely keep my eyes open. So that could have something to do with why Adderall gave me that fun side-effect, lol.
You experienced a parasomnia. These events occurring around falling asleep or waking up are common, and they often are related to either medications or sleep deprivation, or both. You may do better with cognitive behavioral strategies for your issues. Few side effects, no surprises, no withdrawal, no paradoxical reactions. Which, BTW, are common in trauma survivors and neurodevelopmental disorders.
You sound like you took too much and was tweaking!
@@missvida6251 It was the lowest dose they make (5 mg), and I only took one 😂 We were supposed to be tapering up but nooope, not after that.
Exploding Head Syndrome really is a real thing lol. It's mostly associated with sleep issues, but also happens with migraine auras, partial seizures or rapid withdrawal from SSRIs.
Considering all of the stimulants put me to sleep (all tried at their lowest doses), I figure they're messing with my brain in a way it doesn't wanna be messed with 😂
@@lunacouer exploding head syndrome just sounds absolutely painful. It sounds like your head just spontaneously explodes 🤣 I hope you are doing bettet
@@missvida6251 It's such a bad name!! 😂Not painful at ALL. It's just a very specific auditory hallucination.
Like I kinda get why's it called that, since you basically hear an explosion originating inside your head and not from an external source, but C'MON! Did no one think this through?! 🤣
Thank you, it's all better ☺ It really was just a weird reaction to Adderall. That was the last time I took it and it hasn't happened since.
great info. I know this info very well, but it's good to hear the reinforcement. maybe constant reinforcement should be part of the ADD Adderal treatment
Brilliant 👏🏽 👏🏽 👏🏽
Dr Tracey should do a video on how to deal with ADHD in medical training like residency where depending on where you live can be upwards to 36hour shifts or more
I’ve been doing well on the sleep & fluids. Nutrition & exercise are getting there (I struggle w food prep + retired athlete w depression issues). I’ve found that having a cup of matcha or half-caf coffee in the AM & taking my extended-release at noon helps me get through the rest of the work day + some after-work time. I do get very sad & crash-y in the evenings though. And living alone makes it feel more intense than it probably is.
Edit: Or maybe it feels intense to me & that’s ok. I dunno.
Have you tried yoga/meditation in the evenings. For me the first 10 min are really hard to quiet my brain and get into it but push through and then it helps relax and wind down for bed. Maybe that would help with your evening routine and the crash. I've found first doing a quicker moving yoga workout and then follow with slow stretching meditation/yoga helps by brain ease into the calmness and helps a lot as long as there are zero interruptions. If people or animals bother me it's all useless and I can't relax so a lot of the time I have to wait until everyone is asleep and the dog is put in the garage for a bit.
In hindsight, I wish I had been told I can’t have any stimulants, including caffeine, until I get all my basics right, nutrition, hydration, sleep, exercising, socializing. Because once I started using stimulants, all those basics become even harder to get right and good luck figuring out which one is off and causing lower energy, mood. I look back on my youth, and none of my basics was adequate and consistent.
You're always fantastic with great info
Thanks a lot Nerdbama!
Are you a 'Bama fan?
@@DrTraceyMarks you're welcome 😊
@@annehedonia156 roll tide lol
@@nerdbamarich2063 Ha!! WAR EAGLE!!! 😂
Thank you ❤
You're welcome 😊
I have experienced the same with Attentin 5 mg that I'm using, someone told me it's basically the same as Adderall. But in Sweden and Norway Attentin seems to be the one that's preferred.... I was 60 y.o. when I got diagnosed after a whole life of struggles. What this med is doing for me, and how it changed my life for so much much better, I can't explain in a short comment. I have no problem at all accepting the (very) few side effects since the benefits of it are so great. PS: I maybe should mave mentioned that I'm not using just one Attentin 5 mg a day, I take between 30-40 mg all in all during the day.
I had to switch from Ritalin to aduvanz. I just fell asleep on the Ritalin and I got depressed. I almost failed my semester. In Norway where I live we don’t have adderall. But I had a big positive effect on Aduvanz. I focused better and I starting to eat and fell better too. It’s so weird how individuals these medications works.
Aduvanz is Vyvanse in most parts of the world.
And it is extremely expensive if they dont live in Norway like us.
In US they can pay up to 300 dollar per month.
Its crazy.
I wish I had this video during Dental School
Brilliant !
Dr. Tracy, thank you for your videos. This one is critical because of the shortage of Adderall. I have to reduce my doses, and all the withdrawal symptoms you just mentioned are precisely what I am feeling right now.
Girl, I couldn't get any more for about three months! So, I started dumping out the contents of my extended-release 20 mg capsules into the cap, and pouring about 1/3 to a half of the little balls into my palm, and quickly washing them down while trying not to chew or crush them. Yuck! That was my only dose, but only on the days I felt I really needed it. I had to space the days out even.
I told my pharmacist that maybe the Adderall people should talk to the guys churning out all of the Fentanyl for the streets! Ridiculous.
Is your doctor able to switch you over to Dexedrine CR when there's an Adderall shortage? Dexedrine is one of the ingredients in Adderall, and would be better than going off Adderall cold turkey when there's a shortage.
Even the stimulant properties of Amantadine would probably be better than nothing, and that one isn't even a controlled substance.
@Dulcimerist My doc says they are the same thing. What does Adderall have that Dex doesn't? I took Dex XR for ages. It was great. It cost about $17 a month. Then they "reformulated" it about 10 years ago (after how many decades?), and the price jumped to over $400 a month. I had to stop it.
Very accurate thank u!! Btw ur skin is amazing!!! Healthy and shiny ❤
Hey I’ll refer you to this specialist who guided me through My Adderall experience he’s got all kinda psychedelics and ships discreetly to any location
ARABICASTOREZ
Third week of Adderall here. The description of the side effects... That's what it was like for me before. About 3/4 into the action part of a project I would hit a "wall". And usually the project would not get finished. I move on to another idea that stimulated me and the process would repeat. But the "wall" must have been a dopamine crash. No meds, no drugs.
Ritalin is better overall! This video is EXCELLENT!!
Excellent!
This couldn't have been at a better time
I always tell people it's like your brain is on a workout and once it's over it either needs more or to recover. I sadly can't tolerate stimulants because of how bad I crash. Currently on Wellbutrin and it almost feels like a mild stimulant due to it being an NDRI so I'm going to stick with it because it's better than nothing 😊 considering adding Zoloft to be on the combination coined as "Welloft" since it doesn't really help my anxiety.
Did they ever try the nonstimulant ADHD medications Guanfacine or Clonidine with you? Those have been miracle medications for me, as well as my daughter and her friend who has ADHD. I do best taking this one before bed.
I also take Amantadine when I wake up, since it has mild stimulant properties and reduces fatigue. It's also an antiviral, and I've had zero viral infections since I started taking it in 2017.
Very informative. I have been struggling with mental health issues, I believe at the core was undiagnosed adhd becuase everything was done to suppress this trait and it's made my life hell. I was prescribed Vyvanse and the result was life changing, as if my best self was put forward. However, I felt very anxious (as I have taking anti-depressants in the past-they barely worked for me I ended up getting off them) and felt the dose was maybe a bit high. I am feeling the crash-basically back to what I normally feel without the meds on a daily basis but a bit more intense. I will ask my doctor to consider giving me a gentler medication as you had mentioned, perhaps the methylphenidates at a lower dose would be more appropriate for the time being.
Great video. I am glad you are shining light on the effects of withdrawal in the beginning of the video because on RUclips I find very obscure videos talking about it, whereas you have it down to the point of perfection. It’s so upsetting because as a kid, sometimes you begin to rely on the medication innocently and as you grow to be an adult (I stopped for two years) you see how much of an effect it has on every day to day life.
(Specially, because I am a high-performance athlete that needs to have a very s specific body need) like with via Vance side-effects appetite so much, and when I was half of it for two years, I really struggled with binging. It really changed how I focused, but I did learn how to focus through meditation which is actually really cool..
[[I highly recommend as an ADHD person to use your impulsivity as a gateway to visualisation where all these impulses that you have allow you to see things in your mind in a clear picture]]
Anyways, if you struggle with ADHD, medication with drawl, just know I am here for you, I have experienced it because I wanted to be off my mad because of the emotional whiplash I was getting.
Anyways, this is a bit of a blabber, but I just wanted to share a bit of what I felt
I’d be interested in you doing a video like this on Vyvanse.
Can you do a video on hypersomnia please!
Wht do DR get it wrong 85% of the time because they want to bill your insurance as many times as they can get away with
thanks queen
Thanks you for covering this subject. Since the shortage I have noticed different brands of generic being substituted. Same Name (Rit.) but different company. Big issue for me. Although it says Methephinadate? an entirely different company is making this drug. As a result, the drug may or may not be as effective as the last company.
As a sufferer of ADD and Social Anxiety, the result in this name change Is a quick up for an hour then quickly crashing on and extended release. I am unproductive and distracted by everything but what I am suppose to be doing.
This makes me agitated, unmotivated, disconnected, distracted and sleepy.
Thanks for this video. I have been taking Vyvanse for a while now, 30mg, and due to Dr. Office/ pharmacy mix up, i was out of my medicine for about a week. The first 2 days i slept. Then i started to notice that i felt much less anxious and that people weren't as annoying as they usually are. I stayed off of the medicine for a couple of weeks, lost my debit card and a couple of other problems like that led me to restart the medicine. The anxiety and headaches came back with a vengeance. So i stopped it again after just a couple of days. I am at a loss about what to do next. Will see my doctor next month but this gives me food for thought.
I started this a month ago after giving Straterra a 6 months try, Vyvanse a week and now Adderall. Adderall is giving me the least amount of side effects with the most amount of benefit. This Euphoria people speak of is odd to me. I don’t feel it. I just do things now. It was just “if I could just do the thing”! Getting the clothes done (hate it) but have to do it. If I don’t then well it creates not only a feeling of failure BUT anxiety and frustration. Sucks when you can’t find that other matching pair of socks then panic sets in because going to be late. Much more to it than that of course. Long story short (late) got me fired first time in my life. I clearly developed from ADHD or a co-morbid anxiety and low grade depression along with it. I was treated for that for 3 decades before seeking a different therapist who brought up ADHD. My daughter has it but thought she got it from her dad. I was pissed when she mentioned ADHD. IT NEVER crossed my mind. Talk with my psych doc what she said, was screened and here I have the diagnosis. Got another therapist and after many sessions I have kept asking “do you really think I have ADHD”. She has said “if your asking me is this an accurate diagnosis then the answer is yes.
Ok, I know this is long but non-linear speaking was a big indicator for therapist. She said I start a point then go off into unnecessary things to finally get back to the point. So, here is where I am going with all this and respond to your post……I believe the professional’s now that I have it. I can’t turn back the clock and see how much more different my life would have turned out if I had known and been treated before. I do believe it is real, I believe it can cause a lot of problems and not allow you to live your best life. If you’re talking to a legit psychiatrist who is recommending you try something then do it. Legal guardrails in place to prevent misuse. Unless you are going to seek it off the street then it shouldn’t be a problem. Listen to the professionals.
Now, having said that you need to make sure this is really impairing your life and happiness. It shouldn’t be “so I can do more”. It shouldn’t be “so I can become better when I already passing”. For me, it’s barely putting me on a “normal functioning level). I take 10mg in the AM, 10mg around noon and 5mg before 6pm. This recommended by therapist because on Vyvanse the dose wasn’t high enough for one but two the downside slope of it made me massive irritable then after it was out I would binge eat. Keeping it going in my system until I take my B/P meds at night keeps me from the negatives of it.
One sad note to tie this up here is I just found out yesterday that my cousin that’s just 4 months apart from me in age that killed herself at age 48 was diagnosed ADHD. This was a few years ago. She had been drinking a while then somewhere along the way gets this diagnosis. She starts Adderall and ran out a month before she shot herself in the head. Her husband had enough of the drinking and changes in her that he divorced her and she did this the first night her daughter had spent the weekend with him. There were signs she was suicidal leading up to it but that was just looking back after the fact. If I were to guess it was she was abusing the prescribed Adderall that’s why she ran out. Plus drinking. Her sister told me she thought she mixed it with another med that caused some changes in her that made her suicidal. I will never know. This isn’t something to play with. Take it seriously, only as prescribed by a physician.
@@KB-tu4zw i can really relate to everything you are saying. Especially the non-linear thinking. I don't think of that as a negative though. Maybe other people do. Ha. But also the feeling of failure in not getting everyday things done. I don't get the euphoria either. And Vyvanse does also give me that irritability at the end of the day when it wears off. I'm still working on it all. I was diagnosed in my 30s and i went through a period of feeling sad about how things might have been different earlier in life if I'd been diagnosed earlier. Now I just kind of feel like everywhere I've been has led me to where and who I am now and that's ok because I don't think I'd want to be anyone else but myself. :)
I used to take a low instant release first thing in the morning, then a higher XR dose around mid morning. I was working a job that required 14-16 hour days regularly. This method gave me more functioning hours and seemed to ease the crash a little. Of course, the adderall shortage completely messed this balance up. I’m back to crashing whenever I manage to get my adderall at all. It mostly presents as severe fatigue that renders me utterly useless in the evenings, though I’ve experienced the low mood side effect on occasion as well. Plus, headaches.
Focalin is definitely a gentler stimulant. It’s what I was switched to when Adderall was completely unavailable. It actually made me sleepy at first, but I did get more used to it. It’s not as effective, but you also don’t crash as hard.
I was on adderall it wasn’t right for me I started abusing it and lost a ton of weight my depression got worse I literally became a hermit
Now I’m on Wellbutrin and it works better for me
@@TuravenVentura_2 i can’t have adderall anymore
They will not prescribe it to me
The Wellbutrin is good does the same thing as adderall
I’ve been on Adderall for years. Now with the shortage, Doc has changed me to Dexedrine. I’m struggling.
Thank-you for this I recently was diagnosed with adhd and been on adherol for about 6 months and I was wondering if this feeling was normal they ha e dramatically changed my life but the exhaustion after it wears off has really been getting to me
I once ran a game night which turned into a 42 hour long continuous game… I was hallucinating and very creative. Unmedicated ADHD. 😢
Yacobkingz
In hindsight, I wish I had been told I can’t have any stimulants, including caffeine, until I get all my basics right, nutrition, hydration, sleep, exercising, socializing. Because once I started using stimulants, all those basics become even harder to get right and good luck figuring out which one is off and causing lower energy, mood. I look back on my youth, and none of my basics was adequate and consistent, so I used caffeine too much and sports too.
OMG I was just having this problem I couldn’t get my refill of my Adderall because the pharmacy had run out and I felt horrible
I was prescribed Vyvanse off-label for to treat treatment resistant major depressive disorder 8 years ago & it's been in remission ever since. Drugs in the amphetamine family effectively ended my alcoholism & suicidal ideation. I'm partly healed, & I owe it to speed. & fortunately, I am one of those people who experiences minimal withdrawal symptoms & acquires only a partial tolerance to its effects. Unlike SSRIs, which always stopped working after weeks or months... 🦃💊🤠🦃💊🤠🦃
Yacobkingz.
I wish you were my Doctor, Doctor Tracey. ❤️
Hey I’ll recommend you to a specialist who guided me through My Adderall experience he’s got all kinda psychedelics and ships discreetly to any location
ARABICASTOREZ
Good Morning Dr Tracey 🤱Thank you for taking the time to help us with these videos. It's amazing how you know all of these things. We live in a world where people don't want to explain or talk about anything. Thank you for letting God use you to help us. I know that it is not always easy to help a person but you have a way of helping people with all patience. I would have to go to school for 30 years to Learn just 5 things that you already know. All that I can say is that God is good and we thank him for putting you in the right place at the right time. All of the time. I'm standing in prayer for you 🤱and your Family! 🏠👪🙎. 🛻🚦🚦
I experience similar come down symptoms with concerta (Ritalin) as well. I wonder if these symptoms are related to stimulants in general?
Can you do a video about advice for parents that have adhd or sensory issues? There’s a lot of advice if the kid has it but what about parents?
If this vid has already been done can someone point me towards it?
Well, dexamphetamine (Adderall/Dexedrine) is a DAT/NET (dopamine and norepinephrine transporter) inhibitor and dopamine release agent, while Methylphenidate is just DAT/NET inhibitor.
Just mentioning for precision.
Hi Dr Tracy Marks. Thank you for this video! Im curious about the differences between bupropion and the other stimulants. My understanding is that bupropion inhibits the reuptake of dopamine and norepinephrine just like methylphenidate. Do you ever recommend bupropion for off label adhd treatment?
From my personal experience the extended release is the way to go it doesn’t hit as hard and it last all when you crash it’s time to crash so it helps me with sleep to because I actually fall asleep
Tracey best!
Ive been on Adderall since 2002 and struggled for years with what I call "Tolerance Tug-O-war" and finally this year have gotten past the problem by taking Wellbutrin, and 12.5 mg of Ambien extended release just before bedtime.
My daily Adderall regimen is 40mg daily.
I take a 30mg XR in the morning, and in the early afternoon I take a 10mg IR tablet as an afternoon booster.
As dr Marks says here,...TAKE THE MEDICATION AS DIRECTED.
Abusing it WILL lock you into a state of HYPERFOCUS that can cause havoc in your ability to function both mentally AND physically.
Vyvanse + Intuniv (guanfacine ER), no more jitters and anxiety and crash. I frankly don't even know how I put up with Adderall for so many years after trying this new drug combo. They also seem to synergize together quite a bit, and the Vyvanse, while at higher dose (70mg) seems to consistently last the entire day, like 16 hours. The guanfacine has had a dramatic and notable effect on my memory. In fact, over the past few months I've actually developed perfect pitch, which is really bewildering to me. My brother, professional music producer and musician, has had this since junior high school, but I never did... Until a few months back, when I realized I could tune my guitar without using a tuner or any reference. I frankly couldn't believe it, and I just felt I had gotten lucky, but yet I have been able to do it over and over again since that time, and the only difference has been guanfacine. Totally true, and while genetics probably played into that a bit, something in the brain has just been tuned up so to speak. Anyway, hope this helps for those who are curious, don't be afraid to bring up any questions or discussions of medications to your healthcare provider. Ultimately, good communication with them is the key to a lot of this stuff.
Absolutely, 100% spot on. I also basically quit caffeine. That was not easy. I still have some here and there, before a workout, maybe. But I don't think many people realize just how uncomfortable caffeine + amphetamine is, and it absolutely can mess up your sleep for DAYS, especially at the more serious dose ranges. I highly recommend everyone try their ADHD meds without caffeine for a few months. It's very much worth it.
@DavidLombardo Thank you for this. I use caffeine sometimes to avoid taking my second 10 mg Adderall because of the fear I won't get sleepy until wayyy into the night, like usual. I try to only drink one caffeinated coffee in the morning, but instead of another Adderall, I drink a noon cup, too (along with about three decafs a day/night.) Maybe I should take the Adderall instead, huh?
Same combo, I highly recommend them together !
@@annehedonia156 seems to just depend on the person!
the crash is horrendous for me but the effects while on it work so well altho sometimes it makes me sleepy which seems weird cuz it's a stimulant but my psych tells me it's cuz it calms my adhd brain.
Story of my whole life, major reason why I refuse to medically treat my daughters combined type symptoms
They would quit them eventually anyway from my experience and what I hear often happens.
The mood swings are a terrible nightmare!
Thanks!
You’re very welcome and thank you! 🙏🏽❤️