"I'm the one who knocks." Let's talk Amphetamines!

Posted by sanDGuy @sandguy, May 27 11:56pm

I've had LC for about a year, in my case (fortunately) pretty much confined to chronic fatigue, although that's pretty disabling in itself. I'm strongly considering asking my PCP to prescribe some kind of stimulant, in lieu of drinking several espressos a day, which is my current, only partially successful, approach.
There are scattered comments here and there on this board where people mention using assorted stimulants, but could we please have a more in-depth, on-topic discussion of what people's experiences have been with them and to what extent they're helpful? I know that this is, in effect, just treating the symptom instead of the disease, but as far as I can tell the symptom pretty much IS the disease in my case (and besides, the disease doesn't yet seem to be particularly "treatable", IMHO)
I'm talking here such things as Adderall, Ritalin, Dexmethylphenidate,
Guanfacine, Dextroamphetamine, Vyvanse, and heck, I dunno, Bennies, Dexies, whatever the cool kids are calling them these days...
I mean heck, I'm tempted to just go down to the SE side here where I could easily score some crystal meth and a pipe, but, being so near to Tijuana, it would likely be cut with Fentanyl, which is definitely not my drug of choice.
(I'm sorry, don't mean to be silly which is my tendency...)
My PCP is pretty sympathetic and didn't hesitat to prescribe low dose naltraxone (which didn't do NADA), so maybe I can persuade her.

So seriously, what have people found to be helpful in this drug category, please?

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Profile picture for sanDGuy @sandguy

Thank you for that. Yes, any number of stimulant meds used for ADHD are what I'm considering (subject to PA's approval, of course).
I've long suspected that I am ADHD as a matter of fact. My understanding is that it's not unusual amongst welder/computer programmer/jeweler/chocolatier/video editor/sculptor/multi-instrumentalist music producers like myself.
In terms of the "crash", I'm considering whether Adderall, which is more of a time-release drug, if I'm correct, might be better for me. I know there's been some discussion of that drug on this forum.

Thank you so much for your valuable input!

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I tried Adderall and found that it was not as effective as Vyvanse. I was told by my shrink that Vyvanse is "cleaner" and I know that it is used more in children due to that. There is a genericc now, thank goodness, however it is still expensive, but I have to function. It helps with my brain fog, racing thoughts and helps me do daily activities. It lasts about 10-12 hours. The Adderall is cheaper, and as a person in recovery, I also did not want to take the chance of relapse. Those are just my experiences with these drugs. There is also a medication called Modafinil (Provigil) that I found helpful as well, but the Vyvanse has certainly helped not only with the ADHD, but also with the fatigue and malaise. I take it in the morning and I feel better within about an hour or so. Keep me posted. Hang in there.

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Vyvanse helped me right away. I suffered with LC for two years or more, then went to a therapist for HDHD symptoms and she prescribed Vyvanse. Before that I felt like my cells/systems weren't communicating correctly. I'd exercise and my cardiovascular system wouldn't deliver. The very first day I took Vyvanse I could exercise again and my life has really turned around.

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Profile picture for bsrea @bsrea

Vyvanse helped me right away. I suffered with LC for two years or more, then went to a therapist for HDHD symptoms and she prescribed Vyvanse. Before that I felt like my cells/systems weren't communicating correctly. I'd exercise and my cardiovascular system wouldn't deliver. The very first day I took Vyvanse I could exercise again and my life has really turned around.

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I would not say my life has turned around, but Vyvanse has definitely helped with brain fog, fatige and malaise at least enough to function during the day. I always feel worse in the mornings and then also in the evening, Glad to hear it has helped you as well.

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Wow, so a couple votes here for Vyvanse, that's noteworthy!
I am waiting for an in-person appt. with my PCP in about a month, which is necessary since these are all Schedule-1 drugs, apparently.
So in the meantime I will continue my research, and look forward to hearing from more of you about your experiences with this approach.
Thanks so much!

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Profile picture for sweetwater9 @sweetwater9

Sandguy, Perhaps it would be a good idea to get a second opinion about your iron levels. It seems odd that a doctor would say, that the low-ish red blood cell count was NOT due to any iron deficiency. The percentage of iron saturation test is important to keep well in the normal range as well as the ferritin levels etc. As for thyroid testing, I have no luck with the TSH test, I go by the T3 and T4 test levels.

I would be afraid to use any drug in which I may become addicted. It would double my trouble.

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Thanks for that input.
My ferritin levels are on the low side, but still withing normal bounds.
My RBC is just BARELY within normal.
My thyroid levels seem to be well-controlled with synthetic thyroxine, and I doubt that T3/4 tests would reveal anything further.
I do not have any additional (to fatigue). symptoms that tend to crop up with either iron deficiency or hypothyroidism.

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Well, finally had a visit with my PCP, and we're going old-school with the ADHD amphetamines, specifically RITALIN! Whoo hoo!
I figure since it's not extended release, I can modulate my intake as I need it.
They need to check in with me every three months, plus, it being a DEA schedule 1 drug, interestingly a urine test is required annually to ensure that I'm actually taking the drug as opposed to selling it (there goes my alternative money-making scheme now that I'm unable to work).
So i'll probably start taking it tomorrow, and I will report back how I find its effect. Again, since it's ONLY fatigue that I'm experiencing, I'm feeling rather sanguine.
SO, again, I'll be reporting back, and I'll PROBABLY BE WRITING A WHOLE BUNCH, LOTS OF FASCINATING STUFF, JUST YOU WAIT!!
(or, perhaps, I will have calmed down some, paradoxically...)

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I am ADD and have been on several stimulants for 30 years. I take Dextroamphetamine 15mg. 3x daily. Since I have taken this drug pre- and post-covid, I can tell you that long covid does not change the effectiveness.
But I caution those who are considering a prescription Dex., remember that it should not replace rest. I take a holiday day each month and it isn’t comfortable. I also strongly suggest that while you are starting this drug, be sure that you take the dose as prescribed. It is easy to build a tolerance. I am
certain that Dex. has enabled me to do more and think better. I pray that it helps some of you who struggle with fatigue.

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Profile picture for diverdown1 @diverdown1

I found that my ADHD med (Vyvanse) helps me function for about 8-10 hours, then I crash. It is better than nothing. I have wondered why there has not been research on this. I know that now every one can take these medications due to heart issues. I just know that without it, there are days I would not be able to do anything. There are still days, even taking the Vyvanse, that I am so fatigued and feel so poisoned that I can't do much. Thanks for bringing this up.

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I was put on ADHD meds to control my brain fog and help me focus on a day that I will be stressful or if i start going all over the place in my thanking but

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Profile picture for sanDGuy @sandguy

Well, finally had a visit with my PCP, and we're going old-school with the ADHD amphetamines, specifically RITALIN! Whoo hoo!
I figure since it's not extended release, I can modulate my intake as I need it.
They need to check in with me every three months, plus, it being a DEA schedule 1 drug, interestingly a urine test is required annually to ensure that I'm actually taking the drug as opposed to selling it (there goes my alternative money-making scheme now that I'm unable to work).
So i'll probably start taking it tomorrow, and I will report back how I find its effect. Again, since it's ONLY fatigue that I'm experiencing, I'm feeling rather sanguine.
SO, again, I'll be reporting back, and I'll PROBABLY BE WRITING A WHOLE BUNCH, LOTS OF FASCINATING STUFF, JUST YOU WAIT!!
(or, perhaps, I will have calmed down some, paradoxically...)

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Be careful with Ritalin, I hope it helps you with your physical symptoms. It is addictive. That is why I take Vyvanse. Although it is also physically addictive in the sense that the body gets used to it and then misses it when it is gone (as well as feeling shittier if I don't take it), it is not a drug that can be abused, in the sense that I it is not one that is snortable, etc. Ritalin is. I only say this as a recovering addict. Keep us posted.

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Profile picture for diverdown1 @diverdown1

Be careful with Ritalin, I hope it helps you with your physical symptoms. It is addictive. That is why I take Vyvanse. Although it is also physically addictive in the sense that the body gets used to it and then misses it when it is gone (as well as feeling shittier if I don't take it), it is not a drug that can be abused, in the sense that I it is not one that is snortable, etc. Ritalin is. I only say this as a recovering addict. Keep us posted.

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In my 20s I used it very occasionally to study and for a long drive. I never felt I had to have it. I also used amphetamines to study but those had hard crashes. I have started using creatine which gives me energy for half a day and the results have been dramatic. I am 73 no longer a student.

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