Originally posted by tyrone
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The Medical Thread: We're experts on everything else; why not?
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I can relate to the struggle of finding the right dosage and formulation that works for you. It’s great that your PCP is looking for a better option with the Vyvanse. The OROS mechanism is interesting; I agree it’s a solid approach for extended release. If you're considering alternatives or supplements to support your focus, Canadian Pharmacy has a range of options that might help you manage your symptoms more effectively.Last edited by tyrone; 10-30-2024, 07:40 AM.
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Originally posted by St. Clown View PostI was just switched over to the 40mg Vyvanse after my last visit with my PCP. The 25mg extended release Adderall was metabolizing too quickly, so he’s changing up the method of extending the release. Playing the guessing games with meds is fun…
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Originally posted by psych View Post
A common occurrence for psych meds.
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Originally posted by St. Clown View PostI was just switched over to the 40mg Vyvanse after my last visit with my PCP. The 25mg extended release Adderall was metabolizing too quickly, so he’s changing up the method of extending the release. Playing the guessing games with meds is fun…
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I was just switched over to the 40mg Vyvanse after my last visit with my PCP. The 25mg extended release Adderall was metabolizing too quickly, so he’s changing up the method of extending the release. Playing the guessing games with meds is fun…
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60mg of adderall didn’t do a thing so now we’re trying a high dose of Ritalin
doc thinks enzyme tests can be inaccurate but the pharmacist today said she has same issue and got a test done at her pcp and found out which enzyme she’s missing, and can proactively avoid drugs that will be an issue
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I think my favorite example of people needing different levels of a drug is the (relatively) recent discovery that redheads need more anesthetic than people with other hair colors.
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Cool, thanks! Good to know this may not be that uncommon.
my worry has always been telling a doctor that I need a stronger dose or different med and sounding like a junkie who has built up a tolerance. But I really don’t even drink so I think this Dr in particular will understand
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Originally posted by Deutsche Gopher Fan View PostQuestion for a doc
is there a name for a metabolizing issue, where certain drugs are metabolized too quickly in the liver and therefore ineffective?
I’ve had the following pills prescribed to me over my life for brief ailments and none of them worked. I mean- felt like a sugar pill.
codeine
OxyContin (wasn’t prescribed this but my other half had surgery so I popped one for fun)
muscle relaxers
Valium
Vicodin
adderall
so my doc told me to up adderal dosage to 20mg twice a day. A cousin tells me he has same issue and needed way more
I don’t take pills for fun, I have no tolerance built to anything. I’m wondering if this issue is why my alcoholic grandfather was able to live until mid 80s despite starting screwdrivers at 530am for 50 years
For now, most of the medicine we practice is in the stone age, where we try a drug, that doesn't work, and we then try another. It is frustrating for patient and doctor but unfortunately that is where the state of the field is a lot of the time. I do not utilize pharmacogenomics often as it is not covered by insurance and I only have a few medications to treat the things I see, but I am hopeful that changes in the future.
I am not a PCP, but when I do start an antidepressant, I ask if family members have taken any and had good/bad responses as a quick/dirty way to try to increase my rate of success with the first med.
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Question for a doc
is there a name for a metabolizing issue, where certain drugs are metabolized too quickly in the liver and therefore ineffective?
I’ve had the following pills prescribed to me over my life for brief ailments and none of them worked. I mean- felt like a sugar pill.
codeine
OxyContin (wasn’t prescribed this but my other half had surgery so I popped one for fun)
muscle relaxers
Valium
Vicodin
adderall
so my doc told me to up adderal dosage to 20mg twice a day. A cousin tells me he has same issue and needed way more
I don’t take pills for fun, I have no tolerance built to anything. I’m wondering if this issue is why my alcoholic grandfather was able to live until mid 80s despite starting screwdrivers at 530am for 50 years
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Originally posted by dxmnkd316 View PostWell, I hope to stay out of the other thread but I'm getting sick and I hate it. This is either my first or second cold (plus one Covid like 1.5 years ago) since November 2019 and I'm reminded how much I hate it.Last edited by alicestevens; 10-19-2024, 03:29 PM.
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Originally posted by Swansong View PostIn addition to the potassium suggestion, are you drinking enough water? You old folks simply refuse to, for some absurd reason, so that's my first thought.
Remember, though, that I am a highly untrained non-clinical person and my advice isn't ever good.
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Well, I hope to stay out of the other thread but I'm getting sick and I hate it. This is either my first or second cold (plus one Covid like 1.5 years ago) since November 2019 and I'm reminded how much I hate it.
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