In some cases and anecdotes, even when the combination was prescribed, dystonia, hypertensive crises, psychosis, and other adverse effects presented themselves. When the amphetamine dose is anonymous, the risk of adverse effects becomes much bigger.
For one thing, anti-psychotics don't address the cardiac effects of amphetamines, for another, hyper/hypodopaminergic states have been noted when these two drugs are taken concurrently since some receptors are shut and others are open leaving those open vulnerable to extreme dopaminergic fluctuations (complex dopamine theory). When an underlying psychotic disorder exists, this can exacerbate it, and if it doesn't, it may well serve to trigger it
There's been many instances where people asked about practicing this combination as prescribed and I've had no objection, as a matter of fact, aripiprazole has shown great promise with amphetamines since it's a partial dopamine agonist. I must reiterate though, the risk of facing issues with this combination can be mitigated when the drugs are prescribed, but if not, it can be a significant risk.
Several years ago I read that quetiapine enhances amphetamine effects when ingested prior to a stimulant dose through its adrenergic blocker action. I'm unsure how much validity there is to that.
For one thing, anti-psychotics don't address the cardiac effects of amphetamines, for another, hyper/hypodopaminergic states have been noted when these two drugs are taken concurrently since some receptors are shut and others are open leaving those open vulnerable to extreme dopaminergic fluctuations (complex dopamine theory). When an underlying psychotic disorder exists, this can exacerbate it, and if it doesn't, it may well serve to trigger it
There's been many instances where people asked about practicing this combination as prescribed and I've had no objection, as a matter of fact, aripiprazole has shown great promise with amphetamines since it's a partial dopamine agonist. I must reiterate though, the risk of facing issues with this combination can be mitigated when the drugs are prescribed, but if not, it can be a significant risk.
Several years ago I read that quetiapine enhances amphetamine effects when ingested prior to a stimulant dose through its adrenergic blocker action. I'm unsure how much validity there is to that.