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  • BDD Moderators: Keif’ Richards

adderall?

well, there probably is some contradiction with these two drugs, but honestly for harmreduction's sake i hope that one doctor has prescribed both medications to you, also for HR's sake if you are at all concerned about the way you feel (besides uncomfortable, addarall might just not be for you) you ought to contact the prescribing doctor and adress your concerns to them, giving them an opportunity to properly asses and treat you, since they know more about your medical history than BL, and especially myself; however if you are concerned and want more feedback offer more for us to go from, tell us which symptom in your opinion is a sign of an allergic reaction. However imo its more reasonable to be concerned about the contradiction of these two drugs.
 
Call your doctor and ask, I was on both meds at the same time and had no idea about this, apparently they are contradicted

Amphetamine <---> Citalopram
GENERALLY AVOID: Several case reports suggest that serotonin reuptake inhibitors may potentiate the pharmacologic response to sympathomimetic agents. The exact mechanism of interaction is unclear. In one case report, a patient experienced jitteriness, racing thoughts, stomach cramps, dry eyes, palpitations, tremors, and restlessness following a single dose of phentermine ingested approximately a week after she had discontinued fluoxetine. Because of the long half-life of fluoxetine and its metabolite, an interaction with fluoxetine is possible. Similar toxic reactions have been reported when fluoxetine was used concomitantly with amphetamine or phenylpropanolamine. Additionally, some sympathomimetic agents such as amphetamines may possess serotonergic activity and should generally not be administered with serotonin reuptake inhibitors because of the additive risk of serotonin syndrome, which is a rare but serious and potentially fatal condition thought to result from hyperstimulation of brainstem 5-HT1A and 2A receptors. The interaction was suspected in a patient treated with dexamphetamine who developed symptoms consistent with the serotonin syndrome approximately 2 weeks after the addition of venlafaxine. The medications were discontinued and the patient was given cyproheptadine for suspected serotonin syndrome, whereupon symptoms promptly resolved. A second episode occurred when dexamphetamine was subsequently resumed and citalopram added. The patient improved following cessation of citalopram on his own, and residual symptoms were successfully treated with cyproheptadine.

MANAGEMENT: In general, amphetamines and other sympathomimetic appetite suppressants should not be combined with selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs). Close monitoring for enhanced sympathomimetic effects and possible serotonin syndrome is recommended if these agents must be used together. Symptoms of the serotonin syndrome may include mental status changes such as irritability, altered consciousness, confusion, hallucinations, and coma; autonomic dysfunction such as tachycardia, hyperthermia, diaphoresis, shivering, blood pressure lability, and mydriasis; neuromuscular abnormalities such as hyperreflexia, myoclonus, tremor, rigidity, and ataxia; and gastrointestinal symptoms such as abdominal cramping, nausea, vomiting, and diarrhea.
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there may be an interaction, however, the patient information that was given to you about each of the medications at the time you dispensed them will list contradicting drugs, with valuim and celexa my biggest concern would be always taking it as prescribed, and not more than prescribed ever, also howabout your sleep? there could be some paradoxal effects however im not sure about you because you havn't said much, either give us more to speculate from, or call a pharmacist and ask what ever you like, you might want to take that valuim tho lol
 
Thank you very much. Does anyone know if there's anyway to test for a allergy to valuim bec I may be allergic to Xanax, there now sure. I have 10 mg valuims if I take aprox 1/4 of one (2.5mg) would it be safe to see for allergic reactions? Thanks!
 
If you're that worried about an allergy to benzos, then, well I've never heard of this but to err on the safe side and take a 1/8th of one, 1.25mg.
 
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