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Stimulants Should I Tell My Psychiatrist About Using DXM for Tolerance Prevention?

PsychonautRyan

Bluelighter
Joined
Jun 4, 2012
Messages
121
Location
Kansas City
In the spring semester, I was taking 30 - 60 milligrams of DXM and 500 - 1000 milligrams of magnesium every night, and I was prescribed both Adderall IR (20 mg.) and XR (15 mg.). So after a few days of doing this, I noticed that the same dosage was making me feel much more jittery, anxious, hyper-focused on everything, and a combination of fidgety, restlessness and agitation. I was only getting about four hours of sleep a night, sometime even only two or three, and then there were one or two nights without any sleep, anyway, this manifested into full-blown paranoia, where I thought that people in the hallway or class were talking critically about me, or seeing a black van or a cop car and thinking I'm being followed.

I saw my psychiatrist two weeks ago, when I was off of Adderall for almost a month, and felt like myself again after a week-and-a-half of withdrawal hell. I told her about the increased social anxiety and the side effects described above (I decided not to tell her about the paranoid episodes). So she switched me to Vyvanse, but then when I found out that it wasn't covered by insurance, she gave me a script for Concerta, and we dropped my Adderall IR dosage to 10 mg, as well as prescribing Buspar for the anxiety.

I wasn't able to get the Concerta filled until yesterday, so I had to ration out the Adderall IR for two weeks. During that period, I discovered that after taking DXM two or three nights in a row, I felt the same effects of agitation, restlessness and fidgetiness from just 10 mg. of Adderall, as if I were taking a much larger dose, because it was up-regulating dopamine pathways, instead of just reducing or preventing the build-up of down-regulation, so I was over-sensitized to that dose.

Earlier, I had assumed that taking the Adderall for prolonged periods of time was causing the negative side effect. I didn't disclose DXM to my psychiatrist at our last appointment, for fear that it would be construed as abuse to reduce tolerance. At our next appointment, could I just say I 'forgot' to tell her about it, and convince her to return back to Adderall XR, or just stick with methylphenidate-based prescriptions?
 
Anyone? I'm not sure how open about this I should be with my psychiatrist versus fear of having my Adderall IR prescription cut off if tolerance prevention would be construed as recreational (ab)use?
 
I don't believe we are able to really give you an answer on this.. Honesty is the best policy, most doctors LIKE to know what you're taking.. My primary knew I smoked pot and he didn't even think about cutting my RX's off.
 
honesty is not the best policy, you will seriously get fucked over if you tell most Drs what you are doing. I don't know why you were bothering with DXM anyway, tolerance to 35mg/day of adderall is not going to accrue quickly at all. Once people find their optimal dose, they can stay on it for years and years.

Concerta sucks compared to amps, if you want your addy script back tell your psych that concerta sucks and doesn't work for you (say it makes you tired/burn out too much). If you bring up dxm and all that shit, your psych is going to think you are insane. Just imagine how that conversation would go. Magnesium is great and all too but you should be getting enough of it in your regular diet anyway.
 
Also, she prescribed Buspar for anxiety, but I feel that I only have occasional episodes of anxiety precipitated by stress, originally she prescribed it when I was having a great deal of anxiety throughout my day. Then again, the combo of Concerta and Adderall is really boosting my sex drive (I have the Victoria's Secret window and RedTube opened up when I'm just trying to study my Biology outline), so the antidepressant effect might kill it.

She prescribed it (10 mg.) to take twice-a-day, even on days when I'm not feeling anxious, but my anxiety level is much lower than what I had told her at our last appointment, should I just fill it and still take it as-prescribed?
 
Nature Made magnesium actually, does it make a difference?


Yes, that is to be blunt; shit. Not sure of the exact chemistry behind it, but I know magnesium oxide is the worst kind of magnesium you can have because of the low bio availability. Get chelated magnesium. I would recommend "Doctors Best" brand.
 
I know with my doctors I tell them everything - and I mean everything. I don't want the guy prescribing me drugs to not be aware that I'm quite likely to go home, strip out a 100 fentanyl patch, and IV it. I want him to know that I shoot H and coke - on a regular basis. I want him to be aware that I am a full blown addict and a junkie so that he can take care of my health needs as best as he is able. I want him to have all the information at hand and I want that information to be factual should the need arise. He can't call the cops on you. I already get all the junk I need so I don't ask him for pain relief - I can get better than he's going to prescribe me for less than the pharmacy charges usually. Hell, he's invited to give me recommendations - he can save the paper on a 'script for the next person in line.

So, yeah, I have a pretty unique (according to him) relationship with my doctor. I guess most people would try to hide it and engage in med seeking behavior. I suppose I would too if I couldn't support my habit. I can so, well, I don't worry about him for anything other than being a doctor - I'll fill anything he recommends. If I need something tame then there's a pharmacy for that. I suppose it may seem crazy, and it probably is, but it has worked for me for years and, frankly, if there's one person that I can (and should) be completely and totally honest with it is my doctor. This, logically, extends to any health care professionals including non-medical doctors but psychiatric doctors as well.
 
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