Vyvanse high

ADHD

2008.10.28 10:00 ADHD

We're an inclusive, disability-oriented peer support group for people with ADHD with an emphasis on science-backed information. Share your stories, struggles, and non-medication strategies. Nearly a million and a half users say they 'feel at home' and 'finally found a place where people understand them'. Note: this is a community for in-depth discussions, not a dumping ground for memes, pictures, videos, or short text posts.
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2022.02.11 20:47 epiccircle2 VyvanseADHD

A support subreddit dedicated to the discussion of Vyvanse (aka Elvanse / Lisdexamfetamine) for the treatment of ADHD. This is a space to share experiences with this medication and gain support and insight from others.
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2014.04.09 20:53 tellbaconiloveit ADHD Women

This subreddit is a space for women to find support and discuss living with ADHD. If you would like to contact the mods, send us a modmail instead of DM-ing the moderators directly.
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2024.05.15 15:51 wandering_geek Not sure how to move forward

I have been on Vyvanse for a little over 4 months now. After month two I got moved up to 70mg due to it not covering the day. In the beginning it handled my ADHD symptoms and got rid of my depression. Now both are back and the meds feel like they work randomly on days they feel like it. I am really struggling with life in general and suicidal ideation is back a few times a week as well.
Went to an urgent appointment with my psychiatrist and told him what was going on. He barely asked me questions and wanted to switch to Atomoxine (Strattera) but hinted at the possibility of IR dex.
I am not excited about the idea of switching meds due to a new round of potential complications and only a hope that it works at all or better. Therefore I asked about the dex and he then said that it is currently only allowed for children (in Germany) and that I couldn’t try it until after a study has been done in the summer for adults. 🤷‍♂️
I then stated my concerns about switching meds and he then suggested to take 30mg two times a day and see if that helps with one of my issues (not being able to nap when tired). Leaving me basically high and dry on the other issues with suggesting to take a couple of weekends off a month for tolerance.
What do you all think? Should I have tried the switch? Was it dumb of me to push back about the meds? Any suggestions for anything? I have taken stuff like Tyrosine and DLPA and feel like maybe they fucked me and made my tolerance rise faster. But this is pure speculation on my part.
This is also all more frustrating because I exercise a lot, eat healthy, drink enough water and sleep well. The doc also never asks about any of these things which is kind of a red flag for me as well.
Thanks for reading this if you made it this far. I’m just tired, frustrated and ready to give up on meds in general. 😞
TLDR: meds don’t work much and doc didn’t really help. Kinda lost now.
submitted by wandering_geek to ADHD [link] [comments]


2024.05.15 14:40 bullymaguire25 If you think my mom is bad, it gets much worse

Growing up your whole life, you never expect things to happen. You dont think thins could get as bad as they do. But they do. Nothing could prepare me for Freshman year of high school. Long story short i got tested for adhd freshman year of high school, and yeah it was adhd. Went couple years just taking adderall(15 mg just for exams). Was vyvanse at first but shortness of breath so stopped that. Concerta but it hardly did anything. Then adderall.
Junior year, 15mg became 20. 20 mg became 30.
Then, came around exam day. THEN and ONLY THEN. My mom suggested me to take 60 mg.
Some weeks later the dr had said okay 60mg it is but thats as far as we go. And i couldn't agree more.
A couple- few months pass and for the small anxiety i had i wanted see to get something done about it. At the time I was peaking.
Some weeks pass by and I was able to see not my PCP, But a different Dr.(vandy).
At that time he prescribed zoloft. I only took 2.5mg for 4 days.
That was a bad BAD move. Years and years of torment(severe depression, severe anxiety, severe panic attacks, paranoia, delusions, hardly eating/working out if at all) for YEARS.
Thats hard enough already. Unbearable almost. But to make it all the more suffocating was that during this, my mom would always yell, blame, and shame me yelling "ITS THAT DAMN ADDERALL!" Ill tell ya right now, it wasnt.
But several years later I have redeemed myself.
To this day anytime shes the one who creates the problem outve nothing for what reasons? Shes a narcissist.
She will create conflict and then when she has crossed the line and makes it personal, she will use my brothers death as an excuse(he died 4 years ago). She was still a terrible person 7 years ago. Unacceptable for her to be like that.
submitted by bullymaguire25 to narcissisticparents [link] [comments]


2024.05.15 14:07 MOBE_the_Hippo What are meds supposed to feel like?

I started raking Vyvanse a couple months ago and when I take it I'm very productive and completely in "get shit done" mode. But I've had to up the dosage to get that same effect which is obviously not sustainable in the long run.
Is that the effect that it's supposed to have or does that mean the dosage is too high?
submitted by MOBE_the_Hippo to ADHD [link] [comments]


2024.05.15 13:56 MOBE_the_Hippo What are ADHD meds supposed to feel like?

I started raking Vyvanse a couple months ago and when I take it I'm very productive and completely in "get shit done" mode. But I've had to up the dosage to get that same effect which is obviously not sustainable in the long run.
Is that the effect that it's supposed to have or does that mean the dosage is too high?
submitted by MOBE_the_Hippo to AutisticWithADHD [link] [comments]


2024.05.15 11:34 --XVII- What is your blood pressure on Vyvanse?

I started taking Vyvanse 30 days ago, starting with 20mg for a few days and now at 30mg. I tested my blood pressure today and it was high, at 151 over 84. I’ve not tested it before so I’m not sure how much Vyvanse raised it. I’m 25 years old and feel healthy, although i haven’t been eating the best recently or getting much exercise. It’s been really helpful and I haven’t noticed any other side effects.
I will be talking with my doctor soon but I’m just curious what people’s blood pressure is at while on this medication, is it normal for it to stay high?
submitted by --XVII- to ADHD [link] [comments]


2024.05.14 21:54 Shennanigans865 Heart-related symptoms - looking for advice

Hello docs! It appears my poor lifestyle choices have caught up with me...I'd like some input on what conditions to look for and general lifestyle advice.
Stats: 43 year-old female; 5'6 tall and weigh 243 llbs (high bmi)
Symptoms:
-bilateral edema focused in calves, started two months ago but calves have been hurting for longer; edema helped but not resolved by a newly prescribed water pill
-high blood pressure for past two years (didn’t know this until a recent dr. appt.)
-A1C 5.9% (pre-diabetic)
-No abnormal results (other than high A1C) from:
BNP B Type Natriuretic Polypeptide CBC CMP Comprehensive Metabolic Panel Hemoglobin A1C (w/ Est Avg Glucose) T4 Free TSH Thyroid Stimulating Hormone Adult and Pediatric
-Urinalysis also returned normal (I’m well-hydrated)
-muscle weakness
-reddish/blueish skin with quite visible blue veins
-pain in calves while walking
-random bruising
-infrequent but painful headaches focused on left side
-I’ve been tired for, like, 8 years; always thought it was depression
-crave shitty carbs constantly
-easily out of breath
Current meds: Vyvanse, Ritalin, Strattera (ADHD - yes, all of them at once, the Ritalin is a 10 mg booster); Zoloft, wellbutrin, Doxepin, water pill (depression/anxiety)
Lifestyle stuff:
-Carb-filled diet, binge eater (I’ve changed my diet to whole foods only since developing edema)
-full-time desk job
-I walk for exercise, but not enough
-Last year, I abused cocaine for around 8 months (quit in Dec.)
-Drank liquor frequently until the edema started
That’s all I can think of. My questions are: what should I focus on to best help myself regain some health? Is there anything besides high blood pressure that my doctor should be looking for? … And, am I, like, about to die of a blood clot to the lungs anytime soon?
Pretty please be kind. I know I have some serious work to do.
TIA!!
submitted by Shennanigans865 to AskDocs [link] [comments]


2024.05.14 19:50 thefirststarinthesky My step-dad M54 and a coworker M40ish constantly put me F27 down, both in a specific way to each of them, how can I cope with it?

I'm F27 and feel like I'm going nuts - it seems like one of these two men in my life are constantly trying to punch down on me, and I feel like I'm losing the plot as nobody else seems to care or notice, and I feel like I'm getting angry more than is healthy - even if it's normal to feel it with these situations?
For some likely important context, I was diagnosed AuDHD 6 months ago.
My stepdad M54 - he constantly corrects me and has to have the last word, no matter the topic or who of us knows more about it. As much I love him, tonight drove me to actually tell him I was over talking with him right then because he doesn't have to be the most correct person or have the last word, and he laughed. It was over ADHD meds - I was talking about how I was excited to likely finally be prescribed them next week, and it came up my little brother had a mostly unused bottle of dexamphetamine, so I jokingly said I'd love some while I wait for my own prescription, and then when my mum F51 pointed out my brother is on Vyvanse now, I said "Ah yes, legal speed, extended release", and my step-dad then went no, they're totally different compounds, a different drug and it's not speed. To try and avoid him correcting me I say yes, I know, but they're still an ADHD med and a stimulant - and I just looked it up, it looks like I was correct. Realistically, it is an ultra-minor detail that doesn't matter at all in the gist of the conversation anyway.
He corrects me often when talking about savings, politics, taxes, history, tv shows and all kinds of things - it isn't limited to minor details. He acts like I don't know things and if I try to expand my point, he has to have the last word, every. single. time.
My coworker M40ish (not exactly sure but late 30s/early 40s seems right) is also a corrector, but he generally understands things we talk about more in general; we work in banking and he loves to analyse the economy figures each month and work out exactly what those numbers mean for people going forward - I know in a general sense, he is good with specifics so I'm okay with him correcting me here only because I am usually actually a bit wrong or very wrong and he is kinder about it usually. However, he has a 2 year old, and what from the outside looks like a very unhappy marriage, and he brings that frustration to work and seems to take it out on me.
I am constantly tired due to masking at work and struggling to retain focus to work, and so I sleep a lot to make up for it - whenever we are asked in team meetings about our weekends and I say either sleeping or video games/Netflix, he rolls his eyes and has very disinterested body language, and whenever we see each other in person, about 2 days a week, any 'friendly conversation' we have is typically him being cranky and complaining about his wife or 'my kid' (never addresses his daughter by name??)...
Once in a meeting I asked a question I thought was valid about a process he was trying to find a loophole for and he slammed his hands on the table and loudly said that wouldn't work, embarrassing me in front of my whole team while the boss was away. He also did an the RADS-R (and it came back with high probability) when I posted it on the work social media as part of an awareness thing, and he told me, I suggested that while he waits for the psychiatrist to look into it, reducing things that cause him melt or shutdowns, and he said he couldn't just divorce his wife and abandon his kid, and when I said that wasn't at all what I meant and I felt he was putting words into his mouth, he acted like I attacked him. He just always seems frustrated by me, and I don't know why, or how to stop feeling like this. I do everything I can to stop my autism and ADHD affecting anyone at great personal cost, I really can't think of anything I would be doing to upset him.
Both these men do things that upset me on a regular basis, but nobody else ever seems to call it out, notice or do anything about it, and when I try to ask dad to stop it, he laughs at me and continues, and the coworker is intimidating seeing he thinks he's smarter than me, and is more than willing to act it. Is there anything I can do to stop feeling so frustrated by either of them? avoiding them isn't an option, nor is cutting them off or any other drastic measures.
TLDR; step dad corrects me all the time on all kinds of minor details and has to have the last word always, coworker seems constantly frustrated by me - need coping strategies to not be constantly upset with one or both of them.
submitted by thefirststarinthesky to relationship_advice [link] [comments]


2024.05.14 18:47 sommaliee Vyvanse timeline

I’m on Vyvanse 30mg, have recently started dabbling in taking 60mg which I think is a much better dose for me. I’ve fairly new so day by day I’m noticing the drug works so different depending on the day. I’m curious what the timeline feels like for you? I take it and 30 mins start to feel some effects. I’d say at 1-1.5 I’m definitely feeling it and by hour 3 it’s peaked. That being said, some days it only lasts 5-6 hours. I’ve taken it on an empty stomach and with a high protein breakfast and was wondering if that affects how long it lasts and how much you feel it? How does it feel for everyone else, what would you say is your ride throughout the day at certain hour marks? I wish I could feel the effects all 10-12 hours but I just don’t. Is there a way to help that? Since also it’s a timed release, does it kick back up every time it releases (at those four hour increments?) how does that work?
submitted by sommaliee to VyvanseADHD [link] [comments]


2024.05.14 18:35 benzodiazapene Meds are only effective the days I workout.

Ello :D
I've been on Vyvanse 40mg and Zenzedi 5mg (morning to resolve delayed onset of vyvanse and evening to prolong).
I've noticed that both medications don't really give me a feel of any sorts but I am able to only focus for much longer than when off medications
However, ever since I started my diet + calories deficit with daily 1-2 hours of working out I get high and euphoric?
Get even weirder.
I only workout nights when the medication should've been wearing off. So feeling euphoric and high is just odd especially at that time.
Any thoughts?
Wrong title btw - meds gets me high when I workout.
submitted by benzodiazapene to ADHD [link] [comments]


2024.05.14 16:50 JadedAppearance6080 Take only on work days?

So I’ve had quite the journey with Vyvanse. It’s a love hate relationship. It will work great for me for awhile and then stop working after about a year of taking it. (I’ve been on it two separate times - before pregnancy and now.) I’m currently on a break and I’ve been off of it for a month because I was considering just stopping it. It was starting to make me very irritable when it would wear off and I didn’t like how it made me feel when it would wear off.
However, I work in a job where I need to be energetic and social..I only work part time- 2-3 days a week. I really feel like Vyvanse helped me with that social aspect as well as staying on task and being motivated. I’m not naturally a social person and I’m not high energy. My doctor suggested taking it only on the days I work. Does anyone have success with this? Or only taking it as needed?
submitted by JadedAppearance6080 to VyvanseADHD [link] [comments]


2024.05.14 15:47 uebea Does anyone else think they might have been misdiagnosed? I think I may have ADHD

And by that I mean that the BPD diagnosis might be the wrong one (or at least not the only one)
I (27f) was diagnosed with BPD 7 years ago. It felt like the most fitting diagnosis at first, but apart from my emotional regulation issues, impulsivity, indecisiveness and feeling empty (frequently, not necessarily 'chronically' though!) I've noticed I'm different from other people with BPD. I happen to know quite a few. Their impulsivity shows in different ways (I have impulsive speech, but I never really lash out at people unless I'm drunk), their self-destructive behaviour is wayyy more intense than mine, etc. I'm aware there's over 250 different combinations of having 5 or more out of 9 symptoms (which is the diagnostic criteria according to the ICD-10 and I'm in Europe), and I know there's quiet and less severe forms of BPD. However, I have A LOT of symptoms which are not associated with BPD but rather with ADHD. To list just a few, my short term memory is terrible, I'm the most disorganised and messy person I know apart from others with ADHD, my executive dysfunction is ruining my life, I'm both hyperactive and inattentive in many ways. This was already the case in my childhood, but my parents are dead so no one can give an account of that. Also, BPD treatment (therapy and skills training) has not helped with those kinda symptoms at all. The only thing that helps is taking amphetamines lol I've actually been self-medicating for a while with Vyvanse and it works so well. I've told my psychiatrist about it and he refuses to believe it may be ADHD because it's 'a trend diagnosis' and because my former self-harm is 'proof for BPD'. My therapist on the other hand has been very supportive and trying to help me get a diagnosis. I went to a screening, scored extremely high on the ADHD inventory, but a little too well on some of the cognitive tests, so I just got diagnosed with BPD again (even though I got lost on my way there, forgot to bring important documents and to wear a mask during COVID haha). My boyfriend and many of my friends suspect ADHD as well...
I'm frustrated. I feel like my doctor is mostly holding on to the BPD diagnosis because I'm female. And I'm convinced I'm on the wrong medication and that Vyvanse or a similar medication would help me function. But since I already 'failed' the screening, I'm scared of seeking out another doctor. I feel like now, I'll never be taken seriously.
Has anyone had a similar experience? Is there any chance at all I might still get diagnosed for ADHD? Should I try? Trying again would cost so much money, and it would shatter me if I don't get the diagnosis, as in my mind, ADHD medication is my only hope.
So I guess I'd be grateful for some advice whether to further pursue getting an ADHD diagnosis or not. Or just some support and reassurance that even if I don't get the diagnosis, there's hope for me.
TLDR: me, my therapist, my bf and some friends are pretty sure I have ADHD. My doctor says it must be BPD and refuses to try new medication. Already 'failed' a screening - try a different doctor anyway or not?
submitted by uebea to BPD [link] [comments]


2024.05.14 05:00 chocoholicc Modified Fitness Advice & TDEE Questions

Hello All!
I'm looking for some advice on fitness and weight loss that might help me out with my various needs for modifications. Please be patient with me if you feel like some of these questions have been answered before, I just don't always feel like they take into account my circumstances. Thank you in advance for taking the time to read this and answer! Your kindness is much appreciated.
And now we get into it... Some backstory to begin. I'm a 30-year-old female who's been struggling with an unhealthy relationship with food (for many reasons) for 15-ish years now. I've struggled to lose weight on and off for maybe 10 years. I've lost weight, gained it back, lost it, and gained it back again. Nothing really seemed to stick. I tried WeightWatchers, Noom, My Fitness Pal, and a fitness program with a certified coach. I've lost weight quickly and unsustainably and then slowly. I've struggled with an addiction to sugar and had ravenous cravings. I've even taken Vyvanse prescribed for Binge Eating Disorder but had to stop taking it due to blood pressure concerns. I am 5'7" and am currently 221lb.
I joined a fitness program this year that had me start with a reverse diet where I ate my maintenance calories for 5 weeks or so and then slowly decreased my caloric intake for a steady deficit. The coach calculated my maintenance as 2,600 daily with a moderate activity level. I initially worked out 6x a week with her program, mostly strength training, but I have an entirely sedentary job. During this time, I gained 5lb. After this, I decreased my intake to 2,100 and then 1,900 and then 1,800. At this point, I also decreased my workouts to about 4x per week of weights/resistance bands. I lost the initial 5lb I gained and then another 4lb over the course of 2 months. But this has me losing maybe 1lb per week.
Now, I also have various joint problems. I have hypermobility in my joints and I have to be very careful when working out. And the more I exercised, the worse I felt. The problems in my right shoulder became aggravated and I have new problems on my left now too. My collarbones and shoulder joints crack and grind with pain. My knees have sharp pains now whenever I put weight on them when they're bent. My physical therapists and doctors basically told me I have to stop doing squats, lunges, or other weight-bearing exercises on my knees, and stop doing what I was doing for my arms/back (dumbbell back flies, chest flies, shoulder presses, arnold presses, etc.) I feel deeply discouraged by the fact that I had to cut out most of the things I was doing. I feel like I'm very limited in what I can do.
But I also desperately need to lose weight to reduce the weight on my joints and get in better shape (and self-esteem!) So it seems like I'm down to doing only cardio and exercises that have my arms close to my body (like tight bicep curls and tricep kickbacks) which sucks because I was loving the muscle gain (and I could feel it!)
I am feeling very confused by all of the activity levels on TDEE calculators and I feel like maybe I'm getting it wrong. I put in lightly active and got around 2,400 and then read numerous articles that said it was overestimating because I have a sedentary job. I then tried the adaptive TDEE spreadsheet and got an average of about 2,400 anyway over the course of 14 weeks. So it seems like the coach was wrong to say I was at 2,600 with my exercise levels and it seems like others were wrong to say lightly active was too high.
Now, what do you guys think about the 2,400 TDEE? The data seems to support it, but does it seem accurate? I try to exercise 3-4x per week (still some strength training) after work, but I am very sedentary at work and when relaxing. Some days I don't make it past 8,000 steps. Now I've been trying to kick that up a notch (made it up to 16,000 steps today!) and have been aiming for 10,000 steps daily.
And next, what might be a good deficit? I've been eating around 1,800 but I don't know if that's going to be very slow and I tend to plateau early. (And, yes, I've been tracking all of my calories and keeping track of protein as well. I use MFP for the calories and I weigh my food when needed.) I was also told that I should be in a deficit for maybe 8-12 weeks at most before going back to maintenance for 2 weeks in order for my body to not "fight" the weight loss and repeat this cycle. Can anyone weigh in on this? Some studies I've read seemed to support this as well.
And finally.. does anyone have recommendations for exercises that I could do that would be light on my knees and good for people with hypermobility? This means nothing that requires joint extension that could be dangerous or any rotating of the shoulders. So definitely no lunges or reverse lunges, for example.
I think that's the end of my spiel.. but if you guys have any other questions, let me know! Thank you, again, for any suggestions you might have!
submitted by chocoholicc to loseit [link] [comments]


2024.05.14 00:23 Magicalunicorn64 Vyvasne saved me

Heyyy definitely look into it with ur medical provider but stuff with binge eating was getting so bad I’ve always dealt with it but this year i really lost control. I used to be able to go 3-4 days without binging and maybe so it 2-3 times a week which still isn’t good but it was manageable. I decided I wanted to take the next step and get medication involved after years of dealing with this and recent months of it reaching an all time high. I even joined a support group which helped and they gave so much useful advice/tips but the impulse to eat to regulate my emotions drowned out a lot of healthy coping mechanisms I learned. I started Vyvanse and the first couple days I won’t lie it messed with my appetite. But afterwards it was fine, so much of the noise when it came to food was gone, not in a too good to be true way. You still have to address the psychological impacts of binge eating and do the work to establish healthier patterns but omg it gives me a lot more self control. I’ve still had moments where I’ve been sad and wanted to binge but I can actually sit with my feelings and talk myself out of emotionally eating. It’s not a miracle pill you still need to do the work but my god did it help. I really recommend it for ppl who r really struggling, but obviously look into it and make sure it’s the right fit. I take 30 mg. In 20 days I only binged once and that’s bc I took an edible. I can’t even tell u the last time I went that long without binging.
submitted by Magicalunicorn64 to BingeEatingDisorder [link] [comments]


2024.05.13 19:28 PaystubQuestion999 Starting Propranolol today, any tips?

I've always been very sensitive to stimulants, so when I take them, my already-high resting heart rate and decent BP go way up. Upwards of 90-100bpm resting, and 125/85 BP.
I asked my psychiatrist if I could start a beta blocker to see if I could troubleshoot some of the anxiety I'm feeling, which I'm certain is related to those elevated stats.
He said yes and just put in an order for Propranolol, which I'm picking up today. He said to take it as-needed along with the Vyvanse. The prescription instructions say "take twice daily as needed for anxiety."
Anyone have tips for this combo? I'm on 10-20mg per day of Vyvanse. I don't think I'm going to risk excessively low BP, but the doctor did note that athletes report "hitting the wall" earlier on beta blockers.
UPDATE
Took 20mg yesterday at noon after having taken 20mg of Vyvanse at 6:30AM. It kept the racing heart and BP at bay. My blood pressure went from 129/84 to 104/74 and resting pulse of 85-95 to around 74 within an hour of taking it.
Today, I took 10mg of Propanolol with 20mg of Vyvanse at 6:30AM. It maintained my blood pressure all morning at around 111/79 and resting pulse of 68-75. These stats are very close to my normal resting BP/HR with zero Vyvanse in my system. By 1PM, my resting HR was back to almost 100, so I took another 10mg and will keep an eye on the HR for the afternoon.
It's a noticeable difference in perceived anxiety.
submitted by PaystubQuestion999 to VyvanseADHD [link] [comments]


2024.05.13 18:20 Virgomoon91 I have a brain AVM & would greatly appreciate a second opinion on DIHYDROERGOTAMINE (DHE) FOR MIGRAINE TREATMENT. 🥺🥲

32, Female 5’2, 165
Issue:
I was diagnosed with a brain AVM in 2009 - 3 gamma knife treatments in 2019 to treat it once over & had a “blood brain barrier leak” (I think?) in February 2023.
I have never been prescribed a triptan until my new dr 2 months ago… when I asked if it was safe he asked me how “living in the box” was treating me. - I appreciated his confidence until I took my first dose because I felt like my head was going to explode.
He now wants me to get this “DHE” infusion that works similarly to a triptan with a black box warning of “fatal cerebral ischemia” 😳 when I KINDLY reminded him of my negative reaction to one dose of the triptan & asked him if he still thought it was a good idea he told me that it was good to do my research but that everything has a laundry list of side effects, even Tylenol & not to worry….
Is anyone able to offer a second opinion on this medication & Brain AVMs? I’m nervous 😥
BRAIN MRI NOTES:
Extensive abnormality in the posterior right temporal lobe, occipital lobe and parietal lobe. This is a combination of abnormal vasculature consistent with patent AVM/angiomatous transformation but also vasogenic edema and ill-defined white matter enhancement that is very likely radiation necrosis.
The FLAIR and T2 abnormality extends to involve the splenium of the corpus callosum. The enhancement is in the posterior most right temporal and inferior parietal/occipital region that is very likely radiation necrosis given appearance with ill-defined irregular primarily subcortical white matter enhancement. An additional similar globular irregular enhancement in the medial right parieto-occipital region medial to the occipital horn and atrium of lateral ventricle is also noted unchanged. In addition, there are enhancing vessels, angiomatous transformation and/or feeding arteries/veins related to the still patent AVM in the right hemisphere. These are most prominent in the high right parietal lobe. There is a single globular prominent cortical venous drainage in the right parietal region that extends to the sagittal sinus which appears patent. The extensive vasogenic edema and nonvascular enhancement likely radiation necrosis is stable.
The AVM is supplied by distal right MCA and PCA branches with dominant cortical venous drainage superiorly to the sagittal sinus. There are areas of substantial T2*hypointensity in the right parieto-occipital region in the deep white matter and in the subcortical region consistent with areas of hemosiderin staining or embolic material/calcification.
Medication: topamax 200mg 2x qulipta10mg , gabapentin 100mg 2x vyvanse 50 clonidine 0.1 vitamin d
submitted by Virgomoon91 to AskDocs [link] [comments]


2024.05.13 17:33 katwastaken Am I expecting too much too fast?

If you read my last post, then you already know I'm new to knowing I have hypertension and have only begun medication April 29th when my BP was 177/100 at the doctor's office. I'm also aware that it will be more difficult to lower it because I am on Vyvanse for ADHD and it raises it. I'm currently a stay-at-home mom but you can barely even call it that lol I'm more of a housewife since my kids are all grown up except for one who is 15 and practically an angel. Of course I'm still busy and I always have lots to do, but my point is comparatively speaking to when I was working and housewifing I have nowhere near a high level of stress. This also may come across like I'm anxious or stressed out about my BP, but I assure you.. it's more of a wtf feeling than anxiety. What I am is confused. It was overwhelming at first but I did some research and talked to people here and elsewhere and thought I understood it better. Now I just feel like I'm either doing something wrong or my expectations are too high. Hence, asking other people to weigh in with their experiences.
It has been 13 days now since this began. I started at 5mg Amlopidine, went to 10mg. I went from drinking pots of coffee to drinking 2 cups maximum but usually only 1 and even further to getting decaf to try to lower my caffeine intake as much as possible. I'm watching my salt intake, and only allowing myself to indulge my raging sweet tooth on Saturdays. Of course it takes time for medication to really take effect but I assumed with the lifestyle changes there would be at least minor improvement. I assumed incorrectly lol. At my follow up on May 10th my doctor said it's still too high and switched me from 10mg amlopidine to Twynsta 80/10 and booked another follow up for Wednesday. He clearly thought it should have been lower than it was not only in his office but also on average at home. I have to go back again in 2 days and unless it suddenly drops right now it's safe to say it's still going to be high when I have my second follow up.
In monitoring my BP at home I see it's often just high for no good reason that I can tell. For example: I woke up today with the pulsing in my ear and I could feel my heartbeat across my whole chest. After going to the bathroom and drinking water, I got back into bed and read for a while before I checked my BP and it was 162/93. I could understand if I was doing things or felt anxious or whatever but I was sleeping and then reading a book! I also know that other people are getting way higher numbers than that and it could definitely be worse so I'm not panicking but it just seems like it shouldn't be popping off like that when I'm at rest. Its done this multiple times now and it lasts a long time. I have been awake for 5 hours now and I tell it's still high right now.
I had blood work, I saw the reports.. my MCH was low and my platelets were high but ferritin was normal. I also have thyroid antibodies but the other thyroid indicators were normal. Everything else was normal other than vitamin d which was extremely deficient, so I'm taking supplements for that. My doctor was totally unconcerned about the MCH, platelets and antibodies claiming it's all good.
I added that part about the blood work because my kidney function is apparently normal and according to my doctor I'm healthy. I'm not stressed out beyond the normal level of chaos that exists in a person with ADHD. So it sounds logical to me that cutting out/down coffee, lowering salt intake, drinking more water, doing all the things I thought I was supposed to do would at least be lowering my averages but it's not. I don't have the temporary spikes due to these changes but the sudden jumps that last still happen. This is why I feel like I'm either doing something wrong or I'm just expecting too much too fast.
How long does it normally take for people to see improvement that a doctor can see? Is there something you discovered was actually making your recovery more difficult that you didn't expect? Instead of trying to sit down and relax when I can feel it going up should I do the opposite and push through it?
submitted by katwastaken to hypertension [link] [comments]


2024.05.13 16:48 Mental-Lawfulness204 ADHD and ADD Medication Perscriptions and Insurance Company Failures.

ADHD and ADD Medication Issues.
My ADHD diagnosis came shortly after both of my sons were diagnosed. I went through a lengthy series of psychological tests. After being diagnosed, I was referred to a psychiatrist who wrote my first script to treat me.The first time I took my meds It was like a light bulb turned on in my head. My thoughts were clear, I was able to achieve goals and retain what I read. I struggled through high school and college with this disability. What people could do in an hour took me three. I made and used flash cards of the notes I took throughout college. It angers me when people are smug and refuse meds for their children, expecting them to outgrow ADHD or ADD. I have often said that one of my goals to rally people for legislative change. In many states, you are only able to get a script for one month, and/or your insurance company will only pay for a thirty day supply. The amount of anxiety that is induced by having to time things perfectly is ridiculous. I did it for 16 years for my children and have been doing it for almost twenty years for myself. I am suspicious of the shortages, especially when it comes to the new generic Vyvanse. Apparently, it is being produced but nowhere to be found in any drug store yet. My psychiatrist had to appeal twice to my insurance company to continue prescribing brand Vyvanse because their formulary only allowes time released adderall generic. That drug makes me crabby and gives me serious rebound at the end of the day, the reasons I stopped taking it 12 years ago! And no, thank you, I am not interested in adding another drug to combat rebound. I am NOT sorry for the rant. I welcome suggestions for how we can organize and collectively lobby for legislative change for the discrimination perpetuated by insurance companies and limits placed on the ability of physicians certified to provide he best mental health care they can to their patients. This should never have to include producing anxiety about getting our meds! I am up for a challenge! Are you? If Game Stop stock was able to change the market, surely we should be able to do this for our health and those that come after us!
submitted by Mental-Lawfulness204 to ADHDwars [link] [comments]


2024.05.13 16:35 Mental-Lawfulness204 ADHD and ADD Medication Issues.

My ADHD diagnosis came shortly after both of my sons were diagnosed. I went through a lengthy series of psychological tests. After being diagnosed, I was referred to a psychiatrist who wrote my first script to treat me.The first time I took my meds It was like a light bulb turned on in my head. My thoughts were clear, I was able to achieve goals and retain what I read. I struggled through high school and college with this disability. What people could do in an hour took me three. I made and used flash cards of the notes I took throughout college. It angers me when people are smug and refuse meds for their children, expecting them to outgrow ADHD or ADD. I have often said that one of my goals to rally people for legislative change. In many states, you are only able to get a script for one month, and/or your insurance company will only pay for a thirty day supply. The amount of anxiety that is induced by having to time things perfectly is ridiculous. I did it for 16 years for my children and have been doing it for almost twenty years for myself. I am suspicious of the shortages, especially when it comes to the new generic Vyvanse. Apparently, it is being produced but nowhere to be found in any drug store yet. My psychiatrist had to appeal twice to my insurance company to continue prescribing brand Vyvanse because their formulary only allowes time released adderall generic. That drug makes me crabby and gives me serious rebound at the end of the day, the reasons I stopped taking it 12 years ago! And no, thank you, I am not interested in adding another drug to combat rebound. I am NOT sorry for the rant. I welcome suggestions for how we can organize and collectively lobby for legislative change for the discrimination perpetuated by insurance companies and limits placed on the ability of physicians certified to provide he best mental health care they can to their patients. This should never have to include producing anxiety about getting our meds! I am up for a challenge! Are you? If Game Stop stock was able to change the market, we should be able to do this for our health and those that come after us.
submitted by Mental-Lawfulness204 to u/Mental-Lawfulness204 [link] [comments]


2024.05.13 14:41 3utt5lut Any recommendations for executive dysfunction improvement?

I have a really hard time understanding basically life in general, despite somehow surviving as long as I have lol? I have an extremely mixed bag of cognitive disorders and absolutely no idea how to treat any of them, or even how I'd pinpoint what I do and don't have? I do know I am autistic, audio processing disorder, different types of OCD, every type of dyslexia, and possibly even bipolar.
Weird thing for me was that when I was younger and in school, even in high school, I was considered extremely developmentally disabled, still graduated when I was 17, I'm not stupid, I just can't understand basic stuff.
Honestly, feel like I'm mentally disabled, but then I can understand vast synonyms for conversing/writing, understand advanced mathematics/physics, and I actually enjoy expanding my knowledge in that dimension, including having a 3D photographic and eidetic memory, which greatly improves my work, which I excel extremely well at (one reason why I'm no longer considered disabled because I make a shit ton of money). I often wonder if my life is an oxymoron of itself?
I've managed to be on Vyvanse for the last year for ADHD, but it's literally the tip of iceberg, I only randomly just stumbled onto executive dysfunction by mere chance because I was trying to find the word for my extreme inability to understand things? This is the problem.
What would be the best course of treatment here? Because I'm Canadian and our healthcare fucking sucks, I've been waiting years for help and no one will help me. I don't want this to develop into early onset Alzheimer's. I just want to feel like a normal human being.
submitted by 3utt5lut to ADHD [link] [comments]


2024.05.13 14:15 donut1211 Burnt out and in a rut… how do you get out of it?

Hey guys… heading is pretty explanatory. I’ve been on meds since August last year, began CBT with a psychologist in Oct and in the last month I started working with an ADHD coach.
The last 3 months have been overwhelming - work wise and personally. I bought a property with my partner and had an intense period at work meeting high KPI’s. Whilst I’ve succeeded in both I can’t help but not feel like myself - on paper I should be at a high smashing life & professional goals but on the inside I’m so damn stressed, tired and burnt out, despite getting all the help that I can.
Admittedly, I’ve been neglecting myself (physically) so that may be a big factor as to why I feel like this: stressed + Vyvanse = not a good combo lol.
I’ve recently changed my dosage and it’s helped a little but I just feel like I’m in a rut and struggling to get back to “normal”. I just thought I would be a lot better by now than 8 months ago when I was first diagnosed..
Has anyone experienced something similar? How did you push through? How did you get out of it?
submitted by donut1211 to ausadhd [link] [comments]


2024.05.13 00:27 nebula-eternia Fitbit calorie tracker is showing high numbers

Hey everyone,
I'm 27, 170kg, 5'10 and female.
In an effort to lose weight, get fitter and become healthier I've started walking more. I'm using a Fitbit Versa 3 to track my steps. I'm aiming for roughly 10k a day.
According to an online calculator my BMR is 2500 calories. And my TDEE is 3500 calories when walking 5-7 days a week. I use this calculator https://www.sailrabbit.com/bm
The thing is, my calories burned metric on my fitbit is really high by the end of the day.
Today for example, I did 10150 steps, of those, 7 minutes counted as active minutes. It took me about 90-100 minutes of walking to reach that number.
My total calories burnt for the day is 4172 calories.
Yesterday I did 10150 steps as well, 72 active minutes. It says I burnt 4681 calories.
Friday I did 9821 steps, 47 active minutes. It says I burnt 4537 calories.
My average daily calories burnt is 3800 a day and my step count averages 8850 steps a day, 6.48km, over the past 6 weeks,
That can't be accurate right?
I was prescribed Vyvanse, which has nuked my appetite. I have to force myself to eat. I'm averaging around 2500 calories a day intake and the scale hasn't moved at all. I should be down 7kgs.
Any advice?
submitted by nebula-eternia to loseit [link] [comments]


2024.05.12 22:26 rbecca08 Do any of you take these supplements?

Howdy!!
https://www.addysafe.org was a really good resource for me when I was taking Adderall XR. I’m curious if anyone has ever taken any of the recommended supplements with Vyvanse and what their experiences have been.
I’m definitely going to do more research on this. It mentions Ritalin too so I wonder if the advice works for all stimulants?
Here are some of the supplements listed:
“Memantine (Rx) can work well to reduce tolerance
Selegiline (Rx)
L-Tyrosine (after) (Helps replenish dopamine, which will help even out the highs and lows)
Omega 3 Fatty Acids (before/whenever) (General brain health)
Vitamin D (morning) (Mood)
Inositol (Reduces nail biting, hair pulling and other obsessive symptoms)
B12
B6
Piracetam”
“Before 10-30 minutes before.
Magnesium Glycinate: 1x200mg Pill (2,000mg magnesium glycinate, which is equivalent to 200mg elemental Mg)
(Use the linked brand. Many brands or formulations of magnesium have low absorption rates)
R-ALA: 1x100mg (Reduces neurotoxicity)
ALCAR: 1x500mg (Reduces neurotoxicity)
L-Theanine: 1x200mg (Helps prevent tolerance buildup, however more for reduction of anxiety/paranoia/irritability)
CoQ10: 1x100mg ("Extremely long half life antioxidant, various beneficial effects on mitochondrial function")
1-2x Tums, or 1/2 teaspoon of baking soda mixed in a glass of water (Potentiates Adderall due to reduction in stomach acidity)”
“After To help you: Go to sleep easier and feel better tomorrow.
Magnesium Glycinate: 1x200mg Pill (2,000mg magnesium glycinate, which is equivalent to 200mg elemental Mg)
(Use the linked brand. Many brands or formulations of magnesium have low absorption rates)
R-ALA: 1x100mg (Reduces neurotoxicity)
ALCAR: 1x500mg (Reduces neurotoxicity)
Vitamin C: 1000-2000mg (The acidity of vitamin-c will help reduce the effects of Adderall, making it easier to sleep)
Melatonin: 5-10mg roughly 30 minutes before bed (Keep in mind we are using a higher dose here for it's antioxidant properties. Normal dosages should be .5mg to 1mg.)”
Edit: formatting things to make it more readable (list above is copied directly from addysafe.org) ***Also please consult your doctor before taking anything!!
submitted by rbecca08 to VyvanseADHD [link] [comments]


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