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Consequences of using Adderall

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I was put on Adderall after being diagnosed for ADHD at the age of 27. The work and concentration required in a graduate program left me no option but to test for it. The Adderall works phenomenally, in fact feel that my mind requires more than 40 mgs a day. Initially can take higher doses, but after being prescribed and taking this drug regularly, have felt my cardio-vascular system can only handle 30-45 mgs regularly. When the drug's effect is diminishing I feel sharp stabbing pains seemingly in my heart but never when the drug is in full effect. My supplements, diet, and half doses have eliminated the pains; feels like my heart is strengthening. It feels a little sore sometimes, but HR & BP have dropped recently. Will also start exercising soon. Is it possible for a persons cardio-vascular system to improve, despite former substance abuse, to the point that Adderall will be better tolerated by their body?

Will not talk to my doctor about this for fear of losing the medication.

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replied November 20th, 2008
Heart Disease and Heart Attack Answer A4940

Given the data you reported, it might be necessary to consult with your doctor to replace Adderall with another medication. Adderall is contraindicated in patients with a history of drug abuse. Heart problems, including arrhythmia and angina pectoris are also conditions in which Adderall is contraindicated. In those conditions Adderall can cause cardiomyopathy and even sudden death.

Adderall causes effect on norepinephrine. Therefore, sometimes similar effect can be achieved if antidepressants that effect the norepinephrie are administered, thus avoiding the side effects of Adderall.

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