ADHD Meds & Heart Attack Risk: Is Your Medicine Safe?
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- čas přidán 30. 01. 2024
- This video provides a thorough understanding of Adderall's sympathomimetic actions, the risk factors for those with pre-existing heart conditions, and the significance of dosages. Dr. Marks also examines the findings of a 2022 meta-analysis from the Journal of American Medical Association, offering reassurance and clarity on the use of ADHD medications. Whether you're a patient, caregiver, or simply seeking knowledge, this video is an essential resource for understanding the intersection of ADHD treatment and cardiovascular health.
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REFERENCE:
Zhang L, Yao H, Li L, et al. Risk of Cardiovascular Diseases Associated With Medications Used in Attention-Deficit/Hyperactivity Disorder: A Systematic Review and Meta-analysis. JAMA Netw Open. 2022;5(11):e2243597. Published 2022 Nov 1. doi:10.1001/jamanetworkopen.2022.43597
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I'd rather die of a heart attack living a normal life than being paralized and disabled by ADHD as I was my entire life before diagnosis. I'll never want to go back to that place again.
It's so interesting, some people's nightmare ends with diagnosis and initiation on medication. I'm glad you're not in that place anymore.
My 13 year nightmare began with a diagnosis and medication that made me extremely ill and made things worse. I found my recovery through holistic approach.
Everyone has their own unique path to recovery. I'm glad you found yours.
@@NeseretBemient can I add an extremely important caveat there? It's a common misconception, but a holistic approach absolutely does *not* exclude medication as an option, and approaches that don't include medication are not always holistic.
It mightn't be common, but for some people a genuine holistic approach to managing a permanent neurodevelopmental disorder like ADHD might lead to the strategy of long-term medication and monitoring, without the need for anything else. Holism is the management philosophy, not the specific set of management tools that end up working.
@@AD_AP_T I agree. I'm not completely against medication and believe it could be part of a holistic approach.
I just question the efficacy of psychiatric medications long term use and benefit. It can be useful and appropriate for certain conditions and people.
It does require very close monitoring and management needs to have a comprehensive care plan.
Along with medications there are fundamental health practices that everyone needs to implement for healthy living. (ie: sleep, diet, exercise, mindfulness, meaningful work and connections etc.)
@@NeseretBemient that caveat isn't necessarily for your benefit - it's a very common misconception that holism is synonymous with an exclusively alternative approach, and that it is incompatible with mainstream therapies - both of which are completely incorrect. Being a (former?) HCP, you might take it a little for granted that that's basically understood; my experience in the education and comms space has taught me that it has always gotta be said explicitly. ;)
@@AD_AP_T Excellent point! You are wise:)
12 years adderall, No issues... im afraid to take days off of my med.. why? because of studies like... ( people with adhd are More Prone to get into accidents, or get hurt etc) all i need is a car accident because i took a day OFF from my meds.. One day i forgot to take my meds, i drove right through a stop sign.. my passenger even said i seem very "off" & extremely distracted.. My ADHD is 24 hours a day 7 days a week.. It doesn't go on a "break". its bad enough when i get home from work my meds are already worn off, and i have to be functional in my home and get things done meanwhile the help i get from the meds are already gone... Taking breaks from your meds might be a good thing to do .. Just remember, when you take your break from your meds, your ADHD will NOT be taking that same break..
There are days that I’m not in peril by not taking them. The only peril is being unorganized, that’s where part of the work is, you have to actually try.
Meds aren’t going to solve everything.
Before any of that, what's your morning routine for optimizing your own dopamine reserve? And what's your safeguard for hedonic adaptation which drains your motivation and focus via hedonistic overindulgence?
@chrisfree, Omg! I know what you mean. Thank God they made expresso which picks up me up mentally or being or either being to make a cup of highly concentrated Black coffee!
Lol, nah yeah you definitely don't wanna be driving the first day you take a break. The first time you stop you will be very tired n sluggish for a day or two. After that though of you stop every weekend the 5 days isnt quite long enough for the physical dependence to develop. That way you can function normally on the weekend, but yeah if I need to work or even just get a lot done around the house or something I will take it. What also helps a little is if you don't want to take the break is to take lower dose at least and back to full dose come the work week.
It’s just a reality, I don’t think it was meant to offend anyone. I’m in the same situation but the medication and my brain don’t care if I’m offended I still have to figure out a work around.
ETA that sounded really shitty I meant to be encouraging and to try to give you another perspective to help you not feel overwhelmed but I came off as a huge bitch. Sorry
I'm in good physical condition and my pulse and blood pressure were on the low side before starting my stimulant medication for ADHD. After starting Adderall, they came up to normal and now that I've been taking it for 8 years, they're still normal.
In my seventies. ADHD. Late diagnosis. Vyvance 20mg. New prescription. Wow, a new me. After 20 pills had a heart attack. No previous heart issues but was on medication for high blood pressure. Arteries fine.
Are you OK?
Are you alright? Do you think it was the Vyvance? And what happened? Did you discontinue the medication? How are you doing now?
Were you taking any other meds while taking the Vyvanse?
20mg is such a tiny dose.
I take Vyvanse 30 mg and am overweight. My blood pressure is normal, I have recently begun to lose weight. I find the medication along with behavioral therapy helps me with focus and, most importantly, emotional regulation. No issue with my heart as of yet. Once I retire, I will not take it weekly as I do now as my work requires a great amount of focus.
Unless I have work or something to do, I typically take breaks on the days I have off. It helps a lot with adhd med burn-out and sleep if its an issue for you. I take 40mg vyvanse myself.
Be aware that once you retire the structure in your life falls away and this can be a problem.
@@katella Very true. I left a 17 year career as a psych RN and now have my own business and work from home.
Creating structure is key to successful living. That's a really good point you brought up.
@@NeseretBemient as a fellow psych nurse in Europe, may i ask in which field you work from home now?
If I'm not working on something, then on my free time, I am spaced out, doom scrolling, looking at porn, or something. Vyvanse on a day off keeps me from doing that stupid shit and lets me get into useful hobbies.
Appreciate this channel so much.❤
Thank you for this, I actually stopped 10mg of Vyvanse because I am getting older and I was afraid of heart related risks. My BP normally runs pretty low as does my resting heart rate so maybe I'll give it another shot because it's a struggle without it.
Your resting heart rate isn't a good biomarker of your parasympathetic branch of the autonomic nervous system, you need to check your heartrate variability in milliseconds.
I took Vyvance now i have heart failure at 42
Ask to be referred to a cardiologist if you're concerned.
This is only one person's experience and can't be generalised to your case, but I have a (albeit fairly benign) heart condition, and my cardiologist notes my signs, symptoms, and general health *improve* when my ADHD is well-managed with stimulant medication, because my sleep and daily habits are dramatically improved.
@@AD_AP_T better yet to look from a psychonuroendocrinology perspective, since most cardiology will only look for physiological abnormalities, even though stimulants affect the central nervous and endocrine systems much faster.
@@DomFortress Good luck getting a referral to a clinical psychoneuroendocrinologist.
This is very helpful, Dr. Tracey!
Fantastic information as always.
Always an awesome video, Dr. Marks.
I been on adderall for 10 years and it has helped me so much. Before my anxiety was so bad and when I take the medication my heart feels so much better, I can relax and enjoy life to its fullness. My blood pressure for the first time is normal. Thanks for opening the eyes of all those people that in they ignorance think meds will harm you.
My resting heart rate went down when I started on methylphenidate (Concerta) and back up when I couldn't get it for a few months then back down when I restarted it!
Wow that’s crazy! What mg? I take 36mg
That's incredible. Something like this impacting one of the most important organs in your body. How do you feel about it?
Thank you for this video.
Thank you for the insight!
Thank you for the video!
Discovering the diverse world of ADHD therapies has been truly enlightening, from psychotherapy to behavior therapy and cognitive behavioral therapy. 🧠💪
What did you discover?
@@NeseretBemient I searched that the therapies can help with ADHD
@@HumanandAnimalSupporter what type of therapy?
@@NeseretBemient I found psychotherapy to behavior therapy and cognitive behavioral therapy.
I just saw a cardiologist about this and got a cardio ultra sound
I do resitance training with weights and I notice a difference in performance when taking ritalin, I can't push myself as hard and I feel less capable of hitting the last 2-3 reps where hypertrophy really counts.
My BP and heartrate went up after starting stimulants. I was prescribed a BP medicine to conteract that. I don't think you talked about that in the video.
Is this an appropriate fix, or is it overmedicating and harmful to my longterm health?
Thanks for all you do 😊
This is a question for *your* doctors, and you shouldn't be shy to ask for a second opinion if you want one for your peace of mind. If you're on a medication for elevated bp or tachycardia, you should be having regular check-ups to ensure the medication is still safely doing what you need it to be doing.
I'm not an expert, but I do have both ADHD and tachycardia (high heart rate), and take medications for both. While my tachycardia would currently need to be managed with medication regardless of my ADHD meds, I've gathered that it's not uncommon for the quality of life improvements many people get from stimulants to make it worth taking a beta-blocker to manage HR and BP side effects.
ADHD isn't a trivial disorder - it can be a significant disability, it can cause other mental and physical health issues, and it can in itself shorten our lifespans. You need to discuss with your doctors what your needs, concerns, and priorities are. It's not easy, and stimulant medication stigma makes it even harder to work through it all. ❤️
I've worked as a Psych RN for 17 years. I believe psychiatric medications are useful and effective in acute crisis and in short term stabilization period.
In the mean time you want to implement holistic simple lifestyle interventions to support your healing. Long term psychiatric medications can cause harm.
Overmedication is a huge thing in psychiatry. As well as putting people on a cocktail of medication and leaving them without assessing if their condition has improved and if there's a need for further treatment with medications.
Many psychiatric medications give people unwanted side effects and compromise their physical health (metabolic syndrome), so if you can explore other avenues of recovery it might be more useful.
You would want to really listen to your body. I'm glad you're in tune. Your body will give you feedback. Make sure you get blood work and proper monitoring of your physical health.
@@AD_AP_T Excellent suggestions. Regular check up is essential and finding all the options with care team.
Please do a video on TDCS as alternative stimulant to medications
I saw many meta trials but I trust your non biased opinion
What is TDCS? Would love to find an alternative to the adderall I’ve been on for 18 years. I feel like it’s making my menopausal symptoms much worse!
@@supriyachesser6102 TDCS is
Transcranial Direct Current Stimulation
2 electrodes with very very low current from a battery
these electrodes are positioned on the skull in different patterns according to the part of the brain we want to stimulate
it was hyped so much after US military DARPA program that used it to enhance memory and focus of soldiers then the hype was down as it got no FDA approval for treatment
it is considered now as alternative and complementary treatment aid but serious meta trials started recently to find new potential for ADHD
@@supriyachesser6102 Have you explored metabolic therapies? What types of things have you explored? Also, has the need for your meds been reevaluated regularly?
Thanks. My primary said to ask my cardiologist this question. Cardiologist never replied. The cardiologist PA said he didn't know and to ask my primary.
I wish I can see Dr Marks.
Thanks Dr Marks
It's important to note that some stimulants don't work well with SSRI's and increase these health risks. Stimulants on their own, without previous heart conditions, usually work quite well.
Thanks You for sharing .
I take 2 days off a week so tolerance doesn't make me need more in the future
Is that helpful? Is it still working for you?
@@NeseretBemient yep 👍
Sometimes I do feel like my Adderall is to much but I also think using nicotine is the reason why I feel like that sometimes
Sharing to my story on fb thank you
I was prescribed Ritalin (not Adderall), and it made my chest so tight, I felt breathless, faint and weak if I tried to walk at my normal pace, and I had neck tension and headaches. My heart rate went up. I was never asked if I ever had any heart issues, but I've had Tachycardia (my resting heart rate is between 90 and 130 bpm) and fairly regular palpitations since I was 19. My blood pressure has always been normal.
I only took 5mg and 10mg once a day, and that turned me into a zombie. Whenever I'd stand up, my vision would go black and I'd have to wait until I could see again to walk. Ugh.
I HATED Ritalin. It felt like I got ~20-30 minutes of sedation, maybe 30 minutes of "okay" (if I was lucky), then an hour or so of it being about as much help as a cup of coffee. An equivalent dose of dexamfetamin (insofar as it can be called "equivalent") was dramatically better, and lisdexamfetamin suits me perfectly. Apparently it's not unusual to experience a *huge* subjective difference between dex and Ritalin - I know others who had exactly the opposite experience to me, and found Ritalin/Concerta is perfect for them, and others still who have far better experiences with non-stimulant options.
You have prediabetis. Ritalin triggers blood sugar. Thats why you get headaches and the eyes thing: your blood sugar is way to high.
Quit eating grains, see what happens with your heart. Could be grain intolerance. Test is quitting grain for two weeks.
@@obelixpfeifenreiniger2863 Um...actually it's really not. I tried Ritalin in 2019. I still had my Diabetic cat's blood glucose finger prick device and unused (not expired) test strips. Every now and then I would test myself, and my blood glucose was always around 3.8-4.5 (not fasted). I also have no symptoms of Diabetes. So no. That's not it.
@@AD_AP_T Thank you for this! I've heard this too. One of my friends is on Dex and says it really helps her. I'm more concerned that I can't really be on any amphetamine-based med due to my Tachycardia and palpitations. My family also has a history of heart problems.
I am 42 year old with ADHD and no pre existing heart condition. I was on low dose of Vyvanse. 5 months ago I had a heart attack and have been advised to be stop taking it. This has negatively affected my life in so many ways. My job, my home everything seems to be falling apart. Doctors are now afraid to prescribe be anything…. What to do?
It is interesting! I recently started 20mg of Adderall XR and I have actually noticed that my heart rate has been lower at rest. It seems to have a very calming effect which helps reduce anxiety in my case. However, I know that everyone is different but it is so interesting how certain medications can affect us so differently!
Very well played 👍
What about for Strattera? It has the same warning for heart conditions but is not a stimulant. This is the first and only ADHD med I’ve been prescribed so far, I have been taking it for a little over a year. It has increased my respiratory/heart rate and my blood pressure is elevated more, which I was told was likely to occur by my psych. My resting heart rate used to be around 70 bpm, now it’s an average of 85 bpm over the last year. Also, can you develop a tolerance to it?
My psych decided against stimulants because I have a history of insomnia and anxiety.
I had to stop taking Vyvanse because I was perimenopausal and it was causing uncontrollable hypertension😳
Oh the joy of womanhood.
I'm going through the dance right now.
How are you doing now?
Take a medication then you got to take another for the side effects
Hello Dr. Tracey. Thank you for this wonderful service you provide. What are your thoughts on the more recent Nov 2023 JAMA article (Zhang et al) showing long term use of ADHD meds carried an increased risk of CVD?
I’m not worried about my stimulants: when I’m on them, my heart rate plunges.
You know what almost gave me a stroke? Atomoxetine/Strattera.
What happened to you specifically that you thought you "almost had a stroke"?
@@Whiskey.Tango.Actual my blood pressure shot up to 150/110, I could feel it blurring my vision, and I started to pass out.
It was a 10mg increase from 40mg, and the ER doc yelled at me; that’s where I got “almost had a stroke”. But thankfully, no evidence of stroke; and now I’m on guanfacine instead.
@@PharadayCage dang man. That's wild. Glad you're doing better
I just started guanfacine. Seems to give me some mild heart palpitations
@@Whiskey.Tango.Actual me too! It sucked but I’m better now
Hi Dr Tracy! I just wanted to weigh in a little. You said that in general, methylphenidate is less stimulating than amphetamine. IIRC, methylphenidates have a higher effect on heart than amphetamines, in adults
Guess I am lucky because I actually developed a sensitization to Adderall. I started at 60 mgs per day years ago. Now I am on 10 per day, which feels like that original 60.
Thank you so much for this breakdown.
Thank you for this information. Does this include Vyvanse as well? I just went to 60mg as 50mg was not helping w/o a cup of coffee.
Yes it's an amphetamin
Yes, Vyvanse is an amphetamine.
1st comment!! Love this doctor :)
Thank you
Thank you for this video, and the illustrations help as well. I am hoping to go on Vyvanse in the next couple weeks. It's gonna depend on what my other providers say, because I am on so many different medications for mental and physical health, my psyc wants to confer with the providers prescribing me those meds. It's tough because I am a recovering addict who's gone a long time since I felt confident in myself and looking forward to the future. I haven't felt like I can go to school, work or even volunteer because of my fear of commitment and obsession with perfection, oh, and chronic pain, too. Did I mention social anxiety? I'mma queer trans non binary Chicanx person hoping I get back the opportunity to friggin' DO something with myself that I can be proud of and grow from. 💯
Thank you for sharing your story here.
You've gone through so much, and look how far you've come. You're strong and resilient and you're still here.
I'm proud of you just reading your story here.
You have a lot to offer from your personal experiences and your own journey back to health and wellness.
As a Psychiatric RN (17 years), I have learned the first patient on the operating table is yourself. So you're attending to the most important person right now.
It is the most foundational and essential work to do, to accept and love yourself right where you are. You're doing really well.
Even though it may not feel like it at times. But you're on the right track. You have a lot of self awareness and that is key to change and transformation.
I work with individuals and at risk youth and families to support them to navigate the mental health system and implement simple but powerful lifestyle interventions.
I also enjoy helping people with their mindset and healing from trauma and grief and loss. Let me know if there's any way I can help.
I share my own personal journey on CZcams. (Confessions of a Psych Nurse/Neseret Bemient)
Dr Marks, have you done a video on Adjustment Disorder? What about how to know if it's Austism or Anxiety/Depression? The symptoms seem similar so it is confusing. Thanks
There is a lot of crossover between various psychiatric conditions. It is confusing even for someone like myself who has practiced psychiatric nursing for 17 years.
I've recently learned many of the mental disorders have a common pathway. It's the brain energy theory which makes a lot more sense.
Since we really don't know what causes mental illness, all mental disorder are considered syndromes.
Could you do a video on ADHD and epilepsy ? I cannot take a stimulation drug .
Thanks a lot Dr. Marks.
Can you please make a video about the effect of antipsychotics on the dellusional disorder and schizophrenia? I have seen people that are on antipsychotics and the dellusions still exist. Are they supposed to disappear, or they are less intense when the person is taking the medicines?
Thank you.
Except that most psychiatric medications at best work 30% of the time. Same as a placebo.
I've witnessed this in my career as a Psychiatric RN for over 17 years.
Antipsychotics don't work effectively for everyone to control all of their symptoms.
They may take the edge off but not control all symptoms.
Many people cannot tolerate those medications because of the awful unwanted effects.
There's a huge non-compliance issue around neuroleptics.
I've seen people balloon to 300 lbs on some of those meds within six months.
Please do MAOIs
Hi please Anyone answer me iam a person who is diagnosed with MDD GAD and on multiple antidepressants and benzo my meds not helping me my Query is can I able to live without using medicines or on life long meds
Is it possible to self induced hypomania? Simply curious to know.
I’ve been prescribed adderall for over ten years never had problems. Recently due to home life situation, I’ve been overwhelmed by stress and having physical symptoms of stress and anxiety. Dr prescribed propranolol er…..definitely felt better stress wise but then after a few days….i felt like I wasn’t taking my ADD meds, but I was. Then after a few days of that, taking both meds even at separate times, it not only felt like I wasn’t taking my adderall but I felt more scatter brained than I normally would without the adderall. Anybody else have this experience, and did you figure out what to do?
Stress is one of the worse thing for your body and brain. Add to that powerful medications and it could be a recipe for disaster.
Your body will give you moment to moment feedback whether something is working or not and that sounds like clear messages.
What you need to do is address the root cause of the symptoms. If a fish tank is dirty you clean it out, you don't drug the fish.
What's the cause of your stress and how can you get your brain and body out of fight or flight mode.
There are many simple and powerful lifestyle interventions you can implement to regulate your nervous system.
How are you doing now?
What about Vyvanse?
It's an amphetamin
I took twice my normal dose of Adderall one day and it nearly gave my doctor a heart attack.
As a person with adhd who is treated with adderall, and who also smokes out of stress, I would say these are things I think about. I generally don't smoke too much, but it's enough to make me wish I wasn't.
Nicotine is effective for managing ADHD symptoms, but isn't recommended for it because the side effects and chronic disease risks are significantly worse than the stimulants we do get prescribed. If you want to drop the smoking habit, you might want to talk to your doctor about supplemental or more flexible approaches to managing your ADHD symptoms at times of elevated demand.
I'm not sure about daily stress, but I do know that it's increasingly common for people with natural menstrual cycles to be given some extra options for times when changing hormone levels affect their symptom severity...
Have you heard of Allen Carr's "The Easy Way to Stop Smoking"? It is a fantastic book.
Let me know what you think.
In addition to tolerance with continued dosing, do repeated doses accumulate and have increased side effects? Down regulation? Ex. With repeated dosing, does insomnia become more of an issue? Thank you ☺️
As a Psych RN, I have noticed that people do often develop tolerance to psych medications and unwanted effects worsen with long term medication treatment.
Psychiatric medications are notorious for disrupting metabolic health. And yes they are powerful drugs to change your brain chemistry, why wouldn't our brains get use to them?
Many psychiatric medications are sold on street. Especially ADHD meds.
Not medical advice, talk to your own doctor about your concerns about this, etc, etc, but: most people will eliminate half the amfetamin in their system in under ~12 hours, so it doesn't take long to reach that maintenance plateau and you wouldn't expect accumulation effects to show up on very long timescales.
Would you be able to give your thoughts on Nootropics and services like Thesis?
Mam I take lamitor dt 100 and veniz xr 225mg in a day for bipolar disorder but not stable I visit another doctor he prescribe litium 300 mg eve and morning and olanzapine +fluoxeine which prescription is best for me.
Please reply 🙏
It depends on the individual person. No one not even a doctor could give you good advice in a comment section.
Please answer my question.
I have been diagnosed with schizoaffective disorder and ADHD.
ADHD medication helps me to reduce my schizoaffective disorder; however, the medicine for schizoaffective disorder (Lithium and Risperdal) causes me massive side effects, like feeling sleepy usually and falling asleep in inappropriate places and motor tics.
My German psychiatrist, who diagnosed me with ADHS two years ago, is speechless about my case.
Can you provide answers about comorbidities?
Being diagnosed with ADHD and bipolar disorder is common, but how about schizophrenia and ADHD?
Neuroleptic medications are known to cause serious issues with metabolism.
Metabolic syndrome is a well known phenomenon.
You're in a very tough situation.
Many people cannot tolerate these medications but they're in a rock and hard place. Because they have both their mental and physical health compromised.
How do you choose between your mental and physical health?
It's not a choice at all.
As a Psych RN, I have witnessed this situation many times over. Part of why there's huge issues around compliance when it comes to those medications.
What other avenues of healing have you explored? I share a holistic approach to healing with mental disorders on my CZcams channel. (Confessions of a Psych Nurse/Neseret Bemient.)
Does a beta blocker help to not strain the heart? I wouldn't take a stimulant without a beta blocker because of how it makes me feel...
Great question
It can, yes. It hasn't been studied thoroughly though (specifically beta blockers with stimulants). I often prescribe propranolol XR at night with stimulants.
Do you mind if I ask what kind of physician you are, @@Whiskey.Tango.Actual? I'm looking into an ADHD assessment but I get panic attacks for which I need to take propranolol.
Would you recommend exercising on 40 mg of adderall ? Also do you have any advice for headaches / head pressure / neck pain while on the medication. What are things you can do to lower the symptoms? Also is it normal to see muscle break down? How do I incorporate muscle building while on this medication?
You really need to be seeing your own doctor with these questions, and asking for a referral for a second opinion if you're still concerned.
No real medical practitioner will give personalised advice like this outside of a professional consultation context.
@@AD_AP_T I’ve reached out to a couple and they said water / food consumption can have a huge impact on how you feel during your time on the medication. I’ve had feeling of fainting while on the medication which they also recommend that I take a multivitamin while on the meds. I’m gonna give this a shot and see how it goes.
I know this is off the topic, I just had a question. Can someone who is Bipolar be narcissistic as well?
Do they also discard and then hoover you at sometime?
Thank you.
Bipolar and Narcissism are two different illnesses that aren't related. But it is certainly possible to have both.
I need to get an ekg for getting a dosage increase
what about wellbutrin?
Regardless of the dose you eventually get use to it and it's effects diminish. Only way around this really is to take a break, or what I've found works best is to only take it mon-fri. This way you break it up which prevents the tolerance from building.
I do the exact same thing. I've been on my introductory dose for almost 5 years now and have committed to never bump it up. Sometimes, I take a month or two off. Yes, my symptoms return, but I use an alternative medication during this period and just deal with it.
Worth noting this HIGHLY varies from person to person. For instance, I don't need breaks and the effect stays consistent. Others do need breaks. Just gotta find what works for each person.
@@Calamity_Kyle I also haven't had signs of tolerance issues yet, at ~3 years on the same dose of Vyvanse.
One thing my doctor does, though, is has his patients ramp up their doses much more slowly than recommended, and slowly ramp back up to their normal dosage after a break. There's apparently some literature that suggests this may be the most effective way to prevent tolerance, and also that regular "medication vacations" might even be counter-productive.
I swear my partner needs to be studied. He has been on stims since he was 8. Started Vyvanse at 16. I've known him for about 15 years, now 33. He has only gone up twice in his dosage and the last time was over five years ago. He never skips a day, always takes it on time. He has never complained about diminishing returns.
I have never ever met another person with ADHD like him. You would honestly not know unless he told you. I see him late at night when it wears off and I can see small differences, but other than that, he is the image of what someone might think of as "normal".
@Neurofunkworldwide Wow! Wish I could go that long without it. After 3 days without my medsd I feel absolutely terrible because I take it for Narcolepsy and adhd.
My bp came down 20 pt on stimulants
No notice on this one.
Okay, is this focused on Adderall? Cause there is like ten other primary ADHD medications... I myself take concerta do not have heart problems as a pre-existing issue but do have a familial history of them, possibly on both parents sides even! Oh, though I also function beautifully at I believe the lowest possible dose with a blood pressure medication recently added due to recent issues.
All the ADHD stimulant medications can have impacts on your heart - it's a general feature of stimulants across the board, including caffeine and nicotine.
As an adult taking a stimulant medication long-term, you should be talking to your doctor about monitoring your heart health, and you should be periodically reassessing the risks and benefits of your chosen management approach(es). Bear in mind that some of the things you might be using your Concerta to manage or prevent (eg poor sleep, high stress, overconsumption of alcohol or other substances, etc) *also* increase your risk of heart disease, so the risk equation is highly personal and might not be as simple as side effects/no side effects.
I have noticed that Jornay is much better for me than Vyvanse in this regard.
For the little time that I had Adderall I didn't need any more than a 15 mg twice a day I took it then 12 hours after that then the remaining 12 hours is to go down and go to sleep you know calm down relax and then prepare for bed then repeat the next day but right now no adderall on board for medication treatment except for the the Adderall ER which I have not taking 20 how high does the ER go on the Adderall cuz I'm comparing it to what the 15 did to me and so far it's doing nothing
I know I talk too much that's a could be a positive or a figure I used to be a preacher one of the called to be a prophet but anyway I have on my Reds day Fitbit watch and you keep track of my heart rate and I noticed when I get stressed out angry it goes up I know I could go on again
You should do a video on the other side effects stimulants can have on the body. (Especially when taken in high doses) From personal experience, I know they can cause seizure disorders and memory issues over time...
Psychiatric medications are notorious for causing all kinds of nasty unwanted side effects.
I witnessed this over and over as a Psychiatric RN for 17 years.
I believe long term use of psychiatric medications is harmful.
In acute crisis psych meds can be life saving but there are so many other ways to heal.
I share my own journey and views on my CZcams channel. (Confessions of a Psych Nurse/Neseret Bemient)
What about the risk of Dementia?
Adhd untreated/no meds leads to much higher chances of developing Alzheimer’s/dementia as well as 10 year reduced life span.
Please ma'am my major problem is hating my gender I just want to reverse this currently no medicine is working, please what should I do
dr_miller27
❤❤❤❤❤
Wind people up even more 👍🏼
Amen! lol
I agree with what is being stated in this video. It's important to remember that what works for one person may not work for another.
Here are some effective strategies for managing ADHD:
Developing a Plan for Impulsive Situations: It's beneficial to identify triggers and factors that worsen or improve impulsivity. Different interventions can be applied depending on the situation, such as going for a walk to manage anger or using isometric exercises to release excess energy.
Minimizing Distractions: Creating a conducive environment for focus is key. This can include working in a small, quiet space, using noise-canceling headphones, and having constructive outlets for excess energy like exercise or worry stones.
Planning Ahead for Impulse Control: Having activities or objects on hand to keep busy, such as crocheting or whittling, can help individuals with ADHD stay focused and manage impulsivity.
Setting Specific Goals: Establishing clear objectives, such as reducing disruptive behaviors and increasing the ability to sit still for extended periods, can guide behavior modification. Self-monitoring logs can be a useful tool for tracking progress.
Improving Organization and Prioritization: Using calendars, setting alarms, and employing push notifications can assist in staying on track with tasks. Transition activities or prompts can help with moving between tasks.
Addressing Procrastination: Encouraging promptness in starting tasks and using visual cues, like hanging a bag on the front door, can serve as reminders to take action and reduce procrastination.
Enhancing Interpersonal Skills: Interpersonal skills training can help individuals with ADHD learn how to interact with others, enter conversations, and manage blurting. This can be done through role-playing in therapy or as part of family or group therapy sessions.
Improving Sleep Hygiene: Adequate sleep is crucial for managing impulsivity, emotions, and overall well-being. Good sleep hygiene practices, including a consistent sleep routine and a conducive sleep environment, are recommended.
Training the Brain: Cognitive training programs like Luminosity can offer activities to improve concentration and organization, although it's important to note that they may not work for everyone.
Creating a Vision Board: Visualizing the ultimate goal of a task and adding visual reminders can help maintain motivation. Using a medication reminder app for creative visualization can also be beneficial.
Working with a Buddy: Partnering with someone can help keep individuals with ADHD focused and on task. This approach can increase productivity and help maintain focus.
Rewarding Progress: Breaking tasks into smaller chunks and rewarding oneself after completing each chunk can boost motivation and make tasks feel less daunting.
Identifying Peak Focus Times: Determining the times of day when one is most alert and focused can help in scheduling work and intense focus activities.
Mhmm..
That’s one reason I can’t take stimulant meds. I have an extensive family history of cardiovascular problems.
When I was self medicating I was consuming over 1400 a day. Tolerance is a pain.
As someone with ADHD who has a pacemaker to treat a 3rd Degree Heart Block ... the only way I can be productive at times is to drink energy drinks.
That sounds dangerous. I would ask your doctor if it is safe for you to drink energy drinks.
Dr. Georgia Ede's new book entitled Change Your Diet, Change Your Mind helps connect the dots for many mental health conditions. Highly recommended for anyone looking for a dietary solution to any mental health condition including ADHD.
What a terribly inappropriate piece of "advice". I think you're looking for the astrology department.
Her book is evidence based with references@@user-fed-yum. Rationale for this opinion?
ADHD is a neurodevelopmental disorder, not a mental health condition.
That is woowoo stuff
ADHD is a neurodevelopmental disorder, not a mental health condition.
This video would hold a lot more weight if this was a cardiologist. Ask most cardiologists how they feel about stimulant medications and you’ll get a quote different response
dr_miller27
I hear gunshots when i am down
Just get a bear ass ring without caffeine, It's not an invention it's a discovery.
Imagine getting adderall. I wish! I was officially diagnosed, complete surprise of a lifetime. Then told I cannot access this medication. Welcome to Canada. Doctors pick and choose based on nothing other than their random opinion.
If your heart gives you trouble on adhd meds but you have no pre existing condition: drink a glass of water with salt. Heart should be good after 20 minutes.
How about listen to your heart? And your body's strong feedback and explore other options.
I took Vyvance now i have heart failure at 42
How long were you on it?
@@LL-el8sl 7 years
I think there’s probably more to it.
@@marc8h726 well even if there was like genetics Vyvanse and the other ADHD meds i took before it had a major role in it
Tobacco use?
I don't really like the new video editing/animations style. It looks a bit unprofessional. I do enjoy your videos though, don't want to be negative just some feedback.
Thanks for the feedback. Anything specific stands out as unprofessional?
@@DrTraceyMarks The use of whiteboard marker graphics, and sometimes the motion graphics & animation as well as font style seem inconsistent and chaotic. However, the quality of the information in your videos is very high and they're incredibly helpful in general. You've helped me great deal in managing my ADD :)
I think it’s fine. I see boring edited videos and the ADHD people complain the videos aren’t interesting enough to keep their attention.
@@bluegleam8168 Thanks for those specifics. I'll pass it on to my editor. I'm so glad the info has been helpful. 😊👍🏽
@@DrTraceyMarks I don't like the eyes with blood coming out of them. They have been in several of your videos.
Black History Month? I have an idea. Be American.
'SKF358, Black History IS part American History.
American history includes Black history.
Thank you for covering this. My son takes Concerta and it worries me. I feel like if he would just get off sugar and dyes it would stop the ADD.
It's reasonable to be skeptical about the health impacts of medication, but the idea that sugar and dyes cause ADD is just not supported by any science.
Someone needs to inform themself about add better…..
This is not accurate. You really need to watch more of Dr.Marks's videos about ADHD for the sake of your son.
It won't go away. Yes eating healthy IS beneficial on many levels. But ADHD is and always will be there as it has a genetic component. Keep watching Dr. Marks. Knowledge is power.
I only drink water and started a near keto/paleo diet for years now and still have ADD. It won't go away. All you can do is manage it.
Thank you as always Dr. Tracy Marks for the work that you put into the mental health community, a community which you have grown via this CZcams channel that I have been following for several years now.
I made a sudden appt. with my psych nurse today.
I'm on 54mg Concerta + 10mg Ritalin PRN, but it's not cutting it anymore as I am going back to school, at 33 years old, plus I work nighflyer hours a couple days a week. My life is coming together, in other words and I want to reach my fullest potential.
The Methylphenidate just doesn't cut it. Back to amphetamines! But this time, with my blood pressure extremely well controlled.
My BP is at or below 120/80 on average based on many BP readings over the past several months. I've had EKG's done all throughout last year as well, so my heart IS healthy.
There is a history of heart disease in my family, but I'm not deterred from taking a stimulant because the effects are that substantial to me.
I'm starting Vyvanse tomorrow, which I've been on in the past maxed out at 70mg.
I'm starting 50mg Vyvanse tomorrow and my psych nurse is also keeping me on the PRN Ritalin, as the Vyvanse doesn't last all day itself.
Monthly checkups until we hone in on the optimal dosing strategy.
Mydayis was mentioned as a future possibility if needed as I was told that it actually lasts 16 hours.