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  #1  
Old 05-07-2010, 00:55
Christian1122 Christian1122 is offline
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Signs of an Adderall overdose?

My friend was wondering what it feels like when you have taken to much adderall and are in need of medical care. My friend has experienced a few situations where he was certain he was going to die (but didn't). He has anxiety issues and tends to think irrationally when in these situations and exacerbates the problem by over thinking it.

He has read all the side effects that "require medical attention immediately" provided with his prescription but it includes things like increased heart rate, shortness of breath and grinding your teeth. He experiences these side effects every time he uses.

He is just looking for a little piece of mind and the difference between a real medical emergency, or some anxiety doing its dirty. Much appreciated.
  #2  
Old 05-07-2010, 01:04
Priapism9 Priapism9 is offline
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Re: How to know when I am dying?

Good question.

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Useless one liner, this is what the reputation system if for
Oh come on! You've been here long enough to know better than to post useless two-word approvals. If you wanted to tell the OP you thought the topic was worthwhile, you should have used the rep button.
This post should be deleted for its sheer uselessness. At least take the time to type out why it's a good question! -_-
  #3  
Old 05-07-2010, 01:15
Space Numpty Space Numpty is offline
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Re: How to know when I am dying?

Quote:
Originally Posted by Christian1122 View Post
My friend was wondering what it feels like when you have taken to much adderall and are in need of medical care. My friend has experienced a few situations where he was certain he was going to die (but didn't). He has anxiety issues and tends to think irrationally when in these situations and exacerbates the problem by over thinking it.

He has read all the side effects that "require medical attention immediately" provided with his prescription but it includes things like increased heart rate, shortness of breath and grinding your teeth. He experiences these side effects every time he uses.

He is just looking for a little piece of mind and the difference between a real medical emergency, or some anxiety doing its dirty. Much appreciated.
The first thing SWIY will know that he has taken a fatal level of amphetamines is when he collapses. Follow the directions as indicated and there will unlikely be a problem, but start munching them like M+M's and SWIY will put himself in danger. There is no way to tell "ok SWIYs deffo in trouble, this isnt just anxiety" other than refraining from taking stupid quantities of pure Amphet in the first place.

There is plenty of info here on prescribed Amphets, read up on what are deemed to be sensible doses and the health issues involved and at least SWIY may use with greater knowledge.

The most probably cause of death with an amphet overdose would be heart failure and there is no way to know that one is going to suffer a heart attack until it hits them. Thats the simple reality.

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Good answer
  #4  
Old 05-07-2010, 03:12
100mg Methylphenidate 100mg Methylphenidate is offline
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Re: How to know when I am dying?

"Don't do the crime if you can't pay the time"

If somebody can't handle being geeked out, don't do it. Over time, the side effects are just going to get worse and worse. And the experience less euphoric and more miserable.

Anyway, the heart rate and shortness of breath just sounds like anxiety. This only happens to swim after abusing heavily for multiple days, during the comedown. But a lot of that is from a lack of food and sleep. Chest pains during these anxiety attacks are caused by angina. A shortage of oxygen to the heart. This isn't necessarily dangerous. It's just from the fast beating heart and small breaths.

If somebody is having anxiety issues. Some things that can help are eating(even if it feels unnecessary or difficult to do), smoking cigarettes, getting a full nights sleep, eating a banana or something else high in potassium, being hydrated, and benzodiazepines or other depressant drugs.

And any dose can be fatal. A fifteen mg adderall is enough to kill somebody with a high susceptibility to heart attacks or seizures. And some people just seem to have really bad psychological reactions with any dose.

As far as figuring out if somebody needs medical attention. A blood pressure monitor is very helpful for figuring out cardiovascular risks. I recommend reading about angina, blood pressure, strokes, vasoconstriction, and other cardiovascular health related issues.

OH. And remember.Thinking about your heart during an anxiety attack makes it worse. Especially if you start thinking about how you breath. Just tell swiyself it's in his/her head and there's nothing wrong with their heart. That may or may not be true. It's probably not likely... But worrying is just going to cause more stress on the heart anyway.

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Chest pains are not always due to angina.
  #5  
Old 05-07-2010, 04:47
Priapism9 Priapism9 is offline
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Re: How to know when I am dying?

Useless one liner? So was your reputation comment.

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Read rules, childish behaviour
Complaining about rep in a thread is off topic and againt the rules, as is making useless one liners and flaming
commenting on rep (esp deserved rep) in the thread is off-topic & against the rules. We *KNOW* you've been around long enough to know better than to engage in this kind of behaviour!
  #6  
Old 05-07-2010, 07:43
gergmacmillan gergmacmillan is offline
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Re: How to know when I am dying?

swiy doesn't mention any symptoms of 'dying', or mention the doses involved, OR the amount of adderall he takes on a regular basis etc. if he is an occasional user, then the lack of a tolerance would prob cause more intense cardiovascular effects (swim noticed that he had MAD palpitations in his first week of even 60 mg everyday, intranasally; after several months, up to 150 mg no longer produced this effect).
swiy also mentions that he has anxiety issues, and any meds that he is possibly being RX'd could definitely cause more intense/dangerous effects (ie SSRIs, MAOIs). on that note, anxiety plus amphetamine = paranoia =/

peace
  #7  
Old 05-07-2010, 09:56
Micklemouse Micklemouse is offline
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Re: How to know when I am dying?

Sorry 100mg, but there is so much wrong information and poor advice for anxiety management in your post.

Quote:
Originally Posted by 100mg Methylphenidate View Post
Chest pains during these anxiety attacks are caused by angina. A shortage of oxygen to the heart. This isn't necessarily dangerous. It's just from the fast beating heart and small breaths.
Angina and anxiety are utterly unconnected, and anxiety does not cause angina. Angina is a physical condition caused by narrowing of the arteries leading to the heart, which does restrict the flow of blood & oxygen. The chest pains associated with anxiety are related to the physical effort of breathing faster and the muscles of the neck & shoulders contracting and putting more pull on the muscles below (i.e. the chest) as a result), the after effects of adrenaline, and the excess of carbon dioxide in the blood as a result of hyperventilating. During an anxiety attack the heart beats faster and breathing becomes shallower to get more oxygen to the muscles needed for either fight or flight - this again exercises the chest muscles more, causing tightness & pain. Obviously people with anxiety can have angina, and vice verse, but there is no causal link.

Quote:
Originally Posted by 100mg Methylphenidate View Post
As far as figuring out if somebody needs medical attention. A blood pressure monitor is very helpful for figuring out cardiovascular risks. I recommend reading about angina, blood pressure, strokes, vasoconstriction, and other cardiovascular health related issues.
I recommend speaking to your friends doctor, getting blood pressure checked out by a professional, and if the adderall is prescribed looking at an alternative with less side-effects. Home blood-pressure monitoring is a nightmare for the health professional and can give false readings regularly - with most electronic home BP measuring kits (sphygmomanometers) you have about 10 accurate readings until the battery starts running low & the false readings begin. Also, you need a baseline reading to compare any subsequent readings with, & this should be done by a professional - if it is significantly high, then the healthcare professional may recommend investing in a home BP measuring kit or further monitoring by professionals. They will also look at an alternative prescription. Christian, is your friends doctor aware of his anxiety issues? And if so, what were they thinking prescribing an amphetamine cocktail like adderall?

What I would recommend reading up on is anxiety & the Fight or Flight syndrome responsible for the physical symptoms of anxiety. Reading up on cardio-vascular emergencies while potentially useful, is only going tio be more anxiety provoking.

Quote:
Originally Posted by 100mg Methylphenidate View Post
Some things that can help are eating(even if it feels unnecessary or difficult to do), smoking cigarettes, getting a full nights sleep, eating a banana or something else high in potassium, being hydrated, and benzodiazepines or other depressant drugs.
If your friend is already a smoker, a cigarette can provide the distraction and focus on the breath that can help alleviate a panic attack, however remember taht nicotine is also a stimulant that has a negative feffect on the heart & starves the system of oxygen. Please do not start smoking to try to deal with anxiety issues! It won't help! Hydration is a good point, but don't go overboard on the water, or a different type of medical emergency will happen - look up hyponatraemia. Benzodiazepines can be effective in the short term to manage anxiety, as can other medication, but the emphasis should be on the short term. Ask your friend to look into anxiety management classes, or even yoga which will help him to physically relax & also teach breathing techniques & ways to effectively rationalise thoughts that will help deal with the attacks before they take a full hold. Breathwork is very important in anxiety management - many of the symptoms are due to an imbalance of blood gases, and being able to take control of this aspect can make a huge difference.

Again, talk to your friends doctor about this - while he is aware that anxiety is an issue, it can be useful & reassuring to rule out other causes. He also needs to reassess his prescription if this happening at normal prescribed doses.

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Just brilliant advice, all relevant, and exactly what someone with this problem needs to do.
great advice
Solid information. Good definitions and concise statements.
Some of the best advice on this topic on this site.
  #8  
Old 06-07-2010, 09:47
Christian1122 Christian1122 is offline
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Re: How to know when I am dying?

He does not take it at the prescribed dose sad to say. He takes about 120 mg's a day, sometimes 150. 2 30 mg's at first then one about 4 hours later and usually another about 4 hours after that. He only does this about a week to a week and half until his prescription runs out then doesn't take any until he gets it refilled. He doesn't experience these problems while he is "high" on the adderall, just towards the comedown. He guesses the question is more along the lines of what is normal during a comedown and is it only the comedown that causes those feelings.

His doctor is not aware of his anxiety issues. He got this prescription just to use it recreationally which he should not have done. He doesn't want to lose the script so he is afraid to bring it up now.

Thanks for the great advice.

Last edited by Christian1122; 06-07-2010 at 09:52.
  #9  
Old 06-07-2010, 10:37
Micklemouse Micklemouse is offline
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Re: How to know when I am dying?

So your friend is already regularly overdosing on a medication he doesn't actually need? Hate to say this, but what did your friend expect exactly? Your friend will only continue to have harsher & harsher comedowns if he continues like this, further exacerbating his underlying anxiety and possibly leading to more intense & serious issues - there can it seems be something of a continuum with anxiety leading to paranoia leading to psychosis, especially when stimulants such as amphetamines are involved. Your friend needs to very, very careful if he insists on going down this route without first dealing with the anxiety issues. The next step here is that your friend starts taking the amphetamines to avoid the comedown. At some point his doctor or pharmacist may twig that he is abusing his script, meaning he will lose the prescription anyway, leaving him with a habit & only one way to fulfill it. I don't think I need to spell this out do I?

He needs to ditch the amphetamines, go to his doctor & talk about his anxiety before this spirals into a nasty cycle of addiction and beyond.

I'm trying not judge here, but stories like this annoy me. It is abuse of medication & the system such as this that keep costs of health care high and lead to unnecessary addictions and subsequent interventions & hospitalisations. Your friend needs to take responsibility for his actions, emotions & issues, & deal with his shit before he has a whole load more to deal with. If he is insured does he realise that he is wasting his insurance on medication that he doesn't need, & may be in dire trouble when he actually does need it? Does he realise that he is wasting his doctor's, & his own time?

A bit of reassessment is needed here - your friend is young and the last thing he needs is a speed addiction. Be careful.
  #10  
Old 06-07-2010, 18:34
collegewriter collegewriter is offline
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Re: How to know when I am dying?

In addition to the good advice from MickelMouse, SWIM would go even further as to mention your friends addiction "potential" to his doctor. If he leaves this detail out he may end up on the road of an anti-anxiety treatment that involves benzodiazepines instead of therapy. Prescription amphetamine addiction is not fun and it will make people drag for a week or two, but benzodiazepine addiction is a little more life threatening. If your friends doctor thinks a treatment of therapy and medication can work well, may sure he comes to that conclusion based on all of the facts.

Most doctors are very intelligent people, and genuinely care about their patients. They aren't the police and they aren't out to get anyone. Your friend will find being open and honest with your doctor will really end up helping him.

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