Anal use - SWIM wants advice

[JudgeJudy]

SWIM has ADD and had a very difficult time reading all of these rules. Especially since my new medication has worn off.

SWIM has Acid Reflux and cannot take Adderall orally so SWIM plugged it. Also Swim cannot spell very good.

Now the doctor switched from Adderall IR to Dextro spanuales/beads and they are very hard to crush up.

SWIM seen a few posts on how to crush up these nasty beads that flip up into the eye area when trying to crush them.

So SWIM was wondering if plugging for long-term period of time will do buj harm. Should SWIM give plugging a break and try another method like snorkling, which don't think the beads will work very well even crushed. SWIM is scared to try this because never done it before.

Thanks for any input - No I don't mean you will input anything anywhere LOL

This user name is not appropriate here now that I think about it.

Reputation Comments on this post:

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[Dole654]

It seems to me that plugging methylphenidate for an extended period of time wouldn't have any adverse effects beyond those of oral methylphenidate. Just don't give yourself an infection!

SWIY could also look into Daytrana:

http://www.rxlist.com/cgi/generic/daytrana.htm
www.daytrana.com

which is a transdermal, and, accordingly, extended release, delivery system for methylphenidate.

[JudgeJudy]

SWIM has never heard of getting an infection and wonders how this could happen because after every plugging the syringe is cleaned with anti bacterial soap? Will this be OK or is there something else that needs to be done? Newbie in raw form!

SWIM will check into those patches, but has a bad feeling the pharmacy will want to take SWIM's first born in exchange for the amount they are going to charge.

SWIM wants to save as much money so donations can be made to this wonderful forum that was discovered.

Thanks

[Dole654]

Most of us are noobs at poking around in our uttermost being

I'm not sure that there's anything else that could be done then washing, short of using a new syringe everytime.

I'm definately no gastroenterologist, but it seems to me that mouth ≈ anus, and the mouth isn't that prone to infection. in fact it's disgusting.

The patches generally don't sit so well with the wallet....

Drug Cost/Month Methylphenidate SA $30 Concerta $110 Adderall XR (all strengths) $120 Daytrana(all strengths) $130
Found this at OSU College of Pharm

http://pharmacy.oregonstate.edu/drug...e8/DURV8I5.php

[staples]

Originally Posted by JudgeJudy

Now the doctor switched from Adderall IR to Dextro spanuales/beads

I'm confused, Dextro...amphetamine (Dexedrine)? which isn't methylphenidate? or dextromethylphenidate (Focalin)?

Did I miss something? It doesn't seem clear that you are dealing with methylphenidate as opposed to some sort of amphetamine? I also don't see how that would really help with the acid reflux thing? or is that unrelated?

[JudgeJudy]

I'm not sure what the difference is either. SWIM wants to continue with methanphetamines but just doesn't care if it comes in a patch. But doesn't want to pay an arm and a leg for it.

SWIM knows it's disgusting for the anus but the stomach can't tolerate that pill for some reason? It causes severe Acid Reflux when taken. The Acid has caused SWIM to pay $60 per month for Nexium, not to mention the esophagus has erosion causing sore throats. The pill can't be tolerated anymore and there has to be other alternatives because ADD is hard to live with.

Nose is one way but SWIM has never done this and isn't sure how much to try at first. Also does SWIY know how much of the crushed pill will leave the sinus cavity and filter into the stomach? How long does the medication stay in the system when using nose?

Thanks

[Dole654]

IMHO SWIY is definitely better off plugging (if comfortable with it) than snorting, as snorting will eventually get to one's sinuses, while SWIM can't see extra particulate in one's bum being an issue.

There will be drip as well. Hard to say how the drip would be on SWIY's stomach... it's hard to say how much active ingred will be absorbed via nasal vs. from drip.

[staples]

Originally Posted by JudgeJudy

I'm not sure what the difference is either. SWIM wants to continue with methanphetamines but just doesn't care if it comes in a patch. But doesn't want to pay an arm and a leg for it.

Still confused. What, exactly, did your doctor prescribe you to?

This is the concerta/ritalin (methylphenidate) forum, but so far you seem to indicate that the prescription is for, I think either dextroamphetamine (dexedrine/dextrostrat I think), or methamphetamine (Desoxyn)?

Originally Posted by JudgeJudy

Nose is one way but SWIM has never done this and isn't sure how much to try at first. Also does SWIY know how much of the crushed pill will leave the sinus cavity and filter into the stomach? How long does the medication stay in the system when using nose?

I've never insufflated anything so I can't say how effective that'd be, but I'm pretty sure it's really bad for your nose/sinus cavities.

[JudgeJudy]

First the prescription was called Adderall 20mg *oarnge pill* (D-Amphetamine), then the doctor switched to Ritalin (Dextroamphetamine) 10mg caps. The first was in pill form, now the other is beads *extended release* and they are very difficult to crush. Swim is pissed off and is going to buy a pill crusher.

The Adderall has an extra compound of salt (that Ritalin doesn't have) and it has an effect on the cardiovascular. SWIM doesn't like that, so asked doctor for Dextro and didn't know it only comes in *extended release* form. SWIM can probably switch back to Adderall but would prefer not to have the added salt that affects the cardiovascular system.

Also, Adderall makes it difficult to sleep at night and wanted to try Ritalin to see if there was a difference in the ability to sleep.

As far as the bum, it is not always convenient to use it that way, and thought the nose could be an alternative on those occasions.

SWIM has no clue where to get a needle but if did would use it IM not IV. Not trying to get a buzz just wants alternatives then oral, because of Acid Reflux. If SWIM told doctor about Acid Reflux, Doc would say good bye to the medication, and can’t have that happen.

If SWIM finds a needle can SWIY tell if plain water and medication will work IM? SWIM seen posts about extracting medication and some people used alcohol. Not sure why? Can SWIY tell me please.

Thanks about the info on sinus. That sucks!

[staples]

Originally Posted by JudgeJudy

First the prescription was called Adderall 20mg *oarnge pill* (D-Amphetamine), then the doctor switched to Ritalin (Dextroamphetamine) 10mg caps.

D-Amphetamine is a shorthand for Dextroamphetamine, I believe. Adderall should have been "mixed amphetamine salts". Ritallin is generally less effective than adderall at the same dose, so if the second prescription were ritallin, the dose would be higher than 20mg (probably around 50-60). Indeed, dextroamphetamine is not ritalin, it's dexedrine, which comes in both time-release and instant-release forms. Adderall also has both time-release and instant-release.

Originally Posted by JudgeJudy

The Adderall has an extra compound of salt (that Ritalin doesn't have) and it has an effect on the cardiovascular. SWIM doesn't like that, so asked doctor for Dextro and didn't know it only comes in *extended release* form. SWIM can probably switch back to Adderall but would prefer not to have the added salt that affects the cardiovascular system.

The first part sounds right assuming you, in fact, mean dexedrine, and not ritalin. But Adderall, Dexedrine, and Ritalin all bind to norepinephrine transmitters, and so all have an effect on the cardiovascular system by way of increasing the heart rate.

Originally Posted by JudgeJudy

Also, Adderall makes it difficult to sleep at night and wanted to try Ritalin to see if there was a difference in the ability to sleep.

I don't think there'd be much of a difference with dexedrine, but I have heard people report they have an easier time sleeping with Ritalin. But again, Ritalin is methylphenidate, not dextroamphetamine.

I'm having a hard time understanding how these things got mixed up, is your doctor telling you that dextroamphetamine is ritalin? To convince yourself, take a look and compare the wikipedia articles on dextroamphetamine and methylphenidate

[JudgeJudy]

Yes, SWIM's doctor told her that dextroamphetamine is Ritalin. Found out the first day that this was taken didn't sleep for 24 hours. Not sure if it was because of first day try. Trying it again today and will see if sleep is improved.

SWIM sees no point in switching if it will make sleep worse. Don't know why got those stupid beads. Eh! Doctors like giving beads out because of abuse that is probably why he lied.

Doctor lowered dosage because he was afraid to start different medication at same dosage. He is a resident maybe he doesn't know. SWIM obviously doesn't know either.

Thanks

[JudgeJudy]

So basically Dextroamphetamine and D-Amphetamine salt Combo (Adderall) are the same?

Thanks

[staples]

Originally Posted by JudgeJudy

Yes, SWIM's doctor told her that dextroamphetamine is Ritalin.

There must've been a misunderstanding, otherwise, I'm not sure that this is really legal...

Originally Posted by JudgeJudy

SWIM sees no point in switching if it will make sleep worse. Don't know why got those stupid beads. Eh! Doctors like giving beads out because of abuse that is probably why he lied.

I think generally the beads are thought to be a weak abuse protection, as they are so easy to defeat by crushing them. I get the sense that actual ritalin is a less-abused drug than the amphetamines (adderall, dexedrine), and concerta (one of the controlled-release formulations of ritalin/methylphenidate) has a much more complex, harder-to-abuse, controlled-release mechanism. So it doesn't makes sense to me that he gave you dexedrine instead of ritalin or concerta in the interest of preventing abuse.

Brand-name confusion aside, does dextroamphetamine not upset your acid reflux the way adderall does? What I would do, then, would be to tell the doctor that I have trouble sleeping with the new medication and that I had read that there's a shorter, instant-release version available and was wondering if I could try that.

Originally Posted by JudgeJudy

Doctor lowered dosage because he was afraid to start different medication at same dosage. He is a resident maybe he doesn't know. SWIM obviously doesn't know either.

Hmm, when I switched ADHD medications my doctor looked up some information to select an appropriate dosage to try out at first which apparently involved some calculations. However, I learned recently that she specializes in ADHD treatment, so that may be the difference.

Originally Posted by JudgeJudy

So basically Dextroamphetamine and D-Amphetamine salt Combo (Adderall) are the same?

Almost, I've always heard of Adderall as just "mixed amphetamine salt" because it contains equal parts of 4 salts: dextroamphetamine saccharate, dextroamphetamine sulfate, racemic amphetamine aspartate monohydrate and racemic amphetamine sulfate. "D-Amphetamine salt combo" would suggest that only the first two salts are involved, I'm not sure if adderall has a formulation like that? The prefix "D-" is shorthand for the prefix "Dextro" though.

[JudgeJudy]

SWIM looked at prescription bottles and D-Amphetamine states underneath that it is generic for Adderall 20mg

Dextroampetamine 10mg caps states underneath that is generic for Dexedrine 10 mg

SWIM took one capsule two days ago orally and it caused Acid Reflux to flair up very bad. There is no difference between the two for Acid Reflux even at lower dose. Even taking Adderall through the bum causes problems sometimes. Less severe and not as often, but still causes flair ups.

Because SWIM took capsule orally yesterday Acid Reflux flare up started when the crushed version went through the bum today. But used two capsules instead of one, which would be 20 mg of Dexedrine. It doesn't matter what it is as long as I don't have a heart attack over it. On the ADD forum some one stated Adderall has a salt compound that speeds up the cardiovascular system.

Also, noticed taking 20mg of Dexedrine today is causing tics. Not real bad but don't like it.

SWIM thinks she will switch back to Adderall anyway. Hope doctor doesn't get pissed. eh! What a mess of shit.

Thanks for all of your help in clearing that up.

[staples]

Originally Posted by JudgeJudy

SWIM looked at prescription bottles and D-Amphetamine states underneath that it is generic for Adderall 20mg

Hm, interesting, which country?

Originally Posted by JudgeJudy

Because SWIM took capsule orally yesterday Acid Reflux flare up started when the crushed version went through the bum today. But used two capsules instead of one, which would be 20 mg of Dexedrine.

Tell SWIY to be careful! If I understand correctly, one 10mg dexedrine controlled-release tablet should contain about 20mg dexedrine total, 10mg instant-release and 10mg delayed release (approx).

[JudgeJudy]

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