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Originally Posted by Simcha (((((((chaotic)))))))

Thanks Simcha.I had to include this... my inner feral child needed to feel some no-touch love this week.

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Was the Propranolol prescribed on an "as needed basis" to augment your Adderall for your ADHD treatment, or is it for calming you down?

Yes, the Propranolol (a fast acting version at a low dosage 30mgs, I think) was Rx'ed for use "as needed." It is not really part of my treatment for ADHD. During one doctor’s appointment…after dismissing the perky PA, I told my neurologist/Pdoc/Candyman that I was struggling with chilling out during therapy (elevated BP, knot in throat, racing heart, muscle tension, and the feeling of someone sitting on my chest). He recommended that I take 1or 2 tables an hour before a stressful event. Propranolol is a beta-blocker and in higher dosages is used to lower BP and heart rate and to treat tremors, angina (chest pain). Unofficially it can be used to treat…short-term anxiety symptoms and migraines.

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How does the Propranolol affect you after you've taken it?

I don’t notice any major difference, however when I was testing it out over the summer I took it once before doing my daily walk, and I felt like I was dragging a bit at the end. …Not a good idea to take a beta blocker and then go out an exercise… It was low level exercise…and I knew I could stop anytime if I wanted to.

I’ve only used my Propranolol anxiety treatment a few times, one being last session. It does seem to help with my physical symptoms. They don’t totally go away but they seem more manageable. The last time I tried to talk about a particular issue in therapy…I thought my heart was going to bust right out of my chest and I was dry heaving in the parking lot afterward. Last week I still felt very anxious…but not where near this ways.

I will caution people though…at one point in the management of my BP we tried switching me to a long-lasting –higher dose of Propranolol. My candyman figured… hey why not address both your anxiety and your BP issue with one medication. This worked well for me, EXCEPT for two occasions when I drank some alcohol (1 glass of wine, and the other time it was a large glass of Foster’s Lager). For me Propranolol and even just one glass of alcohol DO NOT MIX. I crashed hard about 30 minutes after drinking… felt like MAJOR depression. I would not recommend doing this.

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Is your Adderall the sustained release variety?

Yes, I take 60 mg of the Adderall XR in the morning.

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I'm always looking for something better. I like the Dexedrine XR Spansules

Actually the whole reason I visited this forum today was because …somehow the pharmacy companies have gotten my email address…(hopefully not from PC!) and I was sent an article/advertisement from Medscape.com on DAYTRANA. This apparently is a “once-daily transdermal patch formulation of methylphenidate, available in 10 mg, 15 mg, 20 mg, and 30 mg dosage strengths, provides day-long symptom control.” I know nothing about this medication but thought I would check to see if anyone was using it.