[caringmum]

Can 15 mg of Adderall XR trigger a first episode of mania/hypermania? Kind of worried about my daughter taking this as both her brothers are bp1 and she has OCD, ADHD and recurring MDD, and various anxiety disorders, she says she is happy and can't stop talking, and when she comes down off it she has an impending sense of doom or some kind of depersonalization thing. I will tell her pdoc but she won't see him for a couple of weeks.

[Wild Coyote]

Any formulation and/or dose of Adderall could trigger hypomania or mania.
Adderall does not always trigger these mood shifts; yet can do so.

Does your daughter feel her talking is out of her control?
Is her pdoc open to getting phone calls in between sessions?
If so, she may want to give him a call.

Watch for other signs of hypomania/mania.
She can always discontinue the Adderall if things seem to be getting out of control. It's best to try to check in with the prescribing pdoc, if possible.

Much love to you and to yours!


WC

[pirilin]

It produces a little euphoria at that amount.
However, the famous "Adderall comedown" can be as brutal as way higher amounts in some people.
I can't take more than 10mg without the comedown. Good luck.

[Wild Coyote]

Originally Posted by pirilin

It produces a little euphoria at that amount.
However, the famous "Adderall comedown" can be as brutal as way higher amounts in some people.
I can't take more than 10mg without the comedown. Good luck.

In my own case, I do not feel any euphoria with Adderall (or anything else) therefore, no "let down," either.


WC

[HALLIEBETH87]

A dr mistakenly
Prescribed it to me about ten years ago and omg! Hallie was manic!

[Victoria'smom]

My son can't take ADHD medication because of the comedown.

I’ve looked back through your posts about how severe the problems are. I was curious if this one had been hospitalized since I remember your posts (vaguely) about that.

I understand all three of your teens are bipolar (from previous posting—how old are they now? I noticed you said they were 15, 17, and 19 over a year ago—but you listed the same ages the other day) and noted discussions of various medications and also your thoughts of withholding medications.

I assume the pdoc already knows of the mania risk since you’ve reported her bipolar over a year ago. If not have you informed him/her if you switched?

Please discuss with the pdoc. You can call the pdoc—you don’t need to wait for an appointment.

[caringmum]

Originally Posted by key tones

I’ve looked back through your posts about how severe the problems are. I was curious if this one had been hospitalized since I remember your posts (vaguely) about that.

I understand all three of your teens are bipolar (from previous posting—how old are they now? I noticed you said they were 15, 17, and 19 over a year ago—but you listed the same ages the other day) and noted discussions of various medications and also your thoughts of withholding medications.

I assume the pdoc already knows of the mania risk since you’ve reported her bipolar over a year ago. If not have you informed him/her if you switched?

Please discuss with the pdoc. You can call the pdoc—you don’t need to wait for an appointment.

They just had birthdays! One turned 20 March 29, the day of rehospitalization , one turned 18 at the end of the year, and one turned 16 in January. The mania/psychosis with the hospitalizations started when they were 17 and 19. The youngest had her bipolar diagnosis retracted for now, but her behaviour on stimulants appears to be the same as her older brother when he took them more than two years ago. The pdoc had previously diagnosed her older brother then 6 months later put him on cymbalta for anxiety, saying he was not currently seeing evidence of mood swings but to look out for mania, which I did but as he had obviously been cycling for two or three years I didn't notice anything different until extreme mania and psychosis appeared out of nowhere - looking back on it, the signs were there. So I am kind of nervous. pdoc is away on vacation, the first time I have known him to be away in the 18 months I have used him. I don't want to be over cautious, and she has such bad adhd and important exams coming up, but I don't want to miss the signs of mania and her go into psychosis for weeks like her brother, not sure if adderall is as damaging as ADs?

[Wild Coyote]

Adderall can trigger hypomania/mania much the same as ADs.
Whether it does or not is very individualized.
Which substance is apt to kindle to most severe mania is also very individualized.

It is possible your three children are/are not each on the same spot in the bipolar spectrum.

If any substance is kindling hypomania/mania, please report it and seek direction. If your pdoc is not available, is there a back-up pdoc? If there is no back-up pdoc while your pdoc is away, you could check in with the pharmacist.

With Admiration,

WC

[Victoria'smom]

ADHD and bipolar in children look similar so be very very careful. Is your pdoc a children's pdoc?

[Guiness187055]

Any stimulant can cause mania in bipolar.

[caringmum]

Originally Posted by Guiness187055

Any stimulant can cause mania in bipolar.

I am not sure if she has bipolar disorder yet, her brothers do. However there are many red flags ...

[Shazerac]

If she has pressured speech (can’t stop talking) that could be a warning sign of bipolar. I agree with the others that you should talk to her doctor as soon as possible. Waiting 3 weeks could be disastrous if the adderal is triggering mania.