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-   -   Dexedrine (https://www.neurotalk.org/parkinson-s-disease/90367-dexedrine.html)

ol'cs 06-22-2009 02:43 AM

Dexedrine
 
I have not heard of many YPWP taking Dexedrine (D-Amphetamine). With the high dosages of L-Dopa,(I'm up to 1200mg/day, after 13 years since DX) antidepressants, sleep promoting drugs, amantadine, antispasmodic agents and pain medication, plus an already well established pattern of "sundowning", I had developed a dual diurnal cycle in a 24 hour period. This made PD even hardef to handle, than with all the "usual" complaints.plus when I was awake, i was "dopey" most of the time. My lucidity was fading fast.
Then, one visit to a particularly good neuro, who unfortunately moved on, he said "why don't we try giving you a stimulant? I told him that caffeine only nakes me shake, and that newer stimulant drug, the one who's name I forget, just didn't do much at even high doses.So, he said "we'll try dexedrine. I must admit at first I was a bit scared of using another controlled substance for the rest of my life, but Dexedrine literally changed my life. It is the only new medication that I've tried in 7 years that gave me back a much better quality of life, with PD. I can almost keep "regular hours" have quit "sundowning", I can drive without fear again, it brought me back to life. The only problems are now that i'm up and moving around more, I fall more often (usually 2-3 times a day). My blood pressure has been brought into the 120/70 range, so i don't have nearly as many orthostatic hypotensive events. It took a bit of work to get the dose right but 30mg of controlled release, taken in the morning, keeps me up and alive all day, and by midnight, it's worn off enough and becase I'm getting lots of exercise instead of just sitting or lying down all day, I can usually get along with minimal seep helping aids. Perhaps the best thing is I've lost 15 pounds and am getting my strength back again. If it weren't for falling down, and the addiction liability, this would be a wonder drug, but for these and other possible side effect reasons , most neuro's won't ever let you get near trying dex to see if you tolerate it well..
I'm lucky I guess, but now with my pain and sleepiness controlled, I'm almost back in the game of life again. If only i could do something about not having to go to a wheelchair soon:( O well, I'm a lot happier now than i was for years. Fingers crossed about side effects, because if they took it away from me , i would be awfully unhappy.

girija 06-22-2009 02:56 AM

welcome back
 
Thats wonderful. It will be good to have your participation here and hope to see your posts soon!
Welcome back!
Girija

reverett123 06-22-2009 04:25 AM

Newer is not necessarily better
 
ol' cs-

Glad to have you back! And so cheerful, too! :)

Dexedrine is suuch an old drug, it makes me wonder about the mainstays of yesterday and if they really are made obsolete by those of today. The only ones I know of are the antihistamines, but I've got a book here somewhere...

If the side effects of the dex get to be too bad, remember that you can add in a sedative to balance it a little.

About the falling. Maybe tai chi?

-Rick

Fiona 06-22-2009 06:33 AM

'ol cs,
it totally brightened my morning to hear you are feeling better. Hurray!

stevem53 06-22-2009 08:28 AM

Great to hear the good news my friend!!!!..That is da bomb!! :D

mrsD 06-22-2009 08:45 AM

Stimulants are commonly used in central neuro disorders to improve quality of life.

My only concern with its use here, is that it causes depression over the long term. This takes a while to manifest...months usually.

So since PD can have a depressive element for some I'd be watchful for this side effect. It typically begins when the drug starts to wear off.

The other side effects are cardiovascular, and you are following that potential, and it seems not a factor for you at this time.

The weight loss should level off. Dexedrine was a diet pill after all! ;) I remember when it was not even a "controlled" substance!

Thelma 06-22-2009 12:18 PM

So glad for you


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