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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Therapy For Depression & High Blood Pressure

My husband has ADD and was given Adderall 30mg to try out. He also takes clelexa for depression, and high blood pressure meds along with cholesteral pills. He said the adderall make him shaky and very edgy. He stopped it after a few days. Do you think it was a mix of the differerent pills or should we try strattera which is a non stimulant form. Both of my boys & are ADD on Concerta and Metadate which are wonderful for them.
Mon, 27 Apr 2015
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Psychiatrist,  's  Response
Hello thanks for asking from HCM for your health related queries

I can understand your concern. He is suffering from ADD and depression and is on Adderall 30 mg and Celexa. Adderall is a stimulant medicine and this medicine also helps to improve day time activities and reduced drowsiness so helps in depression. Celexa is Escitalopram and the drug is a SSRI medicine one of commonly used in depression. If he is not tolerating the Adderall properly then in such case other medicines can be tried for his ADD symptoms. You can discuss with his psychiatrist to reduce the doses of drug for better tolerance. Strattera is Attenterol and the drug is not a stimulant medicine and in some patients it is known to worsen depression and suicidal tendencies, so in my opinion use of this drug should be judged only by risk-benefit analysis.

Other drugs like Modafinil, Armodafinil can be tried. The drugs are not stimulant medicines and are better tolerated than amphetamines. Though not proper drugs for ADD but they will help in depressive symptoms and he would feel better with good attention. Visit his psychiatrist for detailed evaluation and prescription.

Thanks, I hope this helps you. Take care
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Suggest Therapy For Depression & High Blood Pressure

Hello thanks for asking from HCM for your health related queries I can understand your concern. He is suffering from ADD and depression and is on Adderall 30 mg and Celexa. Adderall is a stimulant medicine and this medicine also helps to improve day time activities and reduced drowsiness so helps in depression. Celexa is Escitalopram and the drug is a SSRI medicine one of commonly used in depression. If he is not tolerating the Adderall properly then in such case other medicines can be tried for his ADD symptoms. You can discuss with his psychiatrist to reduce the doses of drug for better tolerance. Strattera is Attenterol and the drug is not a stimulant medicine and in some patients it is known to worsen depression and suicidal tendencies, so in my opinion use of this drug should be judged only by risk-benefit analysis. Other drugs like Modafinil, Armodafinil can be tried. The drugs are not stimulant medicines and are better tolerated than amphetamines. Though not proper drugs for ADD but they will help in depressive symptoms and he would feel better with good attention. Visit his psychiatrist for detailed evaluation and prescription. Thanks, I hope this helps you. Take care