rdhd
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Post by rdhd on Jan 12, 2017 19:26:09 GMT
Hi, I've been on Elvanse for just over a week, and throughout I've noticed an increased heart rate and palpitations, which can be somewhat uncomfortable especially with physical exertion. It's most noticeable for some reason between 4-8 hours after taking the tablet (not before), and again after about 12 hours. At the very start I noticed sweating which seemed to subside in a couple of days. I want to give the med a fair trial but not particularly keen on having these side effects throughout, so I wondered if anyone else has had similar side effects, and if so do they subside as time goes on and the body adjusts to the medication? I was advised by my doctor that they'd be able to prescribe a beta blocker to help should it continue, but honestly I'm not that keen to take another tablet on top of the Elvanse if possible. Thanks in advance
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Post by vagueandrandom on Jan 13, 2017 8:40:46 GMT
Hi, I've been on Elvanse for just over a week, and throughout I've noticed an increased heart rate and palpitations, which can be somewhat uncomfortable especially with physical exertion. It's most noticeable for some reason between 4-8 hours after taking the tablet (not before), and again after about 12 hours. At the very start I noticed sweating which seemed to subside in a couple of days. I want to give the med a fair trial but not particularly keen on having these side effects throughout, so I wondered if anyone else has had similar side effects, and if so do they subside as time goes on and the body adjusts to the medication? I was advised by my doctor that they'd be able to prescribe a beta blocker to help should it continue, but honestly I'm not that keen to take another tablet on top of the Elvanse if possible. Thanks in advance
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Post by vagueandrandom on Jan 13, 2017 8:50:30 GMT
Hi. rdhdDoes the Elvanse give you significant improvement in your ADHD? I'm saying this because, although I didn't notice palpitations, my BP went sky high on Elvanse. I only experienced a slight, although very welcome improvement in my ADHD, which was much less than my consultant would have expected on 50mg. Which is why we agreed that I should stop taking it. If I had responded better, I would have considered controlling my BP with meds
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rdhd
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Post by rdhd on Jan 13, 2017 13:48:44 GMT
Hi vagueandrandom, thanks for your post. I'd say it gives moderate improvement, there's certainly been a positive change in regard to my focus and ability to get tasks done, and less impulsive generally. It's early days yet so wouldn't expect anything too drastic yet. Certainly better than the experience I had with methylphenidate. Did you by any chance measure your BP before/after starting the meds or was it just that noticable?
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Post by vagueandrandom on Jan 13, 2017 19:08:03 GMT
Yes, I had my BP tested before starting Elvanse. It went up a bit after a month
on 20mg, so I went up to 50mg, but my BP was really high after a month,
so I stopped. I didn't really notice significant palpitations though.
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Post by easilydistracted on Jan 13, 2017 23:50:28 GMT
This might be completely irrelevant but...
When I was initially prescribed Concerta, my blood pressure was a little on the high side, now having been told in the past I had low iron, high cholesterol etc (essentially malnourished, a diet of digestive biscuits and ice cream will do that...) I went on one of my banzai health kicks - this involved knocking seven shades out of myself on the bicycle and cutting out dairy products, mostly replacing them with soya ones.
It being cold and wet my knees started to hurt so I started piling back the glucosamine, calcium, iron and multivitamin suppliments.
I started getting palpitations!
The timeline didn't match with me starting the concerta, but it did match with a few weeks after my health kick started, looking at the suppliments and what I was actually eating I was crazy over on Vitamin D and Calcium! It didn't help that one particular brand of Soya milk also had supplimental levels of both of those!
Immediately calming down on those suppliments stopped the palpitations! The milk I still drink regularly but the top up pills are now weekly rather than daily
No palpitations since and that's even on my current regime of concerta, guarana and caffeine! Yes, the concerta dose needs increased...
Short version... look, if you haven't already, at everything else as well
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sharphaw
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Post by sharphaw on Jan 14, 2017 21:02:32 GMT
Hi
I noticed my heart rate was increased when I started Elvanse last October. I was worried about suddenly collapsing and dieing at work (how embarrassing would that be?) but I found out that's extremely unlikely. If there was any risk to your heart it would show up on an ECG, I had mine checked and it was fine.
I also had sweating which lasted probably a few weeks every time the dose increased.
The heart thing definitely has subsided for me, either that or I've just gotten used to it, so I'd definitely recommend sticking it out for as long you can and hopefully you'll have the same results. If you're the same as me then you'll notice more improvements the longer you take it.
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rdhd
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Post by rdhd on Jan 14, 2017 22:27:28 GMT
Thanks for all your replies I never considered food interactions with the meds, didn't see any mentioned in the info leaflet but that could well be a possibility. My multivits certainly have calcium and iron in them too so I might have to give them a rest for a few days and see what happens. The palpitations weren't as bad yesterday (day 5) so maybe things might be starting to calm down a bit. Haven't measured my blood pressure since day 1 so will have to keep an eye on that. Are ECGs routinely offered to monitor how things are or was that something Drs order if side effects are reported? I know they usually take blood pressure readings, weight etc prior to starting but I'm not too sure how things are monitored afterwards.
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sharphaw
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Post by sharphaw on Jan 15, 2017 17:17:03 GMT
I think it's best to keep an eye on your blood pressure and heart rate generally whilst on the stims, but definitely whilst titrating. I was referred for an ECG because my heart rate was high for a bit. Other things like a history of heart problems in your family would be reason enough to have one but this should have been checked before you started Elvanse. You're best checking with the doctor though if the palpitations don't wear off, they'd probably do an ECG if you asked. Again I think the risk with stims is extremely low but I'm just some dude in a forum The only noticeable physical side effect I still have is the occasional dry mouth.
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rdhd
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Post by rdhd on Jan 16, 2017 23:33:08 GMT
I've got an appointment next week so I'll bring it up then. My BP/heart rate was checked when I stated methylphenidate and atomoxetine previously, but I don't *think* it was with dex, come to think of it. Was thinking that it might be the dex causing the dry mouth lately but thought that could be down to another med I'm taking, perhaps it's both
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danhertsnotloggedin
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Post by danhertsnotloggedin on Jan 21, 2017 12:21:41 GMT
Get yourself a blood pressure reader thingy they aren't expensive.
My heartrate was constantly elevated in the time I was taking dex/elvanse. Once I was doing a first aid course and someone took my pulse at 96 which was embarrassing since I'm supposed to be fit.
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rdhd
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Post by rdhd on Jan 24, 2017 17:46:54 GMT
Get yourself a blood pressure reader thingy they aren't expensive. My heartrate was constantly elevated in the time I was taking dex/elvanse. Once I was doing a first aid course and someone took my pulse at 96 which was embarrassing since I'm supposed to be fit. I do indeed have a blood pressure meter at home which I've started using. The GP said that I'm at the borderline low end of high blood pressure so advised to take readings to keep it monitored. For some reason the palpitations have come back this week after subsiding for a while which isn't ideal. Might have to review with the psych docs taking the elvanse altogether unless the erratic/elevated heart rate issue goes.
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Post by chickster on Feb 6, 2017 17:07:16 GMT
I LOVE my Elvanse, it has changed my life, seriously. But the capsules have a bit much in them for me so I open them, empty everything in the pink (small) part, level off whats in the white part & put the pink part back on again. Then Ive got a bit spare for if I forget to get my prescription filled. Its just a dosage thing, & when you get it right it is SO MUCH BETTER than ritalin. This is the first time Ive been able to think/remember on a consistant basis & while it hasnt solved some bits (no drug will) it has been a miracle. On this dosage there are no jitters etc & my blood pressure has been fairly ok.
A word on blood pressure. The doc gave me BP meds, a thiazide diuretic, based on my slightly elevated BP after Id driven for 30 minutes through London to get to him. That thiazide diuretic ruined my health (my tendons!) as it strips the body of magnesium & a load of other stuff. Ive managed to get my GP to agree to tests for magnesium/zinc & some other minerals so I know where to supplement, & have long since stopped taking it. I have a monitor at home & wasnt getting high readings at home. Be very very careful with BP meds & try EVERYTHING else (walking, yoga etc) before taking them!
I have also just read that these stimulants are bad for your teeth & that makes sense..speed etc stops you from producing saliva & saliva keeps your teeth in & gums healthy! Im ok but only because I have a long regime of electric toothbrush, interdental brushes with special gum stuff, an air flosser with mouthwash AND floss! So Ive just bought some (sugar free) chewing gum, which should help. I also found some wounds after an op not healing after dex & had to stop for a few days.
On balance though there is NO WAY I would give this med up. Its the best £100 a month Ive ever spent.
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Post by Helenrn66 on Dec 2, 2022 12:44:29 GMT
My heart rate/pulse goes up every time from about 80 to 110 or more. I know this is not good and I already take bP pills because my b/p goes up as well. In a way I guess I’ve answered my own question but it’s just managing life and moods without it that worries me.
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