Health QuestionsCategory: MedicationsAutism Diagnosis/ADD & use of stimulants now ?’d
pix asked 2 years ago

I haven’t been by here in a while, but now I AM officially diagnosed with an autism spectrum disorder. I’m wondering why 20 mg of dexedrine seems to help me (somewhat!!) but when my dr tries to increase to 30-40 mg I get MORE SPACY?  
 
Is this related to my autism? I went to a double board certified psychiatrist who spent over a month on this assessment. At first, he though ADD fit perfectly. By the time he was finished, he wondered whether I had it at all, but he said nothing conclusive on the subject.
 
I think my dexedrine helps–some.. I nap on it.. It isn’t stimuating to me. I wondered if anyone else has had a similar experience?
 
Pix

2 Answers
Kassiane answered 2 years ago

Re: Autism Diagnosis/ADD & use of stimulants now ?
Autistics are way more prone to paradoxical reactions to medications than the general public. We’re also ‘cheaper dates’, generally speaking-slow med metabolizers.
 
So if a dose works, thats the dose you need, regardless of what the PI sheet says.
 
Kassiane & her 5mg ritalin

123martin answered 2 years ago

Re: Autism Diagnosis/ADD & use of stimulants now ?
I can recall reading somewhere, that when people with both ASD and ADHD, start a CNS-drug treatment for their ADHD, they often start appearing to have become MORE autistic, than before.
This is not a side effect, it´s the autism getting more visible (easier to identify), because the ADHD used to cover that.  
  This seems quite logical to me, because the ADHD is such a significant/impressive characteristic. Especially to those around him/her.  
 
But, I´m not sure if this also goes for ADD:ers. Seems a little bit more dubious, I think.
 
I don´t understand what you mean with “more spacy”.
 
When I started Concerta two years ago, and was going up to the current dose, I often fell asleep after breakfast/morning-dose. I interpreted that as an indication I had reached or exceeded, “my destination dose”.
 
M

pix asked 3 years ago

I haven’t been by here in a while, but now I AM officially diagnosed with an autism spectrum disorder. I’m wondering why 20 mg of dexedrine seems to help me (somewhat!!) but when my dr tries to increase to 30-40 mg I get MORE SPACY?  
 
Is this related to my autism? I went to a double board certified psychiatrist who spent over a month on this assessment. At first, he though ADD fit perfectly. By the time he was finished, he wondered whether I had it at all, but he said nothing conclusive on the subject.
 
I think my dexedrine helps–some.. I nap on it.. It isn’t stimuating to me. I wondered if anyone else has had a similar experience?
 
Pix

2 Answers
Kassiane answered 2 years ago

Re: Autism Diagnosis/ADD & use of stimulants now ?
Autistics are way more prone to paradoxical reactions to medications than the general public. We’re also ‘cheaper dates’, generally speaking-slow med metabolizers.
 
So if a dose works, thats the dose you need, regardless of what the PI sheet says.
 
Kassiane & her 5mg ritalin

123martin answered 2 years ago

Re: Autism Diagnosis/ADD & use of stimulants now ?
I can recall reading somewhere, that when people with both ASD and ADHD, start a CNS-drug treatment for their ADHD, they often start appearing to have become MORE autistic, than before.
This is not a side effect, it´s the autism getting more visible (easier to identify), because the ADHD used to cover that.  
  This seems quite logical to me, because the ADHD is such a significant/impressive characteristic. Especially to those around him/her.  
 
But, I´m not sure if this also goes for ADD:ers. Seems a little bit more dubious, I think.
 
I don´t understand what you mean with “more spacy”.
 
When I started Concerta two years ago, and was going up to the current dose, I often fell asleep after breakfast/morning-dose. I interpreted that as an indication I had reached or exceeded, “my destination dose”.
 
M