Hi i was recently prescribed adderall xr 20 mg and am wondering if taking provigil with this would deminish the positive effects of adderall? I have a prescription for provigil and think it might help to take it in the afternoon as the affects of adderall seem to wear off and i tend to have a 'crash' feeling. i am also curious to see if benzo's have any negative effects when combined with adderall. i am perscribed ativan as needed for anxiety but if i take the adderall in the morning and if i need to take the ativan at night would this interupt the adderalls effects the next day? also how does tolerance play with adderall? i am takking weekends off to keep my tolerance low and to not get addicted is this worth doing as the days im off the adderall my add symptoms come back full swing. is it possible to still feel the effects of adderall even if taken everyday or does tolerance come into play only when adderall is abused? any help would be appreciated. thank you:)
9 May 2013
Unless you take a drug in more then is prescribed, for reasons other then it is prescribed you will not be addicted. Your body may become dependent but this is not addiction but a normal physical reaction. Why are you on provigil. The two together can cause overstimulation of the central nervous system.
11 May 2013
According the interactions checker, the main interaction between Provigil and Adderall is that if they are taken at the same time, the absorption of Provigil will be delayed by approximately one hour. They are not contraindicated together; however as the previous poster noted, they are both CNS stimulants so they can interact with each other in terms of increasing their effects. In terms of taking the Ativan, one question is whether you take the Adderall once a day or twice a day. Adderall XR takes about 6 hours to reach it's peak plasma level (the point at which the drug is highest in your blood- that doesn't mean though that it takes that long to work, just that it is highest at that point). After that, the amount decreases and the half-life is approximately 13 hours (this is the amount of time it takes your body to get rid of half of the medication in your system).
If you are taking the Adderall at night as well as in the morning, you might find the Ativan will decrease the effects (they work in opposite ways so they would be fighting against each other). If you only take the Adderrall in the morning though, you should be fine to take the Ativan in the evening (especially if you are using it to help you sleep). This of course, is all opinion and you should ask these questions to your provider who prescribed these. Maybe make a list of questions you have and call the doctors office with them or bring them with you on your next visit. You should NEVER EVER feel worried or bothersome about asking questions; and if your Dr brushes you off, it's time to find a new one. Hope this helps!
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