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Originally Posted by bkms19 I have recently started taking Adderall again and the only side effect that is causing me problems is insomnia. I am taking a very small dose, 5mg twice a day, and I take my last dose by 2pm. Usually I can fall asleep, but I wake up a few hours earlier than I am supposed to, and cannot fall back asleep. I also am prescribed Ativan because I occasionally have anxiety, and the only way I can relax enough to fall asleep (since I started taking Adderall), is to take my Ativan. My doctor said that is OK to do but I don't want to take Ativan every night just to fall asleep. I take it very rarely for anxiety. I also have tendonitis in my foot for which I am prescribed Vicodin and although my doctor said I could, after doing research on possible interactions I have made the decision not to take Vicodin and Ativan at the same time, so I have to make a choice each day whether I want to deal with the pain in my foot and sleep better or have my foot feel better and trouble falling asleep. Anyway my question here is does anyone with experience taking Adderall have any ideas on how I can fix my insomnia problem without popping Ativans nightly?? I don't want to stop taking Adderall, but its not healthy for me to not get 8 hours of sleep each night and this waking up at 4 am instead of 8am needs to stop!!! Any helpful feedback is greatly appreciated!! BTW I am aware that these drugs have the potential to be habit forming, before everyone tells me that!! That is why I am afraid to keep popping Ativans in order to sleep. Thanks! |
I am happy to see that you are using discretion with these medications. Lots of people know these RX meds have a tendency to be habit forming but they take too many anyway.

So this is a huge credit to you.
Don't change the way that you think no matter what anyone says. We CAN take medications that are prone to be habit forming if we do it properly and ONLY when absolutely necessary. We can do this and not become addicted. It's just very tough,
for me it was impossible as I wasn't strong enough to control myself. I was always too much of a pleasure seeker. Each of these medications have medicinal value when used the way they are intended to be used.
There are some obvious possibilities for interaction between all of these medications. Common sense alone tells us that mixing tranquilizers with
amphetamines and also pain pills could be dangerous. But remember that the most important thing about possible interactions is that we are aware of the possibility. That alone should keep us on our toes and help us to make responsible decisions if we are mature and realistic in our thought process as you are demonstrating.
You're taking the last dose early in the day which would normally be the first thing I would suggest besides not taking too much. You are obviously not taking a large dose. The thing about adderall is that it has a relatively short duration for action. It's peak effect is 1-3 hours and the total duration of action is only about five hours. So the subsequent doses are required to maintain the desired effect. These time frames are approximate as we are all a little different from each other but they are still pretty accurate.
I can't help but wonder what the reason is for you taking the adderall. Sometimes it can be the health problem more than the medication itself that causes our insomnia.
Clonidine or guanfacine will often help an individual who is taking adderall settle down for sleep. These medications do not have the negative side effects that taking too much ativan can cause. They are also not habit forming as they are primarily blood pressure medications. You might consider asking your dr about them for your situation. Also if you are experiencing pain and discomfort from from the tendonitis that could keep you up or wake you as well. You have undoubtedly already considered this I am sure. I am just trying to consider all possibilities here.
It's pretty tough to say for sure what will help here. I would be interested to know what the adderall was prescribed for as that might shed a little more light on this. I would not say that you shouldn't ever take the ativan or the vicodin at the same time as the adderall. Yes there are potential problems doing this, but as prudent as you appear I think that you would probably be safe. If you could give us a little more info as requested that would possibly help some. I will watch for your reply. Hang in there. This will work out as things always seem to do. God bless.