Dothan Tiger

Get tested to see if you even have attention deficit as an adult. Sleep apnea and General anxiety or crappy sleep are way more common reasons to not be able to focus. If you have been successful in school. And life try to avoid asking the doctor for this stimulant. If it elevates your BP or races your heart - this is not good. This list is from epocrates and would be a summary of the package insert from the manufacturer.

dextroamphetamine/amphetamine
Black Box Warnings
High Abuse Potential, Dependency
high abuse potential; avoid prolonged tx, may lead
to drug dependence; potential for non-therapeutic
use or distribution to others; prescribe/dispense
sparingly; serious cardiovascular adverse events
and sudden death reported w/ misuse

dextroamphetamine/amphetamine
Contraindications/Cautions
• hypersens. to drug/class/compon.
• MAO inhibitor use w/in 14 days
• pregnancy
• breastfeeding
• eGFR <15 (ER cap form)
• cardiovascular dz, severe
• cardiac structural abnormality
• cardiomyopathy
• arrhythmia, severe
• CAD
• abrupt withdrawal (prolonged high-dose use)
• caution: eGFR 15-30 (ER cap form)
• caution: cardiovascular dz
• caution: cardiovascular dz hx
• caution: HTN
caution: hyperthyroidism
• caution: glaucoma
• caution: psychosis
• caution: bipolar disorder
• caution: bipolar disorder risk
caution: Tourette syndrome
• caution: Tourette tics
• caution: seizure hx
caution: seizure risk
• caution: substance abuse

dextroamphetamine/amphetamine
Adverse Reactions
Serious Reactions
dependency
• abuse
• psychosis
mania
• aggressive behavior
• sudden death
• MI
• stroke
• HTN
• cardiomyopathy (long-term use)
• seizures
• hypersensitivity rxn
• anaphylaxis
Stevens-Johnson syndrome
• toxic epidermal necrolysis
• priapism
• peripheral vasculopathy
• Raynaud phenomenon
• growth suppression (long-term use in peds pts)
rhabdomyolysis
• intestinal ischemia
withdrawal sx if abrupt D/C (prolonged high-dose

dextroamphetamine/amphetamine
Adverse Reactions
Common Reactions
• anorexia
xerostomia
• insomnia
• headache
• abdominal pain
weight loss
• emotional lability
• anxiety
nausea
vomiting
• agitation
• dizziness
• nervousness
• diarrhea
• tachycardia
• fatigue
• asthenia
• fever
• infection
• dyspepsia
• constipation
• libido changes
somnolence
• speech disturbance
• tic exacerbation
• dyspnea
diaphoresis
• dysmenorrhea
• impotence
palpitations
• BP elevated
visual disturbance
• restlessness
• tooth disorder
• photosensitivity

Rural as what????

This doc has lived in and served our dothan rural as ? Community for 30 years. Our hospitals (2) don’t qualify as rural government entities.

LINK

HR 53 is excellent. BB is essential if known CAD, heart attack post treatment and heart failure. It does not have to be your BP med if it's not agreeing with you. We stop BB frequently for lower heart rates and they usually cause fatigue but not commonly weight gain-unless weight up due to
heart failure. Does sound like BB not for you.....

Thyroid checked?

There are thin fit patients with great heart rates like yours who still have HTN and need meds. If you get a better BP cuff and check daily your doc will be able to make a better decision on what med you may need.

Make sure cuff size is right-bigger folks +200/250 lbs likely need larger cuff. I also prefer upper arm cuff and ask patients to skip the wrist monitors since office comparison always done with upper arm cuff. May not matter-just my preference last 16 years.

Hypertension is called "the silent killer" so you can feel great with high blood pressure. Super high blood pressure can cause stroke and heart failure symptoms....The healthy GOAL 110-130/60-85.

Great job watching your diet and walking daily. That is great! Try the Dash diet to tune up your routine. DASH stands for Dietary Approaches to Stop Hypertension. SEE YOUR DOC AND GIVE HIM OR HER THIS FEEDBACK. We have lots of choices for BP meds and this BB issue needs further discussion in your best interest and future health.

LINK

or
LINK

LSU 50
Spread Eagle 3
:spank:

Service was the major setback for this fine dining facility. They seemed overwhelmed by the number of large parties in the house. Our party of 6 found the food was average and the service was subpar for this price range of restaurant (I will say that the manager noted our issues and service did improve). We got the rec from this board....does anyone know of staff/other problems they are having?

Miles does seem to get our guys well prepared for the bowl games (at least that's his track record). Whether it's Iowa or Penn State, I think we'll be ready and it will be a good game. I thought Ga Tech would smoke us last year.....

Who Dat!!!! :dude:

:cheers:

Saints 38
Bills 14

must be my 16th was somewhat profound as you had no fricking come back. I'm not on line much...I have a job.