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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by Maxime on December 30, 2004, at 1:37:16
Hello
I take 30 mg of Adderall XR in the morning. I take for depression and to counteract side effects from Parnate. It has been a god send.
HOWEVER, I went to see my endocrinologist because I suffer from hypothyroidism. Now I am hyperthyroid so he reduced my synthroid.
Does anyone know what the effect of Adderall can have on the thyroid (if any)?
Thanks.
Maxime
Posted by Cairo on December 30, 2004, at 18:02:53
In reply to Adderall XR and its effect on the thyroid, posted by Maxime on December 30, 2004, at 1:37:16
Here's my theory: I am hypothyroid, but Unithroid (T4 - like Synthroid) never helped my symptoms of tiredness, muscle aches and pains, cold intolerance, atypical depression even though my TSH level came down to less than 2 on it. I've never taken Adderal or any stimulants, but I just did a trial of Cymbalta which is a serotonin/norepinephrine reuptake inhibitor. I can't tolerate SSRIs at all, but I noticed at very low doses of Cymbalta, some of my hypothyroid like symptoms improve - more energy, less oily skin and facial breakouts, less hair loss, better tolerance of cold, less anxiety, better mood, etc. A 4 day period without Cymbalta (they lost my luggage and unfortunately my meds were in it)resulted in the hypothyroid-like symptoms returning. My thought is that my symptoms are due to a sluggish HPA axis; thyroid and adrenal testing come out normal (at least the common tests), but the adrenals and thyroid don't respond probably due to some feedback problem. My hypothyroidism is secondary to HPA dysfunction.
Since I've never noticed improvement on SSRIs, but do on Cymbalta, I must conclude that it is the norepinephrine component. If stimulants such as Adderal increase norepi, then one might surmise that anything that increases norepinephrine would improve a sluggish HPA axis, IF that is what you have. The trick would be to balance the Synthroid and the Adderal to keep your TSH at a level that won't cause problems.
Just my two cents worth.
Cairo
> Hello
>
> I take 30 mg of Adderall XR in the morning. I take for depression and to counteract side effects from Parnate. It has been a god send.
>
> HOWEVER, I went to see my endocrinologist because I suffer from hypothyroidism. Now I am hyperthyroid so he reduced my synthroid.
>
> Does anyone know what the effect of Adderall can have on the thyroid (if any)?
>
> Thanks.
>
> Maxime
Posted by Maxime on January 2, 2005, at 0:09:23
In reply to Re: Adderall XR and its effect on the thyroid, posted by Cairo on December 30, 2004, at 18:02:53
Hi Cairo
I've suggested to my endocrinologist that PERHAPS I have an adrenal problem. Mainly because like you, with Synthroid my levels were normal but I still had all the tiredness, cold intolelerance and achy joints. But I found out that Doctors don't like it when you suggest anything at all to them. I also wanted to use some T3 like Cytomel, but encrinologists do not like to use it because it's hard to monitor. This makes me so angry! It's their job! Not all their patients are going to be easy patients to treat. T3 can provide relief for depression which I am in dire need of.
Thanks.
Maxime
> Here's my theory: I am hypothyroid, but Unithroid (T4 - like Synthroid) never helped my symptoms of tiredness, muscle aches and pains, cold intolerance, atypical depression even though my TSH level came down to less than 2 on it. I've never taken Adderal or any stimulants, but I just did a trial of Cymbalta which is a serotonin/norepinephrine reuptake inhibitor. I can't tolerate SSRIs at all, but I noticed at very low doses of Cymbalta, some of my hypothyroid like symptoms improve - more energy, less oily skin and facial breakouts, less hair loss, better tolerance of cold, less anxiety, better mood, etc. A 4 day period without Cymbalta (they lost my luggage and unfortunately my meds were in it)resulted in the hypothyroid-like symptoms returning. My thought is that my symptoms are due to a sluggish HPA axis; thyroid and adrenal testing come out normal (at least the common tests), but the adrenals and thyroid don't respond probably due to some feedback problem. My hypothyroidism is secondary to HPA dysfunction.
>
> Since I've never noticed improvement on SSRIs, but do on Cymbalta, I must conclude that it is the norepinephrine component. If stimulants such as Adderal increase norepi, then one might surmise that anything that increases norepinephrine would improve a sluggish HPA axis, IF that is what you have. The trick would be to balance the Synthroid and the Adderal to keep your TSH at a level that won't cause problems.
>
> Just my two cents worth.
>
> Cairo
>
>
>
> > Hello
> >
> > I take 30 mg of Adderall XR in the morning. I take for depression and to counteract side effects from Parnate. It has been a god send.
> >
> > HOWEVER, I went to see my endocrinologist because I suffer from hypothyroidism. Now I am hyperthyroid so he reduced my synthroid.
> >
> > Does anyone know what the effect of Adderall can have on the thyroid (if any)?
> >
> > Thanks.
> >
> > Maxime
>
>
This is the end of the thread.
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