i know vitamin c basically neutralizes adhd meds but lemonade good (nw-adhd.com)

submitted 10 months ago* (last edited 10 months ago) by Wheaties@hexbear.net to c/self_improvement@hexbear.net

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https://nw-adhd.com/wp-content/uploads/2017/01/ADHD-Medication-Information-Sheet

tumblr user mwg-7:

i know vitamin c basically neutralizes adhd meds but lemonade good

tumblr user mwg-7:

Transcript

[three users express surprise]

Wait for real

Wait really???

vitamin c does WHAT?

Transcript:

Food restrictions: All of the first line medications for the treatment of ADHD are moderately strong bases (pH of 12-13). If they are present in the small bowel at the same time as a weak organic acid (citric acid or ascorbic acid/Vitamin C) the medication forms an insoluble salt and can not be absorbed into the body. You may have swallowed your medication but, [following is underlined in red] if you washed it down with orange juice or a soda, none of the medication actually gets into your blood stream. Therefore, avoid the following foods for an hour before and after your dose. Once you feel the benefits of the medication, you may eat or drink anything you wish.

Transcript

[just the bold bits, there's a lot to type otherwise] FOODS TO AVOID WITHIN 1 HOUR BEFORE AND AFTER TAKING MEDICATIONS

1. Natural and artificial juices

2. Soft drinks

3. Poptarts, granola bars, Power Bars -- anything that comes in a foil packet, can sit on your shelf for months without going stale and be eaten without cooking must have high levels of preservatives such as citric acid.

5. Vitamin C

6. Oral suspension medications

yea lol

ADHD Medication information sheet

tumblr user brazenautomaton:

I have been struggling

For a long fucking time

with why my adderall was having such uneven effects and varying efficacy

and the weird pattern of what made it work and not work and if it was building up in my system or not

and fucking nobody told me I shouldn’t drink a glass of Kool-Aid to take the pills with

or eat fucking Pop-Tarts or Life cereal

this is the most useful information I have ever received from tubr and it seems to be confirmed by several other places upon searching

so this actually should be spread like wildfire like actually

tumblr user firebirdscratches:

Me reading this realizing tunglr dawt kom gave me more information about my medication than MYDOCTORRRRRSSSSSS MYYYYYYYY FUCKENNNNN DOCTORSSSSS PLURAL MULTIPLE DOCTORSSSSSSSS

https://firebirdscratches.tumblr.com/post/635053584689545216/brazenautomaton-mwg-7-mwg-7-i-know-vitamin-c

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[-] FlakesBongler@hexbear.net 1 points 10 months ago

ProTip: if you drink the Panera Death Lemonade, the sheer amount of stimulants in it will make up the difference

[-] Eris235@hexbear.net 1 points 10 months ago

I mean, its not really the vitamin c there bud. If you're drinking lemonade, its the citric acid where most of that acidity comes from (which is what the documents say). Same thing with soda really; carbonated water is acidic from carbonic acid (CO2 is acidic), but not really strong enough survive the stomach, which is why they only call out sodas with citric acid added.

They only really call out vitamin C as 'large doses', of 1000mg or more, a once-a-day pill only has 180mg vitamin C.

[-] Mardoniush@hexbear.net 0 points 10 months ago

Oh thank god. Coke is still ok (Though I'm not sure how phosphoric acid is much better here)

[-] GalaxyBrain@hexbear.net 1 points 10 months ago

Yeah, if you're doing coke instead of amphetamine you can drink lemonade with it.

[-] abc@hexbear.net 0 points 10 months ago

berdly-smug Vyvanse users stay winning yet again

[-] RedWizard@lemmygrad.ml 0 points 10 months ago

Wait, what are you saying? Isn't Vyvanse effectively the same drug?

[-] fanbois@hexbear.net 1 points 10 months ago* (last edited 10 months ago)

Vyvanse/Elvanse (why the fuck they have different names in EU and US is just beyond me) are a so called prodrug called Lisdexamphetamine, a derivative of Dexamphetamine that has the aminoacid L-Lysine bound to it. This compound is inactive and has to be absorbed through the gastrointestinal system and then converted in your bloodstream into Dexamphetamine. This delays the peak level by about an hour and makes it more resistant to ph-levels and the influence of food.

Like the others wrote, it's probably not entirely inert to acidic environments but apparently much better than Adderall (raw Dexamphetamine) and Ritalin/Concerta (Methylphenidate).

[-] abc@hexbear.net 0 points 10 months ago* (last edited 10 months ago)

Yes but that sheet OP linked says otherwise about the interaction (and at least tracks with my personal experience, given OJ is my favorite juice and I've literally swallowed vyvanse with it before) but I did do some research & found the Vyvanse monograph and it does mention

Acidifying and Alkalinizing Agents: Agents that alter urinary pH can alter blood levels of amphetamine. Acidifying agents decrease amphetamine blood levels, while alkalinizing agents increase amphetamine blood levels. Adjust VYVANSE dosage accordingly

I will eat a tablespoon of baking soda with my vyvanse tomorrow and report back with my findings.

[-] ReadFanon@hexbear.net 0 points 10 months ago

Vyvanse instructions literally tell people to pour the capsule into orange juice if you have difficulties with swallowing pills (from memory).

Takeda is really not putting in any effort to help mitigate this lack of knowledge about Vyvanse here.

[-] fanbois@hexbear.net 1 points 10 months ago

The best description I've heard is that with ADHD (and probably other neurodivergent conditions) you need to become your own pharmacist, psychiatrist and research specialist. There is so much information out there and the effects are so different for everyone. It's a constant balancing act of benefits, side effects, dosage, timing, food and choice of drug.

The pharma company "just" need to prove that there is a significant benefit above placebo for a certain fixed dosage under controlled conditions. We need to figure out how to use it in our normal daily ADHD riddled lives.

[-] ReadFanon@hexbear.net 1 points 10 months ago

That is uncannily accurate.

My psychiatrist once remarked that he doesn't have any other patients who he can talk to on the level that he does with me after having a discussion about stuff (we were talking about my response to methylphenidate vs dexamphetamine and I compared the mechanisms of action of each and gave my best guess at what that indicated for my case). He treats me sorta like I'm a junior partner or I'm in residency - I come to him with my observations, symptoms, side effects, hypotheses and I provide the ideas for treatment while he brings the expertise, he deals with the more complicated stuff like interactions between meds, and he's the one to sign off on things or to veto them.

My case is kinda tricky because it's complex and I struggle with the side effects of stimulants so we've had to fumble around and do a lot of tweaking and balancing of side effects by using other meds and shit like that. I wish I could be the one to pop a Vyvanse and I'm golden but unfortunately that's just not how it is for me.

I basically got thrust into being my own psychiatrist and pharmacist and research specialist by circumstance and I drowned in the deep end until I started learning how to swim. I'm just grateful for being lucky enough to have the kind of brain that learns quickly and is good at heuristics and that kinda stuff.

(To be clear though, I don't fancy myself as some sort of expert. A first year psychiatry student would absolutely wipe the floor with me. I just happen to have a lot of problems and a lot of time on my hands lol.)

[-] fanbois@hexbear.net 1 points 10 months ago* (last edited 10 months ago)

Happy to hear that it mirrors your experience. It's a weird ass condition for sure.

A first year psychiatry student would absolutely wipe the floor with me.

Doubt that. I've met plenty of them and knowledge about ADHD is not really as prominent as one might think for something that affects possibly 5% of people. All the science dealing with the psyche is still extremely young and underdeveloped. In most cases we have no idea what a drug does to a brain. Just look up Lithium. Stops people from killing themselves better than anything else and nobody knows why. Until recently we thought that people would just "grow out" of ADHD. The naming schemes and definitions change frequently and adoption varies wildly throught the world. It's a mess and they don't always know better.

I would trust a fellow affected person with 327 browser bookmarks about ADHD medication, diagnosis and therapy more than any neurotypical student at pretty much any point. And even some doctors.

[-] ReadFanon@hexbear.net 1 points 10 months ago

Lithium is kinda wild.

There's at least two population studies that have been done which I know of that looked at places that had elevated levels of lithium in their local water supply. Obviously this is nowhere near the dosage of lithium that, say, a bipolar person might be on because lithium has a really narrow therapeutic window (i.e. to get lithium to a level where it's considered effective as established in psychiatry [at least according to the orthodoxy] is just slightly below the doses that become toxic.)

So anyway, two studies on populations who are essentially microdosing lithium. The results? Lower rates of suicide that which are statistically significant.

Makes you wonder if they should be adding a little bit of lithium in with the fluoride, doesn't it? Lol

Lithium is one of those drugs that has some really neat effects and I think it's overlooked for treatment-resistant depression because it's well known as a mood stabilizer and the first-line treatment for bipolar so it gets a bit pidgeonholed because of that fact. Sometimes I wish that prescribing doctors would try going off the beaten path a little bit with the meds they try on their trickier cases instead of just playing SSRI roulette over and over again.

[-] keepcarrot@hexbear.net 0 points 10 months ago

The more you know. I have a cold so took a bunch of vitamin C but also vyvanse.

[-] fanbois@hexbear.net 0 points 10 months ago

Don't wanna be annoying, but vitamin C literally does nothing for a cold. It's a myth long disproven. It just makes your pee slightly more expensive.

[-] keepcarrot@hexbear.net 1 points 10 months ago

lol at least I like the flavour?

[-] btfod@hexbear.net 0 points 10 months ago* (last edited 10 months ago)

It's metabolized into dextroamphetamine after absorption in the lower GI tract, hence no interaction potential there. In theory it's susceptible to the vitamin c megadose issue thru altering urine pH.

Edit 3: that said idk how much vit c youd have to take to significantly affect blood amphetamine levels via the urinary mechanism

[-] GalaxyBrain@hexbear.net 1 points 10 months ago

I know chugging orange juice can help getting speed out of your system from experience as a speed freak. This was street knowledge for a while now.

[-] btfod@hexbear.net 0 points 10 months ago

that's cool when medical literature and street knowledge agree, IMO

[-] GalaxyBrain@hexbear.net 1 points 10 months ago

If you're gonna do hard drugs you're gonna pick up medical knowledge cause otherwise you die.

[-] Frank@hexbear.net 0 points 10 months ago

Wait what? What? Vitamin C neutralizes meth?

WHY DON'T THEY TELL ME THESE THINGS?

[ACTIONABLE THREAT OF VIOLENCE TOWARDS US MEDICAL CARTELS]

[-] Commiejones@hexbear.net 2 points 10 months ago

Not if you are snorting or smokng it.

this post was submitted on 04 Jan 2024

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