adderall/xanax,heart rate,panic disorder

[melodynervosa]

i'm a 17 year old female.
i weigh 135 and am 5'8.
i have been put on 40 mg of adderall xr for A.D.D., i also have a past history of diagnosed anorexia and bulimia, bipolar,depression and panic disorder. I am also on lamictal for bipolar and xanax for panic attacks. my resting heart rate has been going up to 130 when on adderall, which is kinda weird because i'm a dancer,i used to dance 5 days away at my studio and about 15 hours a week. i haven't been dancing as much lately though because of my depression.  my heart rate was also very low about a year ago due to my anorexia and i had to go to the hospital, my resting heart rate went down to 31.When should I worry about my heart rate/go to the emergency room or call a doctor? my parents took away our Reli On digital blood pressure and heart rate machine because I have called 911 because of high heart rate and have been to the emergency room about 6 times due to this, after the 2nd time of visiting, having blood drawn, an EKG, urine sample and x-ray, and being told I was fine, I began visiting because I had realized they were just panic attacks.Part of the reason though that I am having the panic attacks is because of my worry that the adderall will do something to my heart. I was taken off but then put back on because I really cannot focus, then in addition to that, was put on xanax. That, also began to creep me out because I know adderall and xanax are complete opposites and i put into my head the idea that since one increases heart rate and one decreases, that my body would begin to get confused because of this and something bad would happen, so basically my question is, when should i go to the ER because of heart rate?? When I went, the doctor told me i could not have a heart attack because I'm only 17 and in pretty good shape. But 130 is crazy. Also, is the mix of xanax and adderall okay to take? and my last question is, how can i know whether or not i know that its a panic attack and not heart condition? i'm sick of going to the ER and i'm pretty sure they are sick of me. I want to stop the adderall but I really do need it for school and stuff.

[sociostudent]

I would recommend that you talk with your doc about lowering the adderall dose. Adderall is notorious for inducing panic attacks. And I hope to put some of your fears to rest by stating that, as long as there is no family or personal history of cardiovascular disorders, the risk of adderall, taken in the prescribed dose, is pretty low. A HR of 130 is high, but not dangerously by any means in and of itself. I have had the exact situation (I take 60 mg/day adderall and 3 mg/day xanax) and my HR got up to 145 at the hospital one particularly stressful day. I would also like to point out that for bipolar patients, Klonopin rather than Xanax works better for the panic/anxiety. Hope this helps,
Sheree

[juzaskn]

All of the anxiety meds have a warning on them about possible heart issues.  Palputations is a biggy.

Do you ever have numbness in your left hnd/arm?  does a xanax make the discomfort go away?  do you have shoirtness of breath and are coughing during the episode?  

[melodynervosa]

thanks so much for answering and helping out guys!
Okay so to answer: I do get numbness/tingling sometimes and I don't cough but I do get short of breath sometimes...
So I forgot to list that I was also on highest dose of wellbutrin and cxymbalta(not sure of the dose) and i found out like 2-3 weeks ago, that all of those in combination with my adderall, have very negative interactions such as anxiety,vast flucuations in vital signs like heart rate and blood pressure and a bunch of other things,i got taken off and am doing better now, my vitals have gotten better but im kinda depressed though, probably because of withdrawal symptoms but i would rather be depressed for a little while then be having panic attacks.Now, I feel a little bit better panic attack wise.I used to get ticks and I don't anymore,it was probably the wellbutrin with the adderall and I also have on and off bulimia/anorexia still and wellbutrin is not suggested for bulimics because of the increased risk of seizures. For the past three weeks though,I've been having a little tickle/spasm in the left part of my brain, it's not too painful though. Any ideas on what that is? I got a CAT scan and they told me I didn't have an aneurysm.Also my doctor NEVER tapers me off of anything, he just cuts me off cold turkey. Is it like a new thing that they found out that maybe tapering isn't important or something cause I always heard that it is important to do and I feel like a doctor should be aware not to do that??

also, i haven't taken my xanax for the past week and my lamictal for like 2 weeks...i've just been taking my adderall, is this dangerous??

I really appreciate your answers cause I feel kinda helpless and blahh about all of this.

[melodynervosa]

oh and to add in: i cut down the adderall dosage to 20 mg