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Dexedrine CR, Focalin, Focalin XR, Intuniv, Kapvay/Therapy Pack, Metadate CD, Methylin (chew, solution), Procentra, Quillivant XR, Ritalin, Ritalin LA, Ritalin SR, and Zenzedi 2.5mg, 7.5mg are subject to step-therapy. Aetna considers these medications to be medically necessary for those members who meet the following step-therapy criteria: HC ADHD-TN in Bilateral VS and sACC. I was diagnosed with severe narcolepsy on 2003. At that time I was a single mother to an energetic 5 year old boy. In 2006 I married and we started right away on expanding out family. In 2007 we had a boy, and in 2009 we had a girl. My husband had a vasectomy, but never went back for the check up. Low and behold in 2011 we had another little girl. My husband also has a daughter from a previous relationship. So together we have 5 kids. Thankfully my husband is super understanding and since we ve been married I have worked part time. In the last year I cut down to only 2 days a week. I did continue meds (adderall) while pregnant. Once I had my babies I switched to Ritalin while breast feeding. And when I was done breastfeeding I went back to Adderall. I am currently on 40mg in the am and 40mg at noon. I still struggle to get up and going in the am and by 5/6pm I can fell my body shutting down. It is definitely a challenge having so many kids and different start and end times to their schools and running them around in addition to trying to maintain the house, etc. Sometimes I wonder why I was dealt the narcolepsy card, but then blessed with these beautiful, healthy children that I barely have the energy for. Just doesn t seem fair. The psychostimulants d -amphetamine (AMPH) and methamphetamine (METH) release excess dopamine (DA) into the synaptic clefts of dopaminergic neurons. Abnormal DA release is thought to occur by reverse transport through the DA transporter (DAT), and it is believed to underlie the severe behavioral effects of these drugs. Here we compare structurally similar AMPH and METH on DAT function in a heterologous expression system and in an animal model. In the in vitro expression system, DAT-mediated whole-cell currents were greater for METH stimulation than for AMPH. At the same voltage and concentration, METH released five times more DA than AMPH and did so at physiological membrane potentials.
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