There probably is a small increased risk of heart attack and death from stimulants like amphetamine/dexamphetamine (Adderall). A person with known blockages is at a much higher risk for a heart attack than a person without known blockages.
Dear Dr. Roach: I am a 72-year-old woman who has been taking Adderall for attention deficit hyperactivity disorder for years. I recently got diagnosed with “nonobstructive coronary artery disease” by a CT angiogram. Do I need to stop taking Adderall?The studies designed to answer this question have shown mixed results. However, after reading many studies on the subject, there probably is a small increased risk of heart attack and death from stimulants like amphetamine/dexamphetamine .
Nonobstructive coronary artery disease means there is plaque in the blood arteries that supply blood to the heart muscle, but the plaque isn’t large enough to obstruct flow. This is better than obstructive CAD, but there are still areas of cholesterol and calcium in the coronary arteries that can possibly rupture and trigger a heart attack. A person with known blockages is at a much higher risk for a heart attack than a person without known blockages.
Dear Dr. Roach: My wife and I both have chronically low blood sodium levels, mostly around 132, but sometimes lower. It never reaches 135. This is of concern because sodium is essential for cell maintenance. Sometimes it goes as low as 129, which concerns our doctor. No other metabolic measure is outside the normal range.
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