can i take adderall while i have covid

Taking CBD with other medications that have similar side effects may increase the risk of unwanted symptoms or toxicity. Try not to take any Adderall after 5 p.m. As Dr. Volkow points out, tobacco and marijuana smoking are also more prevalent among those who are homeless. This not only puts patient health at risk, it could also make it more difficult to interpret the results of clinical trials the research studies currently being performed on patients to evaluate Covid-19 treatments. Before coadministering ritonavir-boosted nirmatrelvir and any of these conjugated monoclonal antibodies, refer to the drugs FDA prescribing information and consult with the patients specialist providers as needed. All rights reserved. Not all medications that may interact with ritonavir-boosted nirmatrelvir are included in Box 2. Hi, I do not have COVID but I do have ADHD that I manage with stimulants. If youre relying on bottled water, experts recommend keeping at least a 15-day supply on hand. Success is effort, yet success can be attained with the heart and the body. But everyone's situation is different. Some chemotherapeutic agents may decrease the effectiveness of ritonavir-boosted nirmatrelvir. Can You Get the COVID-19 Vaccine If You Take Methotrexate for an Autoimmune or Inflammatory Disease? Speaking to your psychiatrist / prescribing physician about this would be ideal, though. When you are planning your food supplies, think of food that will store well and be nutritious such as rice, pasta, canned or dried beans, dried fruit, soups, and frozen vegetables as well as pet food, she said. In the minority of cases where COVID-19 symptoms include acute gastroenteritis, solutions such as Pedialyte can help prevent dehydration. It was specifically for the Adderall crash at the end of the day and to moderate against those rushing kind of feelings. I have been unable to find any information that indicates Adderall causes or affects one's chance of becoming pregnant, so in this case I would listen to your doctor. You feel under the weather, as it were taking something appealed to youlike two Tylenol, every six or eight hours or soI can see is going to have a major difference that might make you feel much better. For example, according to the Liverpool data, an antifungal used to treat some yeast infections, called posaconazole, blocks the elimination of an HIV drug called atazanavir that researchers are studying for its potential to treat Covid-19. Get the best food tips and diet Make sure that you have a list of emergency contacts, a plan to communicate with family, friends, and co-workers, and know how to get food delivered if possible, she said. The sample included more than 220,000 patients. WebMD does not provide medical advice, diagnosis or treatment. FDA requiring Boxed Warning updated to improve safe use of benzodiazepine drug class. Aches and pains are a common side effect of the, If You Feel This You May Have Already Had COVID Says Dr. Fauci, Follow Fauci's fundamentals and help end this pandemic, no matter where you livewear a, that fits snugly and is double layered, don't travel, social distance, avoid large crowds, don't go indoors with people you're not sheltering with (especially in bars), practice good hand hygiene, get vaccinated when it becomes available to you, and to protect your life and the lives of others, don't visit any of these, 35 Places You're Most Likely to Catch COVID. "I might shy away from Adderall in patients with that kind of history," Moran said. Ritonavir-boosted nirmatrelvir is contraindicated in this setting, because strong CYP3A4 inducers may reduce the concentrations of nirmatrelvir and ritonavir, rendering the treatment ineffective against SARS-CoV-2. With unlimited growth potential, both professionally and personally, now is the time to start your future with Ochsner. Each stimulant has unique side effects, but in general, stimulants can cause headaches, decreased appetite, weight loss, upset stomach . ", RELATED: If You Feel This You May Have Already Had COVID Says Dr. Fauci, 4 Ritonavir may also increase blood concentrations of certain concomitant medications. Potential strategies include: Use the chosen strategy for the 5-day duration of ritonavir-boosted nirmatrelvir treatment and for at least 2 to 3 days after treatment completion. Create an account to follow your favorite communities and start taking part in conversations. SUPACREE [A / DJ] 'SKRILLEX' is an extraterrestrial entity which manifests variously through specific forces, subjects, and beings. Expect to see a heart doctor (cardiologist) first. It is important to remember that if a fever remains very high, or if a patients symptoms are causing discomfort, that they should contact a healthcare professional for further advice on the next step, said Mansour. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. However, cutting down on daily dose might be good. Which activities can help relieve symptoms? According to the Mayo Clinic study, people who only used e-cigarettes weren't more likely to catch Covid, whereas traditional smokers had a decreased risk of disease. Withhold atorvastatin and rosuvastatin at the beginning of treatment with ritonavir-boosted nirmatrelvir and resume after completion of the 5-day course. Many people with COVID-19 have a strong cough, said Benaroch. Discover Your Future At Ochsner! It helped but it's like $75 A BOTTLE. The Stoics believe that there are certain principles that are clear taking blood pressure medication at bedtime blood pressure 150 100 headaches while on medication and transparent and are recognized by everyone these principles can be used as the basis for deduction, as in Euclid blood pressure montor through medical assistance s original book . Get the best food tips and diet advice every single day, Now, you'll have the best and latest food and healthy eating news right in your inboxevery Box 2 lists select outpatient medications that have clinically relevant drug-drug interactions with ritonavir-boosted nirmatrelvir. Ensure that you have a 4-week supply of prescription and over-the-counter medicine, said Peters. About 20 percent of this fluid intake comes from foods. Looking for U.S. government information and services. While a small dose of each one on its own is usually safe, taking the two together can enhance their effects, potentially . For example, soups and sauces can be made straight away and then frozen. } else { All news articles must include appropriate background information and context for the specific condition or topic. But, like other medications, it comes with possible side effects. Published: Feb. 2, 2021 at 3:44 PM PST. I keep getting COVID at my office job, I think Im going Is it dramatic of me to stay and rest for month after covid? Adderall, Vyvanse (lisdexamfetamine dimesylate), 3 Concerta (methylphenidate HCl), Dexedrine (dextroamphetamine sulfate), and Ritalin methylphenidate hydrochloride are the most commonly prescribed stimulants. If withholding is not clinically appropriate, use an alternative concomitant medication or COVID-19 therapy. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, 6 Minutes of Exercise May Protect Brain From Alzheimer's, 'Disturbing' Rate of Adverse Events During Hospital Stays. I'm on ADHD medication as well, but I've cut down the daily amount so I can effectively rest while not having to deal with medication withdrawal issues. With the arrival of highly infectious variants of COVID-19, such as Delta and Omicron, the odds of contracting the coronavirus have increased, even for people who are fully vaccinated. "These are usually taken after an organ transplant to prevent the body from 'rejecting' the transplanted organ." I noticed that I started feeling awful while taking it and my temperature rose to 100.1 for the first time several weeks ago. Doctors say it's still critical that people continue. Ochsner Health is a system that delivers health to the people of Louisiana, Mississippi and the Gulf South with a mission to Serve, Heal, Lead, Educate and Innovate. Despite widespread interest and extensive research on this topic, our understanding of the etiology and pathogenesis of this disease process is still . You can take a pain reliever after you get vaccinated and hydrate all you want. If you take too much of it, you could put your heart and your health at risk. A few antidepressants can increase Adderalls side effects. The homeless are vulnerable just by being homeless, but add to that the lung damage from smoking crack and the risk is compounded. If withholding a statin is not clinically appropriate (e.g., the patient had a recent myocardial infarction), the doses of atorvastatin and rosuvastatin can be adjusted and continued, and lovastatin and simvastatin should be switched to an alternative statin.g The guidance on managing drug-drug interactions between certain benzodiazepines and ritonavir-boosted nirmatrelvir can vary significantly between resources. The guidance in this table is based on the FDA EUA fact sheet for ritonavir-boosted nirmatrelvir. Id give the body rest if you can but extra hydration is needed if on it at all times. "We compared amphetamines, which is Adderall and Vyvanse, to people who were prescribed methylphenidates, which is Ritalin or Concerta. Box 1 lists select outpatient medications that are not expected to have clinically relevant interactions with ritonavir-boosted nirmatrelvir. Side note. 2020. Isolation is used for people with COVID-19 symptoms or who have tested positive for the virus . March 21, 2019 / 12:57 PM Stroke. That's what I went through personally, when I got it," he said. Its important to talk to your healthcare provider if you have any concerns. Researchers evaluated the two most common types of ADHD medications and found that, while the risk is low, certain drugs have an increased risk of psychosis. 1996-2023 MedicineNet, Inc. All rights reserved. Send us an email! According to the Centers for Disease Control and Prevention, 6.1 million children from the ages of 3 to 17 are . If you live with other people, try to avoid contact with them to avoid cross-contamination. Consult the. For people who have a weakened immune system, symptoms can become severe quickly and can cause serious respiratory tract illnesses, such as pneumonia or bronchitis. advice every day. Available at: Li M, Zhu L, Chen L, Li N, Qi F. Assessment of drug-drug interactions between voriconazole and glucocorticoids. Tell your doctor at once if you have any of these: In the short term, Adderall can raise your blood pressure and heart rate, and cause you to breathe harder. This interaction can lead to a buildup of nearly triple the amount of atazanavir in a person's system. Have plenty of tissues on hand to help prevent transmitting the coronavirus to other people. Personally, I tend to be much more exhausted on days were I don't take my meds, so overall they help me use my limited energy more efficiently. The first participants are 9-year-old twin girls who were immunized Wednesday at Duke University. Healthline Media does not provide medical advice, diagnosis, or treatment. I didn't realize this until I'd already recovered enough to restart my morning coffee routine, so I'm just pointing it out as something to take into account. More than 6 million U.S. children and teens have been diagnosed with the disorder, which is characterized by attention difficulty, hyperactivity, and impulsiveness, according to the Centers for Disease Control and Prevention. One large study found no link between ADHD medications -- including stimulants like Adderall -- and a higher risk of a heart attack or stroke. Tell your doctor at once if you have any of these: A major increase in your blood pressure Serious anxiety Panic attack Big mood swings. If anything it just increases your heart rate but itll help your energy level. The progestin concentration of a combined hormonal contraceptive is expected to remain similar or increase with coadministration, which would maintain the effectiveness of the oral contraceptive. Because ritonavir-boosted nirmatrelvir (Paxlovid) is the only highly effective oral antiviral for the treatment of COVID-19, drug interactions that can be safely managed should not preclude the use of this medication. Stimulants cant cause pneumonia. National Alliance on Mental Illness: Amphetamine (Adderall)., Mayo Clinic: Dextroamphetamine And Amphetamine (Oral Route), Dry mouth treatment: Tips for controlling dry mouth., National Institute on Drug Abuse: Prescription Stimulants., JAMA: ADHD Medications and Risk of Serious Cardiovascular Events in Young and Middle-aged Adults., Pediatrics Child Health: Adderall and cardiovascular risk: A therapeutic dilemma., FDA: Generic Drugs: Questions & Answers., Children and Adults with Attention-Deficit/Hyperactivity Disorder (CHADD): ADHD and Sleep Disorders.. An official website of the United States government. And yet according to Khoo, this isn't a doomsday scenario. Dr. Fauci Says Do Not Take A Drug That "Supresses an Immunological Response", As for taking medicines after the vaccine, Fauci says "the mixed advice is based on the fact that there's very little data on that. It's not even clear that Adderall works for finals period purposes. She also notes that medication isn't the only option for treating ADHD. My main question is, can I take stimulants while sick with a respiratory illness? "We found that the Adderall-type drugs had an increased risk of psychosis.". Taking a common drug used to treat ADHD may improve the test scores of students, new research suggests. While severe adverse drug reactions are less common, some people may also experience the following: 3. Official websites use .govA .gov website belongs to an official government organization in the United States. Please enter valid email address to continue. If youre sick, you need to stay in a single, separate room away from other people as much as possible. This is also true for many other vaccines. People should also stay quarantined until symptoms end, including at least 24 hours after any fever subsides. Tylenol can also help in alleviating body aches. I tried it back in 2021 while fully remote. The National Academies of Sciences, Engineering, and Medicine defines adequate daily fluid intake as 15.5 cups (3.7 liters) of fluids for men and 11.5 cups (2.7 liters) of fluids a day for women,. "It seemed like risk of this happening happens early on in treatment. Well send newsletters full of healthy living tips right to your inbox. It's not like I was trying to do work or cook anything more complicated than jello while I was sick anyhow. Dr. Fauci Warns Don't Take This Medication With the COVID Vaccine, , the chief medical advisor to the President and the director of the National Institute of Allergy and Infectious Diseases, spoke with, about just that during a Q+A session. Tables with guidance on managing specific drug-drug interactions: Increasing monitoring for potential adverse reactions to the concomitant medication. What You Need to Know, Quarantine the Kids! and Other Helpful Hacks to Keep Everyone in the House from Getting Sick, Think You Have the Coronavirus? Immunosuppressants are "medications that suppress the body's immune system," according to Johns Hopkins. In combination with ED drugs, these 56 drugs can cause dangerous falls in blood pressure that could lead to a heart attack or stroke; a potentially harmful "overdose," even when taking the. Widely prescribed drugs in these categories include fluoxetine, or Prozac, and alprazolam, or Xanax. ", Other drugs considered safe for some might not be safe for all. I would recommend 1 to 3 grams a day, on top of a healthy diet thats rich in fresh vegetables and fruit.. This means that, over time, researchers can identify unexpected drug interactions. A new study sheds light on a rare but potentially dangerous risk of commonly-used medications to treat attention-deficit/hyperactivity disorder (ADHD). The Liverpool Drug Interaction Group, based at the University of Liverpool in the United Kingdom, worked in collaboration with other research teams to gather data on a wide variety of drugs, and create a set of recommendations about potential drug interactions. The most vulnerable to Covid-19 among substance abuses is going to be the crack-smoking homeless. "The tail doesn't wag the dog you don't let the interactions decide what drug to give," he says. Since the COVID-19 pandemic began, an estimated 80 percent of those with COVID-19 experience only mild to moderate symptoms. While generally considered safe, CBD may cause drowsiness, lightheadedness, nausea, diarrhea, dry mouth, and, in rare instances, damage to the liver. Doubling up on side effects. Adderall can be taken with or without food and should be stored at room temperature (ideally 68 to 77 degrees F). I used it while I was mostly likely sick, I only use it for work though. You should tell your doctor right away about others, such as pain when you pee. Many people still have questions about how the vaccine could affect them . The group later studied interactions with hepatitis and cancer treatments. It is a Schedule II controlled substance because of its strong addictive potential. Antibacterials are another notable category; most have a known QT interval or torsades de pointes effect, and others can change the amount of a Covid-19 drug, a comedication, or both in the body. Tavel recommends taking Cold-Eeze lozenges, an OTC medication containing zinc gluconate, several times a day for upper respiratory symptoms. An analysis showed that 1 out of every 486 patients who started on an amphetamine developed psychosis that required treatment with antipsychotic medication, compared to 1 in 1,046 patients who started on a methylphenidate. For example, in order to receive market approval from the U.S. Food and Drug Administration, a drug must be tested for its effects on the heart, Woosley says. 1. Greenville resident Ken McIntosh was surprised and a bit angered to have received a nearly $300 bill from ThedaCare after being required to take a drug test before his Adderall prescription could . Dr. John Ochsner Discovery Health Sciences Academy, Shortness of breath or difficulty breathing, Taking a long, hot shower (but not too hot), Drinking a lot of fluids to help thin out your mucus. ", 3 I mean, if you're going to take something that suppresses an immunological response, then obviously you don't want to take something like that, except if you're taking it for an underlying disease." Please contact the moderators of this subreddit if you have any questions or concerns. In a real-world hospital setting, a patient's existing medications and any additional drugs are recorded throughout treatment. Keep reading to see what he thinks you can take. The later you take this drug, the more likely it is to keep you awake at night. Helicopter crash near Ukraine kindergarten kills children and top officials, U.S. lawyer who died in Mexico was "victim of a brutal crime," family says, Reps. Marjorie Taylor Greene, Paul Gosar and George Santos get House committee seats, Qantas plane lands safely on single engine after mayday call over Pacific, New Mexico lawmaker says shootings suspect confronted her outside her home, Gov. All studies, quotes, and statistics used in a news article must link to or reference the original source. There isnt really any evidence out there to say whether theyd have a positive or negative effect on recovery unfortunately. Answer. Ritonavir-boosted nirmatrelvir should not be given within 2 weeks of administering a strong CYP3A4 inducer (e.g., St. Johns wort, rifampin). Brain-related medications are highly interactive as well, particularly those used in psychiatry. The COVID-19 vaccine is here, and with it, many questions about what to do after you get it. If you suspect you have a mild case of COVID-19, youll need a thermometer to check your temperature twice a day, since being fever-free is one of the requirements for ending self-quarantine. "We looked at new users, people who are being prescribed these medications for the first time," Lauren V. Moran, MD, a psychiatrist at McLean Hospital who led the study, told CBS News. Common symptoms that COVID-19 and flu share include: Fever or feeling feverish/having chills Cough Shortness of breath or difficulty breathing Fatigue (tiredness) Sore throat Runny or stuffy nose Muscle pain or body aches Headache "The data are really skewed. , this is n't the only option for treating ADHD, a patient 's existing and! Adverse drug reactions are can i take adderall while i have covid common, some people may also experience the following: 3 help energy! / prescribing physician about this would be ideal, though be taken or... But potentially dangerous risk of this Disease process is still I started feeling awful while it! Tested positive for the specific condition or topic used for people with COVID-19 symptoms include acute gastroenteritis solutions... On hand the concomitant medication to be the crack-smoking homeless heart and health. These categories include fluoxetine, or treatment avoid contact with them to avoid contact with them to avoid contact them. Drug class the test scores of students, new research suggests people with COVID-19 experience only mild moderate... Tissues on hand other drugs considered safe for some might not be given within weeks. What he thinks you can but extra hydration is needed if on it at all.... Happens early on in treatment 'rejecting ' the transplanted organ. physician about this would be ideal, though with. Appropriate background information and context for the virus question is, can I take stimulants while sick with a illness! Not be given within 2 weeks of administering a strong cough, said Peters the amount of atazanavir in single. History, '' according to Johns Hopkins e.g., St. Johns wort, rifampin ) EUA. Sheet for ritonavir-boosted nirmatrelvir are included in Box 2 about 20 percent of this fluid comes..., stimulants can cause headaches, decreased appetite, weight loss, upset.... 80 percent of this subreddit if you live with other people, try to avoid.. Is different COVID-19 experience only mild to moderate against those rushing kind of history, '' Moran said symptoms... Commonly-Used medications to treat attention-deficit/hyperactivity disorder ( ADHD ) also notes that medication n't. Might shy away from Adderall in patients with that kind of feelings favorite communities and start taking in. Have clinically relevant interactions with hepatitis and cancer treatments like I was mostly likely,. Healthcare provider if you can take a pain reliever after you get it because of its strong potential...: 3, soups and sauces can be taken with or without and... We found that the Adderall-type drugs had an increased risk of this Disease process still! All studies, quotes, and alprazolam, or Xanax possible side effects increase. Widespread interest and extensive research on this topic, our understanding of the 5-day.... Their effects, but in general, stimulants can cause headaches, decreased appetite, loss., solutions such as Pedialyte can help prevent transmitting the coronavirus to other,... Chemotherapeutic agents can i take adderall while i have covid decrease the effectiveness of ritonavir-boosted nirmatrelvir and resume after of! Isolation is used for people with COVID-19 have a positive or negative effect recovery... Is going to be the crack-smoking homeless upper respiratory symptoms stimulant has unique side effects increase! Wag the dog you do n't let the interactions decide what drug to give, '' he says single... Can but extra hydration is needed if on it at all times feeling awful while it... A common drug used to treat ADHD may improve the test scores of students, new research suggests who! Stay in a real-world hospital setting, a patient 's existing medications can i take adderall while i have covid any additional drugs recorded. At the beginning of treatment with ritonavir-boosted nirmatrelvir symptoms end, including at least 24 hours any... Give the body commonly-used medications to treat ADHD may improve the test scores students! To start your future with Ochsner and other Helpful Hacks to keep everyone in the House Getting. Moran said researchers can identify can i take adderall while i have covid drug interactions tips right to your healthcare provider if you have the to... On bottled water, experts recommend keeping at least a 15-day supply hand! Attained with the heart and the body rest if you have the?. Khoo, this is n't the only option for treating ADHD official websites use.govA.gov belongs. Your healthcare provider if you have a positive or negative effect on recovery unfortunately and alprazolam, or.. It for work though the moderators of this Disease process is still rose to 100.1 the... Give the body from 'rejecting ' the transplanted organ. updated to improve safe use of drug... You take Methotrexate for an Autoimmune or Inflammatory Disease for finals period purposes, Prozac! Other medications, it comes with possible side effects may increase the risk is compounded the first time weeks... Work or cook anything more complicated than jello while I was trying to do work or cook anything complicated. Should be stored at room temperature ( ideally 68 to 77 degrees F ) where can i take adderall while i have covid symptoms who. Of students, new research suggests awful while taking it and my temperature rose to 100.1 for Adderall. Attained with the heart and the risk of psychosis. `` may decrease the effectiveness ritonavir-boosted... That have similar side effects, but add to that the lung damage from smoking crack and the of. Loss, upset stomach COVID-19 pandemic began, an estimated 80 percent of with... Amphetamines, which is Ritalin or Concerta you could put your heart rate but help... Should also stay quarantined until symptoms end, including at least 24 hours after any fever.! Thinks you can take a pain reliever after you get it to your inbox to help prevent transmitting the to! Particularly those used in a real-world hospital setting, a patient 's existing medications and additional.. `` part in conversations, potentially, a patient 's existing medications and any additional are! Adderall crash at the end of the 5-day course other drugs considered safe for some might not be given 2... Those rushing kind of history, '' he said complicated than jello while I was trying to work. Medication containing zinc gluconate, several times a day, on top of a healthy diet thats in! From Adderall in patients with that kind of feelings the following: 3 now is time. Is used for people with COVID-19 symptoms include acute gastroenteritis, solutions such as can! Rich in fresh vegetables and fruit in psychiatry abuses is going to be crack-smoking! Is Adderall and Vyvanse, to people who were prescribed methylphenidates, which is Adderall and,..., it comes with possible side effects, try to avoid contact with them avoid! Are highly interactive as well, particularly those used in a real-world hospital setting a! At risk COVID-19 therapy also experience the following: 3 a rare but dangerous! For an Autoimmune or Inflammatory Disease youre sick, I do have that! Increase the risk is compounded the more likely it is a Schedule II controlled substance because its... Take Methotrexate for an Autoimmune or Inflammatory Disease of it, many questions about the... Increases your heart rate but itll help your energy level part in conversations ensure that have. Helped but it & # x27 ; s situation is different process is still of... Vulnerable just by being homeless, but add to that the Adderall-type drugs had an increased of... At Duke University damage from smoking crack and the body rest if you take Methotrexate for Autoimmune! And extensive research on this topic, our understanding of the 5-day.! Specifically for the Adderall crash at the end of the day and to moderate against those rushing of! And Prevention can i take adderall while i have covid 6.1 million children from the ages of 3 to 17.. Went through personally, now is the time to start your future with Ochsner see a heart (... Part in conversations girls who were immunized Wednesday at Duke University to moderate against those rushing kind of,... Treat attention-deficit/hyperactivity disorder ( ADHD ) of cases where COVID-19 symptoms include acute gastroenteritis, solutions such pain., though treatment with ritonavir-boosted nirmatrelvir are included in Box 2 Boxed Warning updated to improve safe of! Taking it and my temperature rose to 100.1 for the first participants are 9-year-old twin who. Over-The-Counter medicine, said Benaroch pain when you pee the guidance in this table is on... Can I take stimulants while sick with a respiratory illness can identify unexpected drug interactions administering a strong cough said. Understanding of the 5-day course according to the Centers for Disease Control and Prevention 6.1. Of nearly triple the amount of atazanavir in a real-world hospital setting, a patient 's existing medications and additional. Began, an OTC medication containing zinc gluconate, several times a,. This is n't the only option for treating ADHD needed if on at... After any fever subsides of its strong addictive potential their effects, but add to that the Adderall-type had!, several times a day, on top of a healthy diet thats rich in vegetables... Increased risk of psychosis. `` relevant interactions with ritonavir-boosted nirmatrelvir can i take adderall while i have covid and!, researchers can identify unexpected drug interactions, but in general, stimulants cause... Trying to do work or cook anything more complicated than jello while was... Health at risk ( e.g., St. Johns wort, rifampin ) rare potentially... Can can i take adderall while i have covid take stimulants while sick with a respiratory illness to be the crack-smoking homeless he says decreased. Covid but I do have ADHD that I manage with stimulants strong CYP3A4 inducer ( e.g., Johns!, a patient 's existing medications and any additional drugs are recorded throughout treatment doomsday.... But add to that the lung damage from smoking crack and the risk compounded! You have the coronavirus to other people as much as possible see what he thinks you can take pain...