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Re: Adrafinil to JohnL and Cam

Posted by michael on June 22, 2000, at 9:15:36

In reply to Re: Adrafinil to JohnL and Cam, posted by michael on June 22, 2000, at 9:08:04

Naturally, as soon as I posted my previous msg, I was able to access that site again.... anyway, here's what it had to say:

The use of modafinil with other psychostimulants, including methylphenidate and dextroamphetamine, has not been extensively studied. Single-dose studies of methylphenidate and modafinil administered in combination did not note changes in the metabolism or the extent of absorption of either medication. However, the rate of absorption of modafinil was delayed up to one hour by the presence of methylphenidate. Similar single-dose studies have been performed with dextroamphetamine and modafinil. No pharmacokinetic interactions ocurred between dextroamphetamine and modafinil, but a slight increase in stimulant-associated side effects was noted. Patients receiving combination therapy of modafinil with other psychostimulants should be closely observed for signs of nervousness, irritability, insomnia, arrhythmias, or other CNS stimulant-related side effects.

Hope that helps...
michael


> > > Hey guys, if I decided to try Adrafinil, what should I do about my current meds.? Wellbutrin 200mgs. 2x/day, Celexa 40mgs. 1x/day, Adderall 10 mgs. 3x/day. I'm not scheduled to see my Pdoc for a couple months, also I feel a little uncomfortable suggesting specific meds. to him. I probably would end up telling him that I had tried the Adrafinil, but I kind of want to see if it works first. I don't know, I'm kinda just shooting in the dark here, because though my mood has improved, I still have terrible fatigue and anhedonia. Whatta ya think? CarolAnn
> >
>
> Just to let you know, I'm taking 500mg welbutrin SR and 600 - 1,200mg adrafinil, and have not had any problems.
>
> The only other thing I have to say is to be cautious with the adderall & adrafinil combination - Of course I can't pull it up right now, but I've read of some research on provigil (similar to adrafinil) combined with the classic stimulants. I believe what it said was that adverse effects were limited to incr. nervousness, etc. The kind of thing you might expect from taking too much of a stimulant...
>
> However, I think that it said this was based on a single dose (not evaluated over any extended period of time). I believe it also noted that the onset of the effect of the provigil was delayed about an hour.
>
> I'll try to access that site/info again later, and I'll post it here.


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poster:michael thread:37927
URL: http://www.dr-bob.org/babble/20000619/msgs/38098.html