Posted by Rick on June 27, 2000, at 1:13:37
In reply to Re: Thanks, Rick..., posted by shellie on June 26, 2000, at 23:54:30
Karen - You're quite welcome!
I hope both of you have the opportunity to keep everyone up-to-date with your progress, including both benefits (yes!) and possible side effects (hiss!). Even though I won't be able to visit this site more than a few times over the next couple weeks, I'll be looking for any reactons from you, pro or con. And if I have any unexpected change in my own positive reaction to Provigil, I'll report back.
Finally if one of you eventually ends up switching to adrafinil, I and many other Psycho-Babble readers would be interested in hearing how it compares to Provigil in your situation.Shellie, with regard to the side effects, I've got my fingers crossed that the slow-build approach will keep the nausea at bay. I don't know all of the details of your situation, but I'm kind of surprised you would have gone as high as 400 mg. at all, let alone so quickly. I don't know...maybe a high dose can be helpful for ADD. But at least for the label indication of narcolepsy, studies suggested that increasing the dose above 200 mg. usually just added to side effects while providing only a spotty enhancements in efficacy. Of couse, YMMV.
Incidentally, Karen, I'm not trying to push the Serzone (indeed, I think the Klonopin is still more important in treating my Social Phobia), but note that I am sticking with a pretty low dose -- 300 mg/day. As you know, Serzone is not an SSRI, although it is close kin in some ways. I had far fewer side effects from 300 mg Serzone than from 20 mg Celexa (most vividly in terms of sexual drive and function). But I do know that many people can't stand it, especially at more-typical doses of 400-600. I do have one friend who is taking 400 mg Serzone with zero side effects, although she seems virtually immune to all med side effects except nasal congestion!
Rick
poster:Rick
thread:37987
URL: http://www.dr-bob.org/babble/20000619/msgs/38419.html