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thanx for reply; clarification re stims and my doc » AndrewB

Posted by S.D. on July 23, 2000, at 23:41:56

In reply to Re: nonRx Adderall alternative? ephedrin/MaHuang safe?, posted by AndrewB on July 23, 2000, at 20:41:31

> Since your doctor is not to keen on stimulants, how does he suggest that you treat your ADD without hyperactivity. Stimulants are the only generally used medicine for ADD. Can you switch doctors.
>
> That being said, Wellbutrin has some efficacy for ADD and anergic states. Both reboxetine and adrafinil are available without Rxs. An Rx for Provigil is another option
-----
My ADD diagnosis was from a previous doc, and was based only on personal interview + long survey of historical symptoms and traits + lab test to rule out heavy metals poisoning. I don't think my current doc thinks I have ADD but I have been/will be talking that angle with him more, now that my social anxiety has been addressed pharmacologically. And he knows I consider my fatigue/anergia/lack-of-motivation/possible anhedonia is my primary complaint currently. Basically, my symptoms aren't inconsistant with depr. in partial remission or dysthymia or atypical depr. So I don't blame him esp. since I don't think I've stressed to him yet that I've basically felt this way all my life (i.e. to distinguish it from depression which may have officially kicked off in adolescence.)

Given the foregoing, he's been gravitating toward more stimulating type antidepressants in his suggestions to me. Specifically I may try Wellbutrin, especially if particular noticeable symptoms of depression return. Until then, I've got amisulpride underway, sulpiride as an alternative, and adrafinil on-the-way.

Bottom line, I don't much care what label someone wants to put on me except to the extent it helps or hinders my efforts at getting well.
When you put the question to him straight my doc will admit that since the physical mechanisms aren't well understood, and positive responses occassionally happen to "a non-typical med for that diagnosis" that, diagnoses and labels are fake enough to be harmful if you let yourself be constrained too much by them.

peace and health,

S.D.


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