Posted by Katz on January 24, 2001, at 19:21:36
In reply to Re: Reboxetine/Ritilin for Depression? » Katz, posted by MarkinBoston on January 24, 2001, at 17:03:18
Hi Markin,
I loved your ciggarette analogy! As it turns out, AD's may not be as innocuous as was once believed either. I understand that there is some new research that suggests that the AD's may be causing structural changes (damage) in the brain. Causing swelling of the synapses. Pretty scary stuff!
As for your suggestions:
l. I had the records from the pdoc forwarded to me and I gave them to the 3 different doctors in my area. The problem with those particular records is that they were not very extensive. I had only seen that doc for about a year. During that time, only 3 different meds were prescribed: tegretol (made my legs feel like lead), dexedrine (no effect, I could fall asleep on the stuff) and finally Ritilin. The reaction from all three docs was that this treatment was unconventional and unwise. They all seemed to believe that Ritilin would not be effective over the long run and that it was very addictive. They truly believed that they could get the same kind of successful result with AD's despite a long list of failed trials that I supplied them with from various other doctors. How can they justify bringing kids up on Ritilin if they believe it to be so addictive? It's insane! And many of these kids do infact become addicted, many resorting to snorting it as they reach their teenage years. A practice that has deadly implications.
2. Actually, my script was for 40 mg so I was able to make it last for two months. My pdoc was a pain about this, insisting that I had to see him every month (he wanted his money, of course)! Real compassionate huh? He was a real sweetheart!
How long have you been on ritilin? Has the dose remained constant throughout? What symptoms has it helped you with? Do you suffer from depression? Anhedonia? Social Phobia? ADD/ADHD?
Thanks for all your input,
Kathy
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> Yes, I find stimulants helpfull and not particularly addictive, where one pill in the morning is generally all I need. There is no comparison in addiction potential between stimulants and cigarettes. The latter is far more addictive, but you can buy as much as you want as long as you're an adult. The former might induce temporary psychosis, the latter death.
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> I gave Provigil a quick try and do not like it as much as Ritalin or Aderall. Two of Provigil's best features according to the manufacturer are that its taken 1/day, and its schedule 4 and much easier to dispense. Lots of data about being better than a placebo for staying awake, but no comparisons with Ritalin or amphetamines. It costs about 5x what your Ritalin does, but so what, the doc doesn't have to see you every month for another script. That's of value to them and reason enough to choose Provigil over another drug.
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> I have a couple suggestions:
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> 1. Have your old pdoc forward a copy of your records to the new pdoc showing your history and all the meds you've tried unsuccessfully.
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> 2. If your old pdoc wrote you a script for 20mg, 3x/day for Ritalin, it would be within the therapeutic dosage range and not cause a problem for the doc. If you were a non-compliant patient and only took 1/day, 90 pills would last you 3 months.
poster:Katz
thread:52347
URL: http://www.dr-bob.org/babble/20010122/msgs/52465.html