Posted by Mitch on November 28, 2001, at 23:32:27
In reply to Re: adderall update neuropsychological tests, posted by manowar on November 28, 2001, at 14:28:40
> > You mentioned having cyclothymia and ADD (I have BPII and ADHD). Is Adderall XR and Wellbutrin the only meds you are taking-no mood stabilizers? If not, what rationale does your pdoc use for *not* needing them? Just curious,
> >
> > Mitch
> I forgot to mention that I was also taking klonipin 1.5 MG in the evening. My doc thought that the klonipin is not that effective as a mood stabilizer and could be making my depression worse so he had me stop taking that and started me on Seroquel a couple weeks ago. I had some bad side effects with the Seroquel, so I have stopped taking it. So right now I'm not taking anything to stabilize my mood, but I will see my doc in a week. My doc in California told me that a good mood stabilizer was very important. He suggested I try Neurontin on his report, but for some reason my doc up here wanted to try me on Seroquel. Anyway, what should I ask my doc to try next-- an atypical mood stabilizer like Neurontin or something like lithium or depekote?
> --TimTim,
Neurontin was the only mood stabilizer that I have taken that seems to help with anxiety, attentiveness, and moodswings. Depakote, Lithium, etc., seem to work well for one problem or the other but worsen or do little for the others. ADHD-wise only Neurontin and Trileptal seemed to *help* with attention. Lithium, Depakote, Gabitril, and Topamax all worsened cognitive functioning (sometimes to the point of derealization). I haven't tried Lamictal, however.
It is interesting that you mentioned Seroquel. There was a short interval of a few weeks when I hit what I call a "total clear spot" when I was on Neurontin 300mg bid, Adderall 5mg AM, and was still experiencing edginess from the pstim (what to do?). Seroquel 25mg at bedtime got added. The mornings were a little rough (even after my Adderall dose), but when the Seroquel *wore off* later in the day I had a really boosted focus that was really incredible. I didn't get hypomanic at all. Just quiet and focused-no restlessness-needing to continually move around. Mind you-this was when the D2 receptors were becoming *unoccupied*. But, I got some dystonia even from a small dose of Seroquel and had to stop it. The pstim eventually made me too panicky and it got ditched as well. That was very dissapointing. I really believe that if my pdoc would have simply added Klonopin (for the anxiety) to my Neurontin and Adderall it might have all worked out ok.
Mitch
poster:Mitch
thread:84890
URL: http://www.dr-bob.org/babble/20011123/msgs/85474.html