Posted by Ritch on February 24, 2002, at 22:57:50
In reply to Re: Adderall: 4 salts, but how are they released?, posted by MB on February 24, 2002, at 17:53:27
> Anyway, a side note: the restless leg problem is getting really bad again (doc calls it "akithisia")..."feels" like its intinsity is coinciding with the dose increases of the Serzone. I've always had this problem with SSRIs (even though Serzone is a little different than a true SSRI). Effexor was worse for me than any SSRI, and I just learned that Serzone increases norepinephrine as does Effexor. What does a person with depression do when they just can't tolorate antidepressants?
Hi MB,If you could answer that question accurately you might find the answer many of us would like to know as well.
>
> I took Prozac for two weeks (I think) then switched immediately to Serzone (climbing slowly from 100mg a day to 375mg a day), I wonder how sick I would get quitting the antidepressant cold turkey.
>
> My doc I can only talk to once a month over the phone. It is ridiculous. Thursday, I am talking to a local psychopharmacologist who might be able to do more than hand me four bottles of pills and say "have a go at it, call me in a month."
>
> MB
This is my idea of what's happening. You are on *too high* a dosage of Serzone. It seems that all of your troubles seem to coincide with dose increases of antidepressants. It also seems like you are *chasing* the dose of pstim to keep up with the Serzone fogginess, etc. ALL SSRi cause akathisia with me, but they do have anxiolytic effects, but only at very low doses. What about this: 1) Keep your mood stabilizer(s) dosage(s) the same (Neurontin-Klonopin), 2) Decrease incrementally first the Serzone in steps. 3) If you find you are getting too anxious from reducing the Serzone-reduce the pstim (Adderall) incrementally as well. 4) Wait a while after you make any significant reduction.Maybe if you get your mood stabilizer/AD+pstim dose ratio a little higher you might find yourself cooling out.
keep us posted,
Mitch
poster:Ritch
thread:95153
URL: http://www.dr-bob.org/babble/20020222/msgs/95382.html