Posted by Ritch on May 17, 2002, at 22:20:30
In reply to Re: low dose Provigil update » Ritch, posted by Emme on May 17, 2002, at 16:00:33
> Hi Mitch,
>
> > Do you also respond this way to a lot of
> > antidepressants (esp. Wellbutrin, SSRI's)?
>
> I seem to need low doses of many things. Wellbutrin made me too wired over 150 mg and it had to be used with something sedating like Serzone. Zoloft - too wired at low end therapeutic range. Paxil okay at 10 mg - more = too sleepy. Just like you I guess.
Hey, you are doing pretty well! The MAX of Wellbutrin I could stand was 150mg/day and that in the absolute middle of a major depression and only for a few days. Paxil at 4mg per day gave me EPS (choking feelings-tongue zaps, etc.), Zoloft-diarrhea/restless legs, Prozac-nightime hallucinations, Luvox-laughing spells, Celexa-choking feelings-tongue zaps, acid reflux (but not as bad as Paxil). Serzone was OK-except that I was dreadfully confused and couldn't see straight (on 50mg/day). Effexor made me itchy, dream vividly, and made me hostile and hypomanic WITH diarrhea and elevated heart rate and blood pressure. IF I didn't get anxious on stimulants, they would be the best meds I had ever taken for seasonal recurrent major depression-most efficacious undoubtedly-with few side effects except for the anxiety. I think I will wind up back on nortripytline or imipramine this time around (TCA's). Unless..long shot....pdoc will go for Concerta.
>
> > Hmmm.. "maximum punch in the afternoon", I like > the sound of that a whole lot!
>
> If only it were a good punch. MOrning was better, more normal. The afternoon punch is a bit much.
That *still* sounds good to me. Mid-late daytime I get the most profound fatigue, I am constantly yawning at work.
>
> > difficulty prioritizing-that doesn't sound so
> > great-sounds like residual anxiety unfortunately.
>
> Or a shortened attention span due to overstimulation.
That is what I got with Wellbutrin. I was too buzzed up and I couldn't focus. Interestingly, methylphenidate or Adderall didn't mess that up (despite the fact that it made me more anxious).>
> I'm taking a few days off the Provigil to see how I feel and then if I go back to being too lethargic, I'm going to see if I can shave the provigil down to a puny 6.25 mg. Or some crumb like that.
>
> There are things I like about this drug, but it may end up just being too energizing for me. Maybe it'll end up being something I reserve a crumb of for times when my energy shifts cycles into low gear. Dunno. I'm definitely into exploring teensy doses of things now. I mean my doctor knows enough to try me out at low doses, but I'm thinking that on some things we could have tried still lower. I'll keep you posted.
>
> cheers,
> EmmeHave a good weekend, I will be away from the computer for a few days, so see ya later,
Mitch
poster:Ritch
thread:104737
URL: http://www.dr-bob.org/babble/20020517/msgs/106828.html