Posted by Ritch on May 21, 2002, at 20:57:51
In reply to Re: low dose Provigil update » Ritch, posted by Emme on May 20, 2002, at 10:28:31
> > 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).
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> Do the TCA's give you less trouble than the SSRI's and other antidepressants?Hi, Emme. The most "effective" SSRI that I have taken is fluoxetine. The most "effective" TCA I have taken (esp. for ADHD) is probably desipramine. But I can't really tolerate SSRI's or TCA's. So, my troubles are not efficacy really, it is intolerable side-effects that are sometimes as bad as being depressed or having ADHD symptoms.
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> > Unless..long shot....pdoc will go for Concerta.
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> Is concerta supposed to make you less jittery than ritalin and dexedrine?Concerta *is* Ritalin (methylphenidate). It is just a very technical (and pricey) way to make a sustained release methylphenidate that you can take once in the morning.
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> > > If only it were a good punch. MOrning was better, more normal. The afternoon punch is a bit much.
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> > That *still* sounds good to me. Mid-late daytime I get the most profound fatigue, I am constantly yawning at work.
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> Huh, well maybe that would time out nicely for you.
> Good luck with the search for the right stimulant-type drug. Have you mentioned how good ole caffeine works for you? I can't tolerate much, but a dash of it (a third of a cup of coke) has been known to keep me from falling asleep in seminars. :)
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> EmmeCaffeine works OK. It just upsets my stomach and causes heartburn. It lasts about three hours. I can yawn at work and look at my watch and sure enough about three hours since my last cup.
Oh, I saw your SAMe question below. I have been taking it off and on and it does seem to be energizing, but not really *focusing*. I just feel kind of jumpy, but I don't feel any benefit with concentration (not as good as coffee, i.e.).
Mitch
poster:Ritch
thread:104737
URL: http://www.dr-bob.org/babble/20020517/msgs/107218.html