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Re: TCAs » zeugma

Posted by not exactly on February 18, 2003, at 13:21:56

In reply to Re: TCAs » not exactly, posted by zeugma on February 18, 2003, at 8:15:56

> I definitely have a serious problem with overstimulation.

Is the problem _endogenous_ overstimulation or _exogenous_ overstimulation? I certainly don't have endogenous overstimulation - quite the opposite - since stimulant meds help me. But I definitely have the exogenous overstimulation problem - I'm mood-reactive and hypersensitive to external sources of irritation. I found that Neurontin helped me with that. Have you ever tried Neurontin? It might help with your social anxiety and insomnia.

> upping the dose of nortrip to 45 mg from 40

??? That sounds like an almost negligible increment. Why not 50, since it's a standard dose? (So is 25 if you want b.i.d.)

> I think Buspar might be a good adjunct for you too. It does have a dopaminergic effect so it might help the anhedonia.

That's the intriguing part. The meds that have helped me the most have been those with some dopamine-bosting effect (Mirapex, Wellbutrin, Ritalin, Dexedrine, Selegiline). I will see my pdoc in about a week and hope to get a Buspar Rx then.

> When I started taking 10 mg a day (5 in the morning/ 5 at night) I felt the effect right away.

What effect did you notice? Just a reduction in anxiety, or were there other benefits? And how soon is "right away"? Within 24 hours?

- Bob


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