Posted by Ritch on March 16, 2003, at 21:53:08
In reply to Re: Ritch, posted by cybercafe on March 16, 2003, at 14:06:16
> > > hey mitch you are taking a stimulant and an antidepressant right?
> > >
> > > i'm curious how, when you feel depressed and are unable to concentrate, you decide whether to increase your antidepressant or to increase your stimulant
> > >
> > > thanks (i still can't believe you take both and aren't at all manic)
> >
> >
> > Hi, I'm not on any stimulants now. I'm taking Depakote+Klonopin and Effexor+Wellbutrin with fish oil. The Effexor is very very low dose. The Wellbutrin 100mg/day. The WB is something of a stimulant. I have been on Adderall, dexedrine, Ritalin and Focalin previously, however. The dosage of stimulants that work well have never needed to change any. The Effex. or WB doses go high enough to avoid any intolerable adverse effects. If the Effex. gets too high I will sweat too much, have insomnia, and most importantly my stomach gets very upset. If the WB gets too high it aggravates generalized anxiety too much. Stims never made me manic in any way at all. It is the SSRI's that do that. I have had rage episodes with TCA's, but not euphoria. SSRI's make me act like I am smoking weed.
> >
>
> hmmm... i forget, do you work, or how did you know you had ADD? and monitor your symptoms?
>
I've always been employed doing something or other with exception to the time when I quit all meds about 15 years ago. I stopped my lithium and things got a little tweaky to say the least. I got fired from a decent paying construction job because I cycled into a very heavy summertime seasonal depression. I could't keep up with the double-time load of work that happens with that biz in the summer. If something wasn't just right on a job I would use it as an excuse to get out of there and go home and vegetate in front of the TV. So, I was fired because I coudn't keep up with the work load. I have also been fired because I couldn't control my temper. I didn't know I "had" ADD until my pdoc scripted some Adderall (out of ADD suspicion) and I started to listen to people for the first time in my life. Desipramine was interesting because everything turned into very discrete task-oriented task units. Wellbutrin works somewhat OK, but not as good as desipramine or Adderall.
poster:Ritch
thread:209536
URL: http://www.dr-bob.org/babble/20030314/msgs/209833.html