Posted by Viridis on October 27, 2003, at 13:37:39
In reply to Hmm..., posted by Tom1982 on October 27, 2003, at 6:08:07
I'm not sure if your doctor would let you try Provigil together with Adderall, but you could certainly ask. I did look at the prescribing portion of the Cephalon website (the company that makes Provigil) and they mention that it didn't affect the metabolism of Ritalin, an amphetamine relative. There doesn't seem to be any obvious contraindication with other stimulants, but then I'm not an expert.
One thing you could do is call Cephalon yourself and ask -- most of these pharmaceutical companies have experts who are happy to answer your questions, and that might provide more info that you could share with your doctor. A useful thing about Provigil (at least the samples that I got) is that they're easy to break, so you can try small doses to start. Regarding its price, I have seen somewhere that there's a push by some other companies to allow manufacturing of generics. I'm not up on the technicalities, but at least that's encouraging.
I've never tried Remeron, and have seen very mixed reviews of it here. My understanding is that it works on a subset of serotonin receptors, and also on norepinephrine. Apparently, dosing can be very important, with some side effects actually diminishing with increased doses. But, it sounds kind of complicated -- I just wonder if, since you're using it, you might discuss dosing issues with your doctor.
Despite my negative comments about Wellbutrin, you might want to give it a try, cautiously. Everyone responds so differently to these meds that some bad reactions don't necessarily mean that everyone will respond negatively. This seems to be a very good med for some people; I'd just try a low dose first.
For anxiety, benzos seem to be the best for a lot of people, but again, they're not right for everyone. One thing, though (and I've found this especially true of Klonopin) -- generally, with regular use, the side effects disappear quite quickly but the anti-anxiety effects don't. So if anxiety really is a severe problem and the other meds don't help, it may be worth a couple of weeks of feeling odd to achieve lasting relief. I was able to minimize sleepiness etc. from Klonopin by taking small, divided doses through the day at first. After a couple of weeks I had no side effects at all and just started taking the whole dose at once. I'm still getting the same anxiety relief from the same dose 2 1/2 years later. Of course, that's just me, but disappearance of side effects does seem to be pretty standard with Klonopin, according to my pdoc and others here.
poster:Viridis
thread:272582
URL: http://www.dr-bob.org/babble/20031025/msgs/273972.html