Posted by utopizen on March 27, 2004, at 17:49:33
In reply to Re: Xanax XR vs Klonopin, posted by Ame Sans Vie on March 27, 2004, at 13:58:12
Not to dwell on your very determined regimen of taking amphetamines at 20mg/day beyond the PDR daily dose that is recommended, or that many of the symptoms you describe are potentially "negative symptoms" associated with a state of schitzophrenia, a very severe disorder that you may or may not have yet could receive benefit through a trial of Abilify over--
Kava is extremely toxic on the liver. My p-doc was the one who came out with this FYI to the new media in 2000. Please be careful, and let your doctor know of everything you're taking.
And given your hyptensive condition, I would be concerned to take as many herbals as you list, if you were me, IMHO. Simple flowers have magical powers.
But taking 60mg of Adderall when you have a hypertensive condition, then combining that with an urinary alkanizer? Besides the fact that some Xantac is far more hi-tech at doing this than some Alka-Selzter, and that I do it now and then, um, have you tried switching to a different stim, like Desoxyn, instead of trying to possibly go all-for-nothing on a stimulant that might not be the best choice for you, hence the need for you to take 60mg?
In general practice, it's considered preferred to switch a patient to a different stimulant than increase the patient's dose beyond the recommended amount.
The fact that you're on Adderall for a host of issues concerns me. I started Adderall two years ago at 40mg/day in two divided doses. Now I don't respond to it like I use to, and I barely respond to the Desoxyn I get prescribed at 50mg/day, and use to fare quite well if not better at just 20mg/day last spring to it. I of course take it for sleepiness, but I'm suspecting I've actually got depression. And let me tell you, after awhile, it stops working for depression, fancy NMDA modulating augmentations or not.
Treat your underlying issues while you still can with a light antidepressant+some Abilify at a low dose for a couple of months, maybe with or without Straterra, perhaps Provigil as well.... if you want to. You've been on the benzos for awhile, that's not an atypical thing. But even at 8mg, how cool and collected can you possibly be if you feel the need to augment it with Kava, or have insomnia? I'm not judging, but do you exercise? I don't, but I'm about to next week. It's not like these don't have side-effects--
if you can do something for your depression and insomnia through exercise, I'd take that idea seriously, but it's up to you. Remember, walking just 20-25 minutes 3x/day is just as helpful to your stress as running, so don't get intimidated. And if you exercise, insomnia may be treatable easier with less powerful agents. Are you combining this with CBT? I'm concerned, you sound like me a year ago.
poster:utopizen
thread:328918
URL: http://www.dr-bob.org/babble/20040325/msgs/329196.html