Posted by Paulbwell on May 31, 2006, at 19:56:39
In reply to Re: Utopizen » Paulbwell, posted by utopizen on May 31, 2006, at 6:03:40
> Well, I've tried all the stimulants, and Desoxyn helps, sure. I find Adderall a bit too stimulating to my heart, and Desoxyn slightly less so, and slightly less anxiety-inducing... also, less um, of that whole making me feel excessively introspective thing, which Ritalin and Adderall seemed to do.
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> Still, I wouldn't say Desoxyn is in some league of its own. If you're finding good results with Adderall, Ritalin, Dexederine, whatever, it's probably not worth having to see what the deal is with Desoxyn. For one thing, it's brand name, so I have to pay $35 (Tier 3 for my insurance, highest co-pay). For another thing, it's, well, Desoxyn. Although there's no rational basis for believing a patient would abuse methamphetamine over amphetamine (all the studies are conclusive in remarking how addicts and animals can't even tell the difference) -- asking your doc for any controlled drug is a risky thing.
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> My doc is extremely comfortably with me, because he knows I'm a dork and I mention drug names because I study psychopharmacology for fun. It depends on your relationship with your doc.
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> But, I don't see the point in trying Desoxyn. Whatever works, and then use CBT to go the rest of the way.
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> As I remarked at the end of my psychopharmacology lecture on the subject of AD/HD + Executive Dysfunction,:
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> "Medication only goes half-way; Behavorial Therapy does the rest."
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> Now, that said, I don't see that to claim everyone on meds requires CBT, but I view that to suggest even everyday intervention and habits you develop that are adaptive for you to control your problems are a form of mitigating the effect of drug, rather than dropping a pill and expecting yourself to turn into a robot that is effortlessly productive without other changes in how you cope.
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>Thanks,
What kind of CBT-type practices do you suggest?
And on the effect of Nicotine, and it's executive/cognitive function, how do you view this?-
-Perhaps this is why i find chewing Nicotine gum helpfull in some way?
Also Methylphenidate often causes some irritability, causing me to crave a drink to attenuate (where 5mgs Valium doesn't do much for now)-Clonazepam seemed to help this better@1mg.
Thanks for any help:)
Cheers
poster:Paulbwell
thread:648509
URL: http://www.dr-bob.org/babble/20060530/msgs/651209.html