Posted by europerep on July 17, 2010, at 11:49:16
hey there..
I recently returned home to my parents, and spontaneously decided to see my old pdoc and ask him what he'd suggest for my situation (treatment-resistant depression) which I outlined in my previous thread ("where to go from here?"). I'm opening this new one because right here it's just all about the thread title:he prescribed me methylphenidate (he STILL believes it would be for ADS, which I definitely do not suffer from.. I can sit in the library and study for hours, so attention is not the issue here). also, he said that I could take it with my high dose of venlafaxine, since methylphenidate is not serotonergic. but, both venlafaxine and methyphenidate might have cardiovascular side effects, no? am I safe starting with a tiny dose (5mg), and possibly lowering venlafaxine later?
but, I am still scared of stimulants.. I think on wiki there is a statement by a professor who is warning of "tardive parkinson" as a side effect of methylphenidate when continuously given to adolescents, and although I am 24, I wonder whether messing with dopamine is really such a good idea in the long term? basically, I am looking for a medication I can take throughout my whole life, because I do not expect my depression to ever get any better.. from eight years ago until now, it has ONLY worsened, and it has become really really severe.. currently, the question is not so much if but rather when I will have lost my last bit of will to live.. it's still a question of years, and of different meds I'd have to try until then, but still.. life could be so beautiful, but I'm just not getting there. and so, since I am not sure whether it is really a dopamine issue that causes my depression or not something else, and in case methylphenidate does help me, I'd still be in a dilemma.. but I guess that's not a question for now, so the actual question is what's up with venlafaxine plus methylphenidate? the literature mentions some cases of it, but not too many.
thanks in advance!
eR
P.S.: sorry to those who posted in my recent thread and to who I didn't answer, especially violette who wrote such a long post.. it's just that I am really down right now... sorry for that!
poster:europerep
thread:954764
URL: http://www.dr-bob.org/babble/20100709/msgs/954764.html