Posted by Conundrum on December 18, 2010, at 14:20:44
In reply to Re: Looking for some med advice » Conundrum, posted by medamorphosis on December 18, 2010, at 13:24:35
> > Hi thanks for your response. I'm not sure why taking it longer would make a difference with a stimulant. Also, I've tried ritalin and that didn't do anything either.
> >
>
> W-O-W! Just showes how we all are effected differenlty! Id be high and the wakefullness would go as long as I could make it when I take amphetamines. Perhapse a switch to Dex IS a good next step. Like ritalin it should be far more of a psycho-stim than a cardiac stim. Tho you'll get both probably.
> Dont forget modafinil- can reach places other meds cant (dont ask me what that means but its true lol). Another tolerance builder for most, but just like some can hold onto an amphetamine dose for yrs so can some with modafinil.
>
> medI tried adrafinil and it seemed to make me more depressed, but there was some other stuff going on at the time.
If I dont' see a benefit with adderall, I'm not going to try any more stims. I seem to require 24 hour increases in neurotranmitters to have a strong psychoactive effect.
My main concern is between trying prozac again, waiting it out longer to see if the benefits grow, and if its only partially helpful augmenting. However my pdoc may only want to augment with an atypical antipsychotic. I'd rather try a tricyclic first for a number of reasons.
Or I could push for an MAOI and not know what effect it will have. Nardil sounds great for some ppls anhedonia, but I'm concerned about the big increase in serotonin. I don't respond well to normal doses of SSRIs. Parnate is interesting, but some say it makes them feel flat. Nardil has a higher incidence in causing mania, so I doubt my pdoc would prescribe it.
I hate feeling so indecisive and caught.
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Complaints: post-SSRI problems: anhedonia, memory and concentration problems, sexual dysfunction. )
Country:USA
Currently taking SAM-e 1200mgs
poster:Conundrum
thread:973640
URL: http://www.dr-bob.org/babble/20101218/msgs/973891.html