Posted by maoiuser on April 17, 2012, at 8:51:31
In reply to Re: Multiple years on MAOIs and my conclusions » SLS, posted by g_g_g_unit on April 17, 2012, at 8:35:57
interesting.. have you tried nardil? in reference to the fading stimulatory effects i found parnate to be very short acting.. less than 24 hours and i personally hated that roller coaster..
nardil is smooth and for some reason i tend to enjoy things a lot more on it as compared to parnate (hiking, socializing etc)..
i know it appears that i am advertising for nardil here but that is definitely not my intention.. i am simply using my experiences as an example.. your doctor will know the best course of action for you..
my primary issues were social anxiety and an excessive amount of OCD which led to an addiction t o alcohol..although i occasionally tried hard drugs but ever since i have been on maois the thought that indulging in them will kill me is enough of a demotivator (be cautious that over indulgence in alcohol can make you forget the consequences of ingesting hard drugs! the one and only time where i relapsed i was just about to take a hard drug that would have led to seazures and would have killed me if my good friend who knew about my maoi intake wasn't around) but that too was a couple of years ago..
> > I think you are right in saying that it is important to ascertain the type of impulsiveness and its sources before choosing to treat it pharmacologically. For instance, Trileptal (oxcarbazepine) is a drug that is used for some types of impulsive anger issues. However, increased impulsivity can be a side effect. Abilify is a drug that can help with cocaine addiction by mitigating cravings. I don't know if it would be helpful in behavioral impulsiveness, though. If you were self-injuring, I would recommend researching naltrexone or naloxone.
> >
> > At this point, I would be reluctant to suggest a course of action without knowing more. If your impulsivity included anger, Trileptal would be the most attractive choice, especially since it can help as a mood-stabilizer as well.
> >
> > Perhaps a psychotherapeutic intervention would be sufficient.
> >
> > Is there any BPD stuff going on?
> >
> > Do you gamble?
> >
>
> For me, it's hard to draw a line between dysthymia/ADD issues and addiction. I know that, since childhood, I've been drawn to instantly gratifying, highly stimulating activities like video games. I was otherwise able to maintain a relatively normal though unfulfilling life where everything I did was underlined by a subtle sense of boredom and dissatisfaction. Whether this was related to not being able to sufficiently concentrate on said activities, I don't know.
>
> But when my OCD began, at 19, I developed a taste for alcohol and remember finding substance (ab)use far more pleasurable than anything else I'd known up until that point.
>
> So I believe I have some kind of predisposition towards addiction that might be partially mediated by ADD and dysthymia, and which is exacerbated by OCD and social anxiety.
>
> I don't really have any problems with anger and impulsivity. I tried gambling a couple of times and probably would have been hooked if I had the cashflow, but everything I make goes towards seeing my psychiatrist and psychologist, so that isn't really an option.
>
> I have noticed that, when under the influence of Parnate's stimulant effect, I'm far less likely to crave things (chocolate, internet, webchat), but that, during withdrawal,the opposite is true.
poster:maoiuser
thread:1015647
URL: http://www.dr-bob.org/babble/20120411/msgs/1015791.html