Posted by SLS on September 22, 2016, at 6:43:30
In reply to Re: Is this Stim tolerance or maybe cycling? » porkpiehat, posted by J Kelly on September 21, 2016, at 22:52:27
> > Effexor trial was making me feel a little too detached and unmotivated but keeping me out of rock bottom. I didn't want to go up to 75 and feel worse but I didn't want to ruin a weeks' vacation with friends and stay locked in a room.
> >
> > For two weeks, 10mgs (half a capusle) of vyvanse paired really well with the effexor. I didn't feel super wired or sketchy or nervous like I would normally on vyvanse; I was re-interested in my friends and my hobbies and studies; I could concentrate at home and work.
> >
> > Didn't sleep so well. Now I feel like I'm asleep on my feet all day and then not tired at night. The lift is gone and I'm exhausted.
> >
> > Before the lift went, this weekend, I got super drinky and smokey (cigs), did an awful lot of stuff, masturbated 7 times in six hours.
> >
> > Monday I was kind of a shell. Today a shell but barely able to stand. I took a little more Vyvanse in the afternoon and I feel more OK. Don't want to chase this dragon but there's such a thing as an effective dose, right?
>
> I've had a similar response to Ritalin. At first I feel great, motivated with lots of energy. But I find that I always need ever increasing doses to keep the same effect. Chasing the dragon as you say. Great for a two week vacation, not so great for long term use in my experience.
>
> JadePorkpiehat, Have you experienced this type of switch in mood before? Is there any bipolarity in your family? If there is, it may change treatment strategies. If not, then desipramine or nortriptyline might be worth trying. You can simply add one of these to Effexor so that you won't go without some coverage. If ADHD/ADD is involved, I would go with desipramine.
Some people, including myself, find Focalin (dexmethylphenidate) smoother and more consistent than Ritalin (methylphenidate). Whatever it takes. Vyvanse (lisdexamfetamine) was not at all helpful to me.
What illness and symptoms are you trying to treat? In some situations, Provigil or Nuvigil help with anergic and cognitive symptoms. If word-finding impairments are particularly problematic, Namenda (memantine) often helps.
- Scott
Some see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1092282
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