Posted by Christ_empowered on May 8, 2018, at 19:50:48
In reply to Re: Add-ons to California Rocket Fuel?, posted by SLS on May 8, 2018, at 19:25:57
what are your current problems? provigil, nuvigil, ritalin, or focalin come to mind. I would think that there'd be something of an increase in the risk of serotonin syndrome, especially with ritalin or focalin, but...maybe not (?). Clearly, I'm not an expert, I'm just throwing stuff out there for you.
if anxiety and such is an issue, maybe a benzodiazepine? not klonopin, though...that might make the depression worse. xanax has an increasingly bad reputation, but it can help some forms of depression. there's an xr formulation out now, maybe your doctor might consider that. or ativan or valium.
Another poster mentioned Abilify or Rexulti. Those could be good options...but I'd caution against a tranquilizer/antipsychotic if you have problems with lethargy, fatigue, lack of motivation, apathy, etc. already. Oh, and the TD risk. That's...always an issue. I say that as someone who takes Abilify daily, btw.
I suppose the ultimate booster would be an amphetamine. Not a good idea if psychosis, agitation, mood instability, etc. are already on board or have been an issue in the past. Again, serotonin syndrome would be something to think about. The end of the day "crash" was more of an issue for me w/ amphetamines than with Ritalin, but I imagine that varies from person to person, dosage, formulation, blah blah blah.
I did read about a modified California Rocket Fuel that used Cymbalta instead of Effexor. I'm not an expert on the 2, but I think Cymbalta dosing is fairly easy...60mgs was standard, one could go up to 120...and maybe a switch would do you good?
Other than that, I don't have anything to suggest. Sorry about that. I hope things work out for you.
poster:Christ_empowered
thread:1098610
URL: http://www.dr-bob.org/babble/20180331/msgs/1098615.html