Posted by bleauberry on December 29, 2018, at 8:09:20
I was surfing around yesterday looking for info on "Ritalin - Lyme" and "Ritalin hypo-arousal" "Ritalin depression" "Ritalin hypo-executive functioning" "Ritalin anhedonia" and also similar searches for Modafinil.
Several times I stumbled across situations where doctors had prescribed combinations of Modafinil+Ritalin or Modafinil+Adderall. These cocktails worked better than the individual ingredients. Some of these were stand-alone stimulant therapies while others had low doses of ssris, benzos, or antipsychotics also.
I had never heard of combining stimulants. But if you think about it, since they do have different mechanisms, it could make sense. Especially for patients who's primary symptoms are clustered in the realm of anhedonia, hypo-motivation, hypo-arrousal and generalized tiredness.
It was interesting that in these stories the patients had decades of inadequate treatment with antidepressants and common psych meds before they turned to stimulants, and that when they did turn to stimulants, the responses were profound and rapid.
Personally the best combo I was ever on was 20mg Prozac + 5mg Zyprexa + Modafinil (don't recall the dose). The best mono therapy I've ever had was Ritalin.
In my studies yesterday the general consensus was that for any patients considered aged with ongoing health issues of a wide variety (everything from psych to diabetes to fibromyalgia to lyme to chronic fatigue to cancer and more) Ritalin or the other stimulants, or combinations of them, are more beneficial to quality of life than other standard psychiatric medications.
poster:bleauberry
thread:1102636
URL: http://www.dr-bob.org/babble/20181024/msgs/1102636.html