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Re: stimulants for treatment-resistant depression?

Posted by Christ_empowered on August 11, 2019, at 16:54:23

In reply to stimulants for treatment-resistant depression?, posted by Roslynn on August 11, 2019, at 14:37:06

there have been a few studies...i want to say they used Ritalin (?) the elderly and/or people with ongoing health issues (depression in those undergoing treatment for HIV, for instance) in which the stimulants...

were reasonably well-tolerated and worked faster than conventional antidepressants (which is to be expected). I heard about one small study on NPR in which Ritalin was used with celexa in older people, and there was an "accelerated response," no serious problems with drug induced psychosis, agitation, etc., no abuse if I recall correctly...

with amphetamines, it seems results a bit more mixed. I've read that adding about 15mgs/dexedrine had the same effect as a round of ECT (eek!), and then I've also read that other studies...not so much.

there's a patent out there, in the outer regions of cyberspace...amphetamine AM, remeron PM. sounds like a modified goof ball to me, but...OK. makes sense. I have an acquaintance who was (is?) on Adderall xr AM and then seroquel xr, PM...covers lots of bases, not TD or anything, neither too much sedation nor excessive stimulation.

my -personal- , just some individual on the internet advice would be to start with some sort of all day Ritalin or Focalin, see how that goes. in add/adhd, some people are on 2 forms of the same stimulant, to provide longer coverage...a long acting Ritalin AM, a focalin or Ritalin tablet sometime later in the day, that kinda thing.

other than that...when I took stimulants, I still needed other stuff, but I was...young and stoopid and also...not you, obviously. :-)

i hope this helps. another word of advice from some random person would be to start low, go slow...

and if the stimulant gets the job done, consider an occasional drug holiday.

and that is all. :-)




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