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Re: stimulants for treatment-resistant depression?

Posted by Christ_empowered on August 16, 2019, at 15:41:45

In reply to Re: stimulants for treatment-resistant depression? » Roslynn, posted by linkadge on August 16, 2019, at 15:17:04

i was reading some David Healy material...

he recalled a patient whose depression responded to Dexamyl (dexedrine+amytal, a barbiturate-type sedative, once quite popular). The 'goof-balls' still get a bad name, but...

from reading over Healy's material, it seems that dosage escalation wasn't all that common, and true abuse was not frequent, either. This person/patient held steady at the same dose of Dexamyl for years...

and then, the DEA decided that uppers (especially combined with downers) were bad news, and the medical establishment also came to badmouth the stimulants for depression. I'm guessing that's when doctors began to draw an (artificial, more sociopolitical than medical) line between "real" treatments and mere "pep pills," etc.


not that uppers for depression are always the best idea (clearly, your doctor thinks it is for you, right now...), but...as Szasz often points out, psychiatry runs a lot on dogma and trends in prescribing, social changes, legal factors, etc....not bona fide medicine, healing, etc.

anyway...

--personal experiences-- have led me to believe that Ritalin, focalin are probably better for long term use than amphetamines. the crash is generally less severe, tolerance seems to be less of an issue, and ritalin seemed to play nicely with the other psych drugs (or at least...better than amphetamines...).

ok. i just mentioned dexamyl, yet again, to point out that combining uppers and downers is not necessarily a bad thing, its actually an old approach.

hope this helps. :-)


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