Posted by undopaminergic on February 5, 2020, at 3:35:31
In reply to I dont know how to do this, med mess, posted by B2chica on February 5, 2020, at 2:39:56
Hi B2
As you said, there is probably not much anyone here can do to help you.
> Pristiq (now generic- less energy and breakthrough crying
> dexedrine 15mg BID
> gabapentin 300mg 1-2x day
> lorazepam 1mg evening
> desipramine 75mg evening
> hydroxizine prn
> lunesta 3mg (stopped taking 2 nights ago).
> Ibuprofen 400-800mg/day (was on tramadol until middle of Jan.)
>Your regimen is reasonable.
Have you tried augmentation with lithium? You don't necessarily have to take a full "antimanic" dose.
What about amino acid precursors to neurotransmitters? For dopamine and noradrenaline (norepinephrine), there is phenylalanine, tyrosine, and L-dopa, in order of potency. For serotonin there is tryptophan and 5-hydroxytryptophan (5-HTP).
Then there are vitamins and supplements. Some find that S-adenosyl-methionine (SAMe) helps. Vitamin B6 in the form of pyridoxine is involved in the synthesis of monoamine neurotransmitters.
Then there is modafinil (Provigil) and armodafinil (Nuvigil).
MAOIs... tranylcypromine (Parnate), isocarboxazid (Marplan), phenelzine (Nardil), selegiline (esp. in the form of the EMSAM patch). If you try these, be very careful with amphetamines (ie. Dexedrine) and serotonergics (Pristiq).
-undopaminergic
poster:undopaminergic
thread:1108345
URL: http://www.dr-bob.org/babble/20200104/msgs/1108348.html