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Re: Restarting Methylphenidate

Posted by undopaminergic on February 29, 2020, at 11:17:14

In reply to Restarting Methylphenidate, posted by linkadge on February 29, 2020, at 7:12:02

> Hi all,

Hi, welcome back.

> I have been taking:
> lithium 300mg
> venlafaxine 37.5mg
> mirtazapine 7.5mg
> I connected with a new doctor who agreed to restart methylphenidate. I am a bit uncomfortable taking 4 meds (especially cost), but am not sure what to cut.

My vote's on mirtazapine. See below for a comment.

> Anyhow, I am noticing that I am feeling quite a bit better. I am taking it for ADHD, but am noticing my motivation, interest and mood are improved as well.

It used to have those effects for me too, in addition to wiping away all suicidal ideation.

Since you're taking medications for ADHD, you should consider mirtazapine in that light. I mean, guanfacine (Intuniv) is an alpha2-adrenoceptor agonist used for ADHD, and mirtazapine is an antagonist. (Guanfacine is also an antihypertensive, and as you would expect from a drug that does the opposite, mirtazapine increases heart rate and maybe blood pressure.)

Well, that said, since you're taking mirtazapine in the first place, I assume there must be something good about it. If it's good enough, you can always quit one of the others instead. Keep lithium if you need an anti-suicidal effect.





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