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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by Paulbwell on August 16, 2005, at 19:41:15
After having been tolerant to Ritalin 80mgs day, I'm looking for a upgrade.
Suggestions?
Cheers
Posted by EERRIICC on August 16, 2005, at 20:17:34
In reply to Tolerance to Stimulants?, posted by Paulbwell on August 16, 2005, at 19:41:15
zinc, memantine
Posted by med_empowered on August 17, 2005, at 7:53:23
In reply to Tolerance to Stimulants?, posted by Paulbwell on August 16, 2005, at 19:41:15
Maybe an add-on would work? I think the zinc and memantine ideas are good...it seems like adding wellbutrin or provigil could be helpful. Adding a tricylcic might be helpful...with amphetamines, TCAs and amphetamines supposedly play with one another so that you get a faster antidepressant response and (supposedly) a more pronounced focus-improvement. I did a Tofranil-Adderall combo, and it was OK. You might want to switch at this point, too...I think the standard conversion would be something like 80mgs Ritalin=60mgs Adderall (and I'd assume Dexedrine as well), but the dosage would vary based on your response. A friend of mine was switched with a 1:1 ratio, so his 80mgs Ritalin dose became 80mgs Adderall. It seems that adding Cymbalta or Effexor might help, too, since they tend to be kind of stimulating and tricyclic-ish in terms of action, but I dont think this kind of combo is all that well studied, so any augmentation would be largely based on theory.
Posted by charlie-no-nose on August 22, 2005, at 0:42:09
In reply to Re: Tolerance to Stimulants?, posted by med_empowered on August 17, 2005, at 7:53:23
I believe the use of tricyclic AD's with amphetamines is contra-indicated (as are phenothiazines and haldol). As I recall they cancel out the effects of each.
This is the end of the thread.
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