Psycho-Babble Medication Thread 927400

Shown: posts 1 to 13 of 13. This is the beginning of the thread.

 

AD/AA with the least impairment on concentration?

Posted by TriedEveryDrug on November 29, 2009, at 9:50:47

My primary complaint is ADHD, inattentive-type. I'm having a hard time finding a drug that works for that, but this is not what this post is about.


Anyway, I'm fairly depressed and anxious too. I've been on lexapro for about a week now. It's fine except it clouds my thinking.

I've tried augmenting with things like adderall, focalin and desipramine (low low dose) - a little better but not much.

Are there any anti-D's that do not impair concentration AND do not cause anxiety?

(wellbutrin makes me very anxious)

Thanks.

 

Re: AD/AA with the least impairment on concentration? » TriedEveryDrug

Posted by Phillipa on November 29, 2009, at 10:48:41

In reply to AD/AA with the least impairment on concentration?, posted by TriedEveryDrug on November 29, 2009, at 9:50:47

Seriously the one experience with luvox was the only one but that also combined ativan at about 4mg a day. Was in the hospital then. Boy back then I felt human no more. I wish there was. Love Phillipa

 

Re: AD/AA with the least impairment on concentration? » TriedEveryDrug

Posted by tensor on November 29, 2009, at 11:57:45

In reply to AD/AA with the least impairment on concentration?, posted by TriedEveryDrug on November 29, 2009, at 9:50:47

Maybe Edronax or Strattera? You can add them to Lexapro.

/tensor

> My primary complaint is ADHD, inattentive-type. I'm having a hard time finding a drug that works for that, but this is not what this post is about.
>
>
> Anyway, I'm fairly depressed and anxious too. I've been on lexapro for about a week now. It's fine except it clouds my thinking.
>
> I've tried augmenting with things like adderall, focalin and desipramine (low low dose) - a little better but not much.
>
> Are there any anti-D's that do not impair concentration AND do not cause anxiety?
>
> (wellbutrin makes me very anxious)
>
> Thanks.

 

Re: AD/AA with the least impairment on concentration?

Posted by linkadge on November 29, 2009, at 12:44:12

In reply to Re: AD/AA with the least impairment on concentration? » TriedEveryDrug, posted by tensor on November 29, 2009, at 11:57:45

Well, stims are clean in terms of cognition. In terms of AD's lexapro is probably the cleanest.

Zoloft may be slightly better, but to be honest I don't think so.

Parnate is pretty clean for cognition, I guess. But it causes nasty insomnia which can hurt cognition more in the long run.

Luvox may also be clean. Its sigma agonism is supposed to improve cognition.


Linkadge

 

Re: AD/AA with the least impairment on concentration?

Posted by TriedEveryDrug on November 29, 2009, at 12:52:20

In reply to Re: AD/AA with the least impairment on concentration?, posted by linkadge on November 29, 2009, at 12:44:12

> Well, stims are clean in terms of cognition. In terms of AD's lexapro is probably the cleanest.
>
> Zoloft may be slightly better, but to be honest I don't think so.
>
> Parnate is pretty clean for cognition, I guess. But it causes nasty insomnia which can hurt cognition more in the long run.
>
> Luvox may also be clean. Its sigma agonism is supposed to improve cognition.
>
>
> Linkadge
>
>

Stims make my inattentive-type symptoms/cognition worse.


I asked my doc about luvox and he it was a nasty drug... I have been curious about it though.

 

Re: AD/AA with the least impairment on concentration?

Posted by linkadge on November 29, 2009, at 13:26:35

In reply to Re: AD/AA with the least impairment on concentration?, posted by TriedEveryDrug on November 29, 2009, at 12:52:20

Luvox was just another SSRI IMO, but there is some research to suggest it can be beneficial for cognition.

Effexor or duloxetine might be worth a try, as the norepinephrine reuptake inhibition is supposedly helpful for cognition.

Linkadge

 

Re: AD/AA with the least impairment on concentration?

Posted by southernsky on November 29, 2009, at 14:19:28

In reply to AD/AA with the least impairment on concentration?, posted by TriedEveryDrug on November 29, 2009, at 9:50:47

You mentioned some stimulants you tried, but i noticed you didn't mention d.amphetemine. Ive had anxiety for years, but that one helped me without causing any anxiety. Its just really powerful at first-but it only takes a week for it to level out..and you can cut the pills in half or any size. i took it for about a year, it just doesnt seem to be as helpful anymore though so i recently quit.

It's hard to answer your post though when your name is "tried every drug"!

 

Re: AD/AA with the least impairment on concentration? » southernsky

Posted by TriedEveryDrug on November 29, 2009, at 19:28:56

In reply to Re: AD/AA with the least impairment on concentration?, posted by southernsky on November 29, 2009, at 14:19:28

> You mentioned some stimulants you tried, but i noticed you didn't mention d.amphetemine. Ive had anxiety for years, but that one helped me without causing any anxiety. Its just really powerful at first-but it only takes a week for it to level out..and you can cut the pills in half or any size. i took it for about a year, it just doesnt seem to be as helpful anymore though so i recently quit.
>
> It's hard to answer your post though when your name is "tried every drug"!

You mean straight dexedrine? I'm pretty sure I tried that, but years ago.

The only stims I have not tried are Desoxyn and vyvanse. My doc doesn't think vyvanse will be any better than adderall.

every stim I have tried has clouded my thinking severely.

 

Re: AD/AA with the least impairment on concentration? » TriedEveryDrug

Posted by Phillipa on November 29, 2009, at 19:53:42

In reply to Re: AD/AA with the least impairment on concentration?, posted by TriedEveryDrug on November 29, 2009, at 12:52:20

Seriously what did your doc say about luvox being nasty in what way? Thanks Phillipa

 

Re: AD/AA with the least impairment on concentration?

Posted by TriedEveryDrug on November 29, 2009, at 20:27:38

In reply to Re: AD/AA with the least impairment on concentration? » TriedEveryDrug, posted by Phillipa on November 29, 2009, at 19:53:42

> Seriously what did your doc say about luvox being nasty in what way? Thanks Phillipa

He said it was a "dirtiest" SSRI, meaning it hit other receptors and such.

Although looking at Stahl's book, it doesn't seem as bad as he makes it out to be.

I don't know. He doesn't like prescribing it.

 

Re: AD/AA with the least impairment on concentration? » TriedEveryDrug

Posted by Phidippus on November 30, 2009, at 13:35:09

In reply to Re: AD/AA with the least impairment on concentration?, posted by TriedEveryDrug on November 29, 2009, at 12:52:20


> Stims make my inattentive-type symptoms/cognition worse.


Are you sure you're not bipolar? Why not try a mood stabilzer? Your innattentive symptoms may be due to bipolar disorder.

P

 

Re: AD/AA with the least impairment on concentration? » Phidippus

Posted by TriedEveryDrug on November 30, 2009, at 16:16:25

In reply to Re: AD/AA with the least impairment on concentration? » TriedEveryDrug, posted by Phidippus on November 30, 2009, at 13:35:09

> Are you sure you're not bipolar? Why not try a mood stabilzer? Your innattentive symptoms may be due to bipolar disorder.
>
> P

My doc had a theory that I was. So I tried Lamictal for a while. Didn't really work. Made me spacey and quick to anger.


But you know... Desipramine worked well for my inattentiveness, but it makes me irritable, angry and depressed.

Just today I realized this might be a "mixed state". (I didn't understand this term before.)

So maybe you're right.

If this were the case, what would be good to try besides lamictal? Valproic acid? Maybe Lamictal + NRI?

Thanks.

 

Re: AD/AA with the least impairment on concentration? » TriedEveryDrug

Posted by Phidippus on December 10, 2009, at 18:54:58

In reply to Re: AD/AA with the least impairment on concentration? » Phidippus, posted by TriedEveryDrug on November 30, 2009, at 16:16:25

> If this were the case, what would be good to try besides lamictal? Valproic acid? Maybe Lamictal + NRI?

Lamictal can cause agitation. Depakote or Valproic Acid might be a good choice. Why not give Lithium a shot?

P



This is the end of the thread.


Show another thread

URL of post in thread:


Psycho-Babble Medication | Extras | FAQ


[dr. bob] Dr. Bob is Robert Hsiung, MD, bob@dr-bob.org

Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.