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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by Oioioi123 on March 21, 2012, at 11:25:17
I have add symptoms and chronic fatigue. I am on nardil and my psych said concerta is ok if started really low and worked up slowly and could help with hypotension to. And there's also modafanil/provigil. What is going to help better with my fatigue and motivation? Or could I even take a combo of both? Because of nardil amphetamine based stimulants are out of the question unless I use extremely low doses
Posted by Oioioi123 on March 21, 2012, at 11:28:12
In reply to PLEASE help. Chronic fatigue concerta or modafanil, posted by Oioioi123 on March 21, 2012, at 11:25:17
Forgot to add she said strattera is an option but I hears this can make fatigue worse
Posted by gardenergirl on March 21, 2012, at 11:40:33
In reply to PLEASE help. Chronic fatigue concerta or modafanil, posted by Oioioi123 on March 21, 2012, at 11:25:17
I took 60 mg Nardil with Provigil without any adverse effects from the combo. The Provigil really helped with daytime sleepiness.
Posted by Oioioi123 on March 21, 2012, at 11:53:37
In reply to Re: PLEASE help. Chronic fatigue concerta or modafanil » Oioioi123, posted by gardenergirl on March 21, 2012, at 11:40:33
Thanks for your advice, I started the concerta the other day and can you believe I actually feel more tired?!? I don't understand it. Think I might take your advice and go with the provigil
Posted by Phillipa on March 21, 2012, at 12:21:29
In reply to Re: PLEASE help. Chronic fatigue concerta or modafanil, posted by Oioioi123 on March 21, 2012, at 11:53:37
Some really like providgil but find a weekend off keeps the med working well. At least that is what I have read on here. Phillipa
Posted by tensor on March 21, 2012, at 12:30:10
In reply to PLEASE help. Chronic fatigue concerta or modafanil, posted by Oioioi123 on March 21, 2012, at 11:25:17
> I have add symptoms and chronic fatigue. I am on nardil and my psych said concerta is ok if started really low and worked up slowly and could help with hypotension to. And there's also modafanil/provigil. What is going to help better with my fatigue and motivation? Or could I even take a combo of both? Because of nardil amphetamine based stimulants are out of the question unless I use extremely low doses
Modafinil worked great for me, boosted energy and motivation and increased my ability to concentrate a lot. Give it try.
Posted by Oioioi123 on March 21, 2012, at 12:52:21
In reply to Re: PLEASE help. Chronic fatigue concerta or modafanil » Oioioi123, posted by tensor on March 21, 2012, at 12:30:10
Modafanil it is. Thanks guys
Posted by bleauberry on March 23, 2012, at 5:27:06
In reply to PLEASE help. Chronic fatigue concerta or modafanil, posted by Oioioi123 on March 21, 2012, at 11:25:17
In my opinion the best meds for chronic fatigue are antibiotics. The second best thing is a total diet overhaul. The next best thing is a handful of herbs aimed at these....inflammation, neurotoxins, occult stealth infections, adrenal balancing. But psych meds do absolutely nothing to slow the disease, prevent it, or fix it. They merely help with symptoms....temporarily until you get worse. Either of the two meds you mentioned are worth a try to see if they help, because they should, it's just that you don't want to get bogged down into falsely thinking that's the end of the story....the meds are only a temporary bandaid while you get to work doing some repair jobs.
Posted by Oioioi123 on March 23, 2012, at 5:49:33
In reply to Re: PLEASE help. Chronic fatigue concerta or modafanil, posted by bleauberry on March 23, 2012, at 5:27:06
I will for the most part agree with you, not about herbs though. Just plain healthy eating and regular intense cardio excersize. That was enough to cure my problems years ago to the point I almost had too much energy. But anxiety was still there
Posted by iforgotmypassword on March 23, 2012, at 9:49:21
In reply to Re: PLEASE help. Chronic fatigue concerta or modafanil, posted by Oioioi123 on March 23, 2012, at 5:49:33
i find modafinil less jittery than concerta. concerta always either stops working, or the mentally jarring dysphoric side effects overtake the usefulness of the drug, leaving it merely something that prevents you from falling asleep and gaining weight, as your benzo dose climbs along with taking you somewhere really useless and dangerous.
that is me tho.
i'm in a battle with modafinil now (or i hope it's out of me), and scared, so i don't really know what to say naturally; other than it usually felt lighter. i never expected i'd have a sensitivity to it, given how i have used it off/on, as i tend to always start/stop cycle stimulants. modafinil's problem wasn't so much "i can't have this in me anymore i'm going crazy" more it isn't effective anymore considering the amt of pills/$$$$ i'm willing to just swallow. esp given that i already try to support stimulants with memantine, given my whole pathology may be a phenomenon of supertolerance. it is not covered by my drug plan. there is the brand name, and then apotex's submonopoly as the only generic. a typical rx of 200 bid is 4 pills and they are at least 1$ each, and since one of the meds i'm on for life is a 3A4 inducer, i never know what effective dose i am taking compared to what 100mg-200mg is typically supposed to mean. mind you fiddling with this problem, as i've detailed elsewhere may have just put me in danger. hopefully i am just really sick and having a close call. but i now have alarming purple crease across my forehead... my hands are still prickly and warm, as is my breath. idk. i'm totally dysfunctional as it is, if i am facing something serious, i'm really starting to get scared. i can barely perform tasks that aren't a continuous thread like babbling, acting as a kite to other peoples prompts and cues upredictably, never initiating anything on my own without bunching up and freezing.
This is the end of the thread.
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