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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by zonked on March 10, 2016, at 23:33:25
Looks like my ADHD is undifferentiated (combined inattention/hyperactive-impulsive) type. I realized this after being in residential mental health treatment - I blurt things out and behave somewhat impulsively in addition to spacing out, losing focus/concentration, forgetting where things are, messes of paper, etc...
Does anyone know about using Aricept (donepezil) for this? I know it's off label, but I could have sworn reading in one book about how a woman claimed it helped her increase her amount of working memory tremendously.
Trying to think outside of the box for my next appointment, although thinking increasingly that I want to go back on Focalin XR.
Best,
-z
Posted by rjlockhart37 on March 11, 2016, at 0:53:45
In reply to Other ADHD treatments: Aricept? Concen/working mem, posted by zonked on March 10, 2016, at 23:33:25
Aricept and Nemanda are good for restoring cognitive function that has declined, the effect still could be somewhat controversal compared to traditional psychostimulants, but if there added with a psychostimulant it could increase the effect and cause a smart drug effect
r
Posted by J Kelly on March 11, 2016, at 9:35:36
In reply to Other ADHD treatments: Aricept? Concen/working mem, posted by zonked on March 10, 2016, at 23:33:25
Hi Z-
> I blurt things out and behave somewhat impulsively in addition to spacing out, losing focus/concentration, forgetting where things are, messes of paper, etc...
Are we related?
>
> Does anyone know about using Aricept (donepezil) for this? I know it's off label, but I could have sworn reading in one book about how a woman claimed it helped her increase her amount of working memory tremendously.I don't know but please keep me posted. I have terrible ADD and my memory is horrible.
>
> Trying to think outside of the box for my next appointment, although thinking increasingly that I want to go back on Focalin XR.My new T just told me that she does very well on Focalin XR. How do you like it? Advantages/disadvantages? I like Ritalin IR because I can dose it as needed. But I've considered that something "smoother" might even out my highs and lows during the day.
Thanks,
Jade :)
>
> Best,
> -z
Posted by SLS on March 11, 2016, at 12:44:29
In reply to Re: Other ADHD treatments: Aricept? Concen/working mem » zonked, posted by J Kelly on March 11, 2016, at 9:35:36
I found Focalin (IR) to be very smooth, but adequately energizing. The stimulant effect lasts for about 5 hours, and the let-down is not abrupt. I don't know how Focalin XR behaves, but it is taken once a day in the morning.
- Scott
Posted by SLS on March 11, 2016, at 13:03:16
In reply to Other ADHD treatments: Aricept? Concen/working mem, posted by zonked on March 10, 2016, at 23:33:25
Aricept is a reasonable drug to explore. I have no personal experience with ADHD, so I can't address the question from that perspective. It can have robust antidepressant in some people. I am guessing that this is an unusual reaction.
To look at things from another angle, there is a newer antidepressant, vortioxetine (Brintellix), that improves cognition even before an antidepressant effect appears.
------------------------------------------------
http://www.ncbi.nlm.nih.gov/pubmed/24787143
"Vortioxetine significantly improved objective and subjective measures of cognitive function in adults with recurrent MDD and these effects were largely independent of its effect on improving depressive symptoms."
---------------------------------------------
http://www.nature.com/npp/journal/v40/n8/abs/npp201552a.html
"Path analysis indicated that vortioxetines cognitive benefit was primarily a direct treatment effect rather than due to alleviation of depressive symptoms."
- Scott
Posted by TriedEveryMedication on March 13, 2016, at 15:47:28
In reply to Other ADHD treatments: Aricept? Concen/working mem, posted by zonked on March 10, 2016, at 23:33:25
I've tried Aricept and Namenda for ADD.
Had no discernable effect on my attention, motivation or memory.
Made me feel a bit weird, though.
This is the end of the thread.
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