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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by scatterbrained on March 13, 2005, at 23:10:20
I take 5mg of Zyprexa for depression, with the most debilitating symptom being not being able to remember my own train of thought and at first(like with all the other drugs) the zyprexa seemed to worked ALMOST to the point of remission and then the effect would just sort of trickle away, and i can still feel the drug inside me but it's not helping my cognition(Or any of the other symptoms) just sort of feel the drug without it affecting me.Anyway, I also take Namenda10mg, Aricept5mg,Zoloft 100mg, SAM-E 1600, and just started two weeks ago adderalXR 40, And the two drugs that have seemed to help me the most in recent memory have been Zyprexa and now Adderal but the adderal seems to wear off and i'm left with confusion to the point of worse than BEFORE i took the damn drug in the first place. Anyway, my questions are A. Has anyone else experienced not being able to remember their own train of thought and what helped or didn't?B.The adderal really did help, and my DR. wants me to increase it to 60 but it wears off at night to such an unbearible degree, does anybody know a good augmenting strategy so that i'm able to think and fuction at night? Thank you guys so much for your time.
Posted by Maxime on March 13, 2005, at 23:52:42
In reply to Adderal and Zyprexa question., posted by scatterbrained on March 13, 2005, at 23:10:20
Hi, when you say "night time" do you mean in the evening? If you take adderall too close to when you have to go bed you won't be able to sleep. What you might to do is use the Adderall XR during the day and then the regular Adderall in the evening. You must have a tolerance for stimulants. 40 mg of the XR is a lot ( not a huge amount but enough).
Anyhow, that is one thing to consider doing.
I hope this suggestion helps.
Maxime
> I take 5mg of Zyprexa for depression, with the most debilitating symptom being not being able to remember my own train of thought and at first(like with all the other drugs) the zyprexa seemed to worked ALMOST to the point of remission and then the effect would just sort of trickle away, and i can still feel the drug inside me but it's not helping my cognition(Or any of the other symptoms) just sort of feel the drug without it affecting me.Anyway, I also take Namenda10mg, Aricept5mg,Zoloft 100mg, SAM-E 1600, and just started two weeks ago adderalXR 40, And the two drugs that have seemed to help me the most in recent memory have been Zyprexa and now Adderal but the adderal seems to wear off and i'm left with confusion to the point of worse than BEFORE i took the damn drug in the first place. Anyway, my questions are A. Has anyone else experienced not being able to remember their own train of thought and what helped or didn't?B.The adderal really did help, and my DR. wants me to increase it to 60 but it wears off at night to such an unbearible degree, does anybody know a good augmenting strategy so that i'm able to think and fuction at night? Thank you guys so much for your time.
>
Posted by Phillipa on March 14, 2005, at 0:10:00
In reply to Re: Adderal and Zyprexa question., posted by Maxime on March 13, 2005, at 23:52:42
Isn't Samee St Johns Wort? If it is I was told not to take it with an AD. Does your pdoc know you take both? Fondly, Phillipa
Posted by scatterbrained on March 14, 2005, at 0:17:28
In reply to Re: Adderal and Zyprexa question., posted by Phillipa on March 14, 2005, at 0:10:00
No, sam-e is different from saint johns wort
Posted by scatterbrained on March 14, 2005, at 0:32:36
In reply to Re: Adderal and Zyprexa question., posted by Maxime on March 13, 2005, at 23:52:42
thanks for the suggestion
Posted by Bill LL on March 14, 2005, at 9:20:53
In reply to Adderal and Zyprexa question., posted by scatterbrained on March 13, 2005, at 23:10:20
I do have a suggestion. I believe that the 2 memory drugs that you take, as well as Zyprexa, do not have a primary effect on norepinephrine (NE). If I were you, I would try a NE drug. NE drugs often help concentration.
I have had good results using Cymbalta (duloxetine) for ADD (as well as anxiety and depression). I take it in the morning, and it gives me cognitive help all day and night. It affects both NE and serotonin. It does not give me as much jitteriness that I got from Wellbutrin.
I would suggest that you ask your doc about replacing your Zoloft with Cymbalta.
If that works, you might also want to eventually discontinue the SAM-e.
> I take 5mg of Zyprexa for depression, with the most debilitating symptom being not being able to remember my own train of thought and at first(like with all the other drugs) the zyprexa seemed to worked ALMOST to the point of remission and then the effect would just sort of trickle away, and i can still feel the drug inside me but it's not helping my cognition(Or any of the other symptoms) just sort of feel the drug without it affecting me.Anyway, I also take Namenda10mg, Aricept5mg,Zoloft 100mg, SAM-E 1600, and just started two weeks ago adderalXR 40, And the two drugs that have seemed to help me the most in recent memory have been Zyprexa and now Adderal but the adderal seems to wear off and i'm left with confusion to the point of worse than BEFORE i took the damn drug in the first place. Anyway, my questions are A. Has anyone else experienced not being able to remember their own train of thought and what helped or didn't?B.The adderal really did help, and my DR. wants me to increase it to 60 but it wears off at night to such an unbearible degree, does anybody know a good augmenting strategy so that i'm able to think and fuction at night? Thank you guys so much for your time.
>
Posted by Phillipa on March 14, 2005, at 16:39:37
In reply to Re: Adderal and Zyprexa question., posted by Bill LL on March 14, 2005, at 9:20:53
What is in Samee? Fondly, Phillipa
Posted by Bill LL on March 15, 2005, at 9:32:05
In reply to Re: Adderal and Zyprexa question., posted by Phillipa on March 14, 2005, at 16:39:37
I know I'm going to spell this wrong, but here goes. SAM-e is s-adenlymethionine (or something like that). It's naturally found in all cells of the body.
It gained some popularity as an over the counter supplement, maybe around 10 years ago, when a pdoc at Columbia University wrote a book about it. His name is Richard Brown.
Brown said that he has some of his patients on it. He said that it does not work alone against depression for most of his patients, but it helps augment prescription antidepressants and has a good side effect profile.
It's also suppose to be good for the joints.
I tried it for a while. But it is very expensive and results among people have been mixed.
> What is in Samee? Fondly, Phillipa
Posted by med_empowered on March 15, 2005, at 13:14:14
In reply to Re: Adderal and Zyprexa question., posted by Bill LL on March 15, 2005, at 9:32:05
Hey! 60mgs of Adderall is quite a bit, but its not unusual..I take 60mgs, divided into 2 doses (one instant-release 30mg tab in the morning, one again early afternoon) and I like it. It works much better since I ditched Abilify (10-15mgs), which I was taking to help treat depression with psychotic features. Anyway, if you're having problems with the Adderall "wearing off" (quite common, TRUST ME), there are a couple things you can do. Some people do best when they do a 2-dose system where one dose is the XR adderall and the "booster" is the standard, immediate-release version. I used to do this, and its OK. Another option is just using the immediate-release tablets a couple of times a day. I usually do just fine with 2 30mg immediate-release tablets; I seem to get more "oomph" than when I did the XR+immediate-release thing. Keep in mind that with dexedrine and adderall, it seems that the size of the dose affects how long it lasts; so a 10mg tablet won't last as long as a 30mg tablet. Try to drink mostly water when you're taking amphetamine products--not only does it cut down on calories and carbs, it keeps your stomach's pH more neutral, while fruit juice and some sodas have a tendency to make the stomach more acidic, which messes with amphetamine absorption. Try also to avoid eating anything more than you absolutely must for about an hour after each dose of adderall or any other amphetamine product. If you need to, you can always try dividing the total amount into 3, instead of 2, doses, if you're using the immediate-release adderall. You can divvy it up evenly, or take a higher dose in the morning (or whenever you need more). Good luck!
Posted by Phillipa on March 15, 2005, at 17:18:09
In reply to Re: Adderal and Zyprexa question., posted by med_empowered on March 15, 2005, at 13:14:14
Med_empowered. Are you sure you're not a medical professional, like a pdoc, or chemist or researcher or something? Fondly, Phillipa
Posted by scatterbrained on March 15, 2005, at 22:02:58
In reply to Re: Adderal and Zyprexa question., posted by med_empowered on March 15, 2005, at 13:14:14
Thank you very much for all your suggestions.
This is the end of the thread.
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