Posted by Noa on April 25, 2000, at 18:26:30
In reply to Re: Serzone-- Sorry Noa, posted by saint james on April 25, 2000, at 15:07:51
Hey, John, what's your opinion on trying another stimulant? ;^)
Thanks for the input, everyone. I am still feeling unsure of my next step about the effexor, etc. but I think I will try adderall for a week or two and see if it feels different than the ritalin. I still don't anticipate that this will get at the heart of the matter, because the bulk of my med cocktail is still at issue. In the meantime, I really do want to try to see what it would be like to lower the effexor and raise the serzone, before eliminating any of the big meds or starting a whole new one, because those would be major projects, unlike the stimulants, which, as John so determinedly told us, are a relative snap to substitute and give a brief trial to.
As for the possibility of Remeron, well, that was one of the primary options recommended by the "new" doc I consulted. My concern about it is increased appetite and weight gain. I am already at a very unhealthy size and weight, having put on about 80 pounds in the past few years.
I have to admit how uneducated I am about all the specific neurotransmitters and the specific actions of the different psych meds. I have a basic understanding but not enough to address the question bob asked about figuring out which ones I want to target. I know this: too much serotonin is more than I can handle. I get edgy and fidgety and twitchy and have sleep problems. This is part of the problem with the effexor, I think. But I don't know if this problem is related to a specific receptor target, or just about having too much serotonin in my system altogether. It was a problem with Paxil, as well. My "old" pdoc, which I still am not sure about staying with him or firing him (an article I read today in the Post used the term "divorcing" to describe the phenomenon of leaving your doctor) says he thinks I need meds to address all three--serotonin, norepinephrine, and dopamine, and my current cocktail supposedly does this. Beyond this, I am ignorant.
poster:Noa
thread:30979
URL: http://www.dr-bob.org/babble/20000420/msgs/31262.html