Posted by SLS on September 23, 2000, at 20:34:00
In reply to To SLS (Scott), posted by anita on September 18, 2000, at 8:44:03
> Hi Scott,
>
> I was reading thru some past posts and I saw that in one you mentioned that when you took stimulants/dopamine enhancers, you'd feel an energizing, positive effect, and then drowsiness and irritability. I have tried numerous stimulating meds (Ritalin, amisulpride, reboxetine, etc.) and have similar problems. With shorter-acting meds like Ritalin, I experience an almost dramatic relief from apathy, depression, and social phobia, but then I crash soon after (tiredness, irritability, feeling generally sick), and no matter how often I take the med, I still cycle like this. With the longer-acting meds, I have the same improvement for a few weeks, then I experience a "permanent" crash feeling that only abates if I stop the med.
>
> So...the point of all this is that I'd like to know if you found any med that does not eventually cause these crash-like symptoms for you. It would really help me if you could reply with your experiences -- I am just so frustrated that dopamine enhancers basically "cure" my problems but then eventually make me feel worse.
Hi Anita.Since you mentioned social-phobia, the first thing that popped into my head was that combining Nardil (an MAO-inhibitor) with a stimulant like Ritalin, Dexedrine, or Adderal might be worth a try. Of the MAOIs, Parnate is considered the most stimulating and is often chosen for anergic (low-energy) depressions. Although I am partially responsive to both, I prefer the way I feel on Nardil. I am taking Parnate right now because it is easier to work with in combination with other drugs, especially at high dosages. Dosages of Parnate between 100-200mg per day are sometimes used in treatment-resistant cases. If you have not yet explored MAOIs, I would encourage you to do so.
How do you respond to Wellbutrin and Effexor?
- Scott
poster:SLS
thread:44864
URL: http://www.dr-bob.org/babble/20000905/msgs/45151.html