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Re: 4 Generations Confirmed-HELP to Andrew

Posted by AndrewB on November 26, 2000, at 21:27:34

In reply to Re: 4 Generations Confirmed-HELP to Andrew, posted by smd on November 26, 2000, at 18:48:42

Selegiline is a drug that has various effects but at low doses it is basically an MAOB inhibitor. By inhibiting MAOB it increases dopamine in the synaptic cleft and also prevents the entry of a neurotoxin into the dopamine cells, thus protecting against cell death. It is used mostly by people with Parkinson’s but it is also used as an AD (at higher doses) and for ADD. Since for many it increases one's sense of vitality, it is also used by people without specific disorders who just want to feel better. Available in the US. Can cause anxiety in some. Check for potential drug interactions though it can apparently be combined with SSRIs despite some warning in various literature.

To find a qualified psychopharmocologist, call the psychiatric department of a large local medical school or hospital. Ask for contact info. for psychopharmocolgists. (Also ask if their department has a website with bios of their staff, very useful.) Once you have a list of local psychopharmocologists, call their offices and arrange to have a 5 minute telephone discussion with them. In the conversation; determine their areas of interest, ask them what psychopharmocologist (besides themselves) they would recommend, and briefly describe your son’s symptoms and ask if he thinks he can be of help. You should be able to make a choice from amongst them from this info.

Psuedoephedrine, like ephedrine is an adrenergic agonist that also releases norepinephrine from storage vesicles. Differs from ephedrine in that it gives less of an energized feeling. Presumably like ephedrine it is inappropriate for long term use due to tolerance and the subsequent rebound effect.

Your son’s reaction to it however is another indication of possible dysfunction in the norandrenergic system. (Interestingly, anxiety or panic are some of the more common side effects of pseudoephedrine.) Anyway, discuss this with your doctor, reboxetine or some other andrenergic drug has the potential to help here.

What you describe does not sound like atypical depression or ADD.

Again, I would like to know how your son responded to Zyprexa.

Best wishes,

AndrewB



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