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Re: Any success with Provigil (Modafinil) for ADHD? » Mitch

Posted by Sulpicia on June 19, 2001, at 14:37:52

In reply to Re: Any success with Provigil (Modafinil) for ADHD? » Sulpicia, posted by Mitch on June 19, 2001, at 10:48:31

> > >It's a tricky act at best to deal with ADHD and mood issues: seemingly what works on
one issue aggravates the other -- horribly.

I don't know how your research skills are but you might benefit from searching the medical
literature on a few topics. PubMed is a good starting place. If you're totally lost I imagine
any librarian would be delighted to give you tips.

Some ideas: welbutrin and effexor show some efficacy with ADHD -- in bipolar caution re: mania.
Lamictal is becoming more widely recognized for it's AD potential in addition to mood stabilization --
downside, activation of mania in susceptible people.
the older TCAs show some efficacy in ADHD -- desipramine is a common choice in certain pediatric cases;
personally I found partial relief of my ADHD with the TCA tofranil, tho I only deal with unipolar depression
and can't speak to issues of mania.
Find the references for A. Stoll [Harvard] and his study of essential fatty acid supplementation in bipolar disorder;
look at his book [title? Omega Nutrition, but available on amazon.com] and see what sort of evidence there is that might
help you -- do this with an excelllent clinician: the biology is extremely complex and the likelihood of triggering severe
depression is significant with a bumbling or hit or miss approach.
look around for studies on exercise and depression -- there is a good body of work on how exercise raises glucagon levels
and so *can* help with depression.
I imagine you've done the light therapy for the seasonal stuff?
a good experienced therapist and an adult support group for ADHD will make a difference. It's amazing how much you can
learn from how others adapt to ADHD. Try the CHADD web site for details.
I would expressly warn you away from the alt med stuff for ADHD. At best you'll only loose $, at worst, well... I don't have
to tell a person with your history and apparent education not to take ANYthing marketed by some scam artist.
Best,
S.


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