Posted by manowar on December 5, 2001, at 15:05:19
Hello,
I’m trying to figure out what AD I should try next. I would invite anyone to read my post and give me suggestions. I’m tired of fruitless experimentation and I’m ready to get on the fast track of wellness. Thank you very much for your help.I have been diagnosed with Cyclothymia (predominantly depressed mood), ADHD (inattentive type with features of the limbic subtype) and Frontal/Temporal Lobe Disorder.
My SPECT pdoc (acting as a consulting physician) thought it would be a good idea to find a mood stabilizer like Tegretol, Neurontin or Depakote. I started on Neurontin (100mg x 3 times a day) a couple days ago. So far it seems to make me feel spaced out. I hope this will wear off. Is there anyone out there that has had success with GABA, fish oil or whatever or offer me any advice at all on the mood stabilizers? I’m brand new to them.
He suggested an activating AD. I’ve been taking Wellbutrin for a couple years and it doesn’t seem to do anything for me at all. I guess the only reason I continue to take it is because it doesn’t give me the horrible side effects like the SSRIs (pretty dumb huh?), and maybe it can help me as an augmenting med. I also have tried Effexor (sexual side effects), Desipramine (worked before, but when I tried it last year-no help), Reboxetine (no help), along with a slew of SSRIs, which I have grown to despise. I don’t think I have a Serotonin problem. I think that a drug that affected D or NE might do the trick.
What should I try next?
Should I go back to a TCI? If so, what?
Could Desipramine+Wellbutrin be helpful
Imipramine is still considered the “Gold standard” for ADs, should I try that next?I know that Elizabeth highly praises the MAOI’s. Should I go that route next?
I’m now taking 72 mg of Concerta +20 mg of Ritalin in the late afternoon for ADD. I started taking Adderal about three weeks ago, and it seemed to be working fine at first- but it threw me in a major black hole a couple weeks ago, and because of polypharmacy it took me a week and a half to find out that the Adderal was the culprit. My pdoc told me that depression was a common side effect from Adderal. It sure was a great diet pill though!
I’ve read that prefrontal cortex functioning heavily affects mood. I don’t know if the dose of Concerta is enough to normalize cortical functioning. Maybe I need to add a dose of Modafinil or Adrafinil? Any suggestions?
He lastly suggested that a memory enhancing med at a later date to enhance temporal lobe function. He suggested Aricept.
I’m so frustrated and I’m ready to get on with my life and start getting better. Any suggestions, opinions or comments would be greatly appreciated.
--Tim
poster:manowar
thread:86080
URL: http://www.dr-bob.org/babble/20011202/msgs/86080.html