Posted by Ron Hill on February 25, 2003, at 13:23:58
In reply to Non-controlled drugs for motivation?, posted by Ame Sans Vie on February 25, 2003, at 8:39:21
Ame Sans Vie,
Wow, you've tried a lot of medications during your young life, huh?
A few weeks ago, Enada NADH seemed to be helping your motivation. From your current post it is clear that it must have pooped out. Can you take a minute or two and tell me what happened?
Also, do you enjoy rigorous aerobic exercise? Does your lack of motivation inhibit you from exercising?
I send you my best wishes.
-- Ron
---------------------------------------> Hi,
>
> I'm 20 years old; was diagnosed with social anxiety at the age of 14. I've run through pretty much all of the medications used for treating anxiety, some of them two, three, even four times. I'm finally settled on a combination of two meds that control my anxiety exceptionally well-- 2mg clonazepam bid + 30mg buspirone tid. Only one problem now: I can't bring myself to get up off my ass to do anything! I feel exponentially better than I did prior to trying this med combo, but what can I do about the absolute lack of inclination? I'm pretty sure it's not a side effect of the medications; I've had quite a problem with motivation ever since my childhood ADHD sort of downgraded to ADD during my teens.
>
> I have taken Adderall, methamphetamine, and methylphenidate in the past to control my ADHD symptoms. Recently I tried Provigil, and for the six weeks that it worked I felt better than I can ever remember. At the time I was also taking Valrelease and amobarbital for the anxiety... I have to switch back and forth between benzos and barbs occasionally as I tend to develop a tolerance rapidly.
>
> Anyway, I have an appointment with my psychiatrist on Thursday-- right now I'm thinking of talking to him about some form of amphetamine (Ritalin made me much too jittery). But I'm not entirely sure he'll prescribe it... I've brought it up in the past and he seemed opposed to the idea of having me on both a tranquilizer and a stimulant. He knows I don't abuse my meds, he's just a bit on the conservative side.
>
> He may consider Cylert, but I know it doesn't work for everyone. Even still, I'd be interested to hear from anyone who's taken this drug.
>
> So right now the only non-scheduled drugs I can think of are Strattera and Wellbutrin. I've tried Parnate (30mg) for this problem before, but it seems I'm practically immune to MAOIs... Nardil (105mg) didn't help in the least either.
>
> I know most of these drugs aren't known to be activating anyway, but for the sake of completion I'll list them anyway.
>
> Prozac (20mg), Effexor (225mg), and Serzone (450mg) seemed little more than placebos to me; Paxil (60mg) and Luvox (200mg) were completely unbearable, so I see no need to try other SSRIs. Amitriptyline (200mg), Remeron (30mg), and trazodone (400mg) were great for sleep, that's about it.
>
> I've tried pretty much all the standard anticonvulsants/mood-stabilizers, except lithium and Topamax. I'm guessing neither of these would be much help, correct me if I'm wrong. Neurontin (2400mg), Gabitril (36mg), Lamictal (300mg), Tegretol (800mg), and Depakote (3000mg) were all useless. I've always been wary of the APs, so I've only tried them in pretty low doses, to no effect-- Risperdal (2mg), Seroquel (150mg), thioridazine (75mg).
>
> Maybe higher-dose Prozac or Effexor would be worth a try? How about Abilify? Really, I'm just trying to find anything that's not quite so noradrenergic as Wellbutrin or Strattera. I'm not quite sure about it's method of action (5-HT/NE?), but what is the general consensus on reboxetine? How about the 'narcoleptic' TCA's, like protriptyline?
>
> *Any* input on this would be a great help... I've just got to take care of this soon. Because of this problem I've already had to forfeit *two* full scholarships, and I owe over $900 to the government for a grant that was never used due to a suicide attempt and hospital stay. Somehow they decided to give me another chance at the university in the fall, but I'm afraid this will be my last opportunity and I don't want to mess it up.
>
> Thanks in advance for any opinions/information.
>
>
>
>
poster:Ron Hill
thread:203665
URL: http://www.dr-bob.org/babble/20030224/msgs/203724.html