Posted by Francesco on September 20, 2003, at 20:12:58
In reply to Francesco? » Dr. Bob, posted by DSCH on September 19, 2003, at 22:19:13
Thanks for your explainations : ) You would deserve an ad-honorem degree in psychiatry (and kindness) ;-) By the way, why do they use HALF-life ? If half-life is x the time for being free of the med is 2x ? (it seems a school-problem ;-)
In these days my mood is quite good. Anafranil is helping somehow, I'm thinking about future and my mind isn't SO overwhelmed about inessential thoughts ... Of course the "meds-induced SP" occurred again ... in the last week I didn't see any friend and I feel very shy if I have to buy a newspaper or make a phone-call (misteries of brain ...) I'm experiencing some anhedonia but it's nothing compared to the SSRI's one ... My brain is impaired and I think that paradoxically is what helps my adhd. My mind is slower so I can control a bit better my impulses. I don't think this is a sharp solution to my problem but so far it has been the best.
Apart from Reboxetine are there other selective NE-RI ? I'm curious about Reboxetine but I've red many posts talking about impotence (not just sexual dysfunctions ...). Anyway my problem is not only find a med that could work but also find a psychiatrist that would prescribe it. My understanding of the US situation is that you can get what you want if you just ask : ) Consider yourselves lucky !
My alternatives for the future are:
1. Try Parmodalin (Parnate + a low dose of an antipsychotic). I've read somewhere that MAOIs can be useful for ADHD & they're also useful for social phobia so this would address all my problems. I know Amen didn't mention MAOIs but ... my simplicistic understanding of the issue is that MAOIs are useful for everything because they affect serotonin, NE and dopamine too. Another simplicistic way of considering my problem is:I have low dopamine (since I have ADHD)
Serotoninergic meds makes me Social Phobic
Serotoninergic meds can cause dopamine depletion
Low dopamine is related to Social Phobia
Maybe dopamine depletion cause my induced SP
Maybe a dopaminergic can help ! : )2. (sorry for this very long post but I don't see people so I need talking ;-)
Ask for a less serotoninergic TCA like Desipramine. Anafranil is the worst for what concerns side-effects so I can't see the reason why I'm on it. (I said I get a bit aggressive when I'm on IT ... could it mean TOO MUCH serotonin ? ... I know, introverted and aggressive at the same time is an awful combination : )
3. I have an appointment with the only italian psychiatrist who knows something about adult ADHD. I asked him by e-mail about Ritalin and he was very very vague ... I must be stupid because I insisted (it sounded like: "gimme ritalin !!!"). I don't know if he will allow me to try it (I doubt it after the paranoid mails I sent him) but if he allows me I think I'll try ... I know about addiction, tolerance and so on but I want to know how what kind of effects it has on me. I don't want to miss the (remote) chance of feeling normal for the first time in my life : ) Anyway I must be very cautios because he cannot *prescribe* Ritalin since it's not on the market. The only stimulant on the italian market is Provigil. I would ask about it to this doc.
4. Searching the web and begin purchasing Dexedrine and so on in Hawaii Islands at unbelievable prices. This is the last (and least) option.
I wrote a LOT !
Bye bye and let me know about you : )
poster:Francesco
thread:260422
URL: http://www.dr-bob.org/babble/20030917/msgs/262046.html