Posted by Sad Panda on May 6, 2004, at 13:25:44
In reply to Question for Chemist; OCD ADD and Stimulants, posted by temoigneur on May 5, 2004, at 22:37:59
> Hi chemist, I have severe OCD and some ADD it seems. I think I have ADD because years ago when I was preparing for a demanding piano examination I took ritalin, I don't think I was on anything else at the time
>
> It gave me laser like focus for hours, then; and the sequence is hazy in my mind, but some time after I would always have very painful moodswings, and find myself crying from depression. My OCD is the masochistic type, I'm always doing things to embarass myself, to purge myself and ward off a sense of impending doom.
>
> Currently I have a new psychiatrist and he is more than willing to try new approaches if it looks like it might hold some promise. I extra fortunate to live in Canada, where through the special access program, my psychiatrist can access drugs through the states, I'm not sure about europe, (thinking about pregabalin)
>
> I am on 300mg Effexor, 15mg Remeron, 10mg Zyprexa and 5mg Clonazepam. Here's the thing, the zyprexa takes away my personality, and creativity. It sedates me and I feel like a vegetable.
>
> My strategy was to ramp up the effexor to 450, go way up on clonazepam, (maybe 16mg) keep the remeron, and hopefully get off zyprexa. I was wondering if you think it might be advisable to add Adderall, I've never tried it, or even perhaps ritalin with a mood stabilizer. The way I am now I'm not getting anywhere. I was down on zyprexa to 2.5 mg for months, my anxiety was higher but I was more alert. I came off zyprexa, and my ocd came back with a vegeance, I was debilitated, I couldn't move without shouting profanities around others to purge myself.
>
> The effexor and zyprexa are controlling my ocd very well, but I'm a vegetable, any suggestions. Thank you so much.
>
>Hi,
I would try going off Remeron for a few weeks to see what that does. Zyprexa covers what Remeron does, so the two combined would seem nearly unneccessary & likely to be additive to each other.
Cheers,
Panda.
poster:Sad Panda
thread:343851
URL: http://www.dr-bob.org/babble/20040505/msgs/344013.html