Posted by zonked on June 12, 2010, at 9:09:58
In reply to Best med for anhedonia, lack of motivation, SCT?, posted by former poster on June 12, 2010, at 4:15:35
What is your Vyvanse dosage and schedule? You may need a higher dose.
Do you ever take "holidays" from your stimulant? Unfortunately, as much as stimulants helped with anhedonia and my ADD-inattentive I found that my brain likes to compensate quickly and I develop tolerance rather quickly without increasing the dose. Had I stayed on Adderall, I'd probably have asked about taking a drug holiday on the weekends to fight tolerance.
Do you have a history of substance abuse? If not, tell your doctor what you told the board--perhaps you really do need Dexedrine if it's helped you more than Vyvanse. If your pdoc is still concerned, or if you do have a substance abuse history, perhaps (s)he will agree to give you your stimulant scripts weekly. This strategy has worked well for a friend of mine with ADD and a previous history of methamphetamine abuse.
Also, when Parnate still was effective for me, I found it helped a lot more with motivation and energy than Nardil did, although when they worked, both were equally effective for depression. (Currently on Marplan, which is finally kicking in after a month.)
I have ADD-inattentive as well as a mood disorder (currently back to major depression, treatment-refractory--has also been DXed as cyclothymic disorder, and
Bipolar II.)I know your pain--once I have been stabilized on Marplan at least a month, if my ADD symptoms are still bugging me, I will bring up adding back a stimulant if the energy/concentration/focus problems are still bugging me. (The anhedonia is largely gone tho!)
Also have heard good things about Mirapex--someone who's taken it can comment perhaps.
Best of luck, hang in there--
-z
> I've been plagued with sluggish cognitive tempo, anhedonia and lack of motivation all my life. If someone out there can help me feel alive before I die of old age, I would be most appreciative. I have had some relief with Dextroamphetamine/Nardil combo. My doctors won't prescribe it anymore because of the addiction propertys. However I am on Vyvanse, Bupropion and i just started emsam. it works but only for about 3-4hrs and then I'm sluggish again.
poster:zonked
thread:950779
URL: http://www.dr-bob.org/babble/20100604/msgs/950786.html