Posted by Brainbeard on November 4, 2010, at 15:06:40
At last, after a month of virtual abstination from drug experiments, I came to see my p-doc.
We discussed the effects of the clomipramine: it's doing something for my OCD, enough to make my wife notice it, and enough to be able to bear obsessive convictions (that keep bothering me and seem nearly unextinguishable) without too much trouble.
I told him I'd like to address my executive functioning and motivation now, since the clomipramine, although it isn't nearly as apathizing and demotivating as the SSRI's , isn't exactly helping with motivation for chores.
I told him how Rita paradoxically, since it has low abuse potential, makes me happy as f*ck while Dex comes on more naturally. He thought a Dex prescription would be a good thing to try. He's prescribed 5mg twice a day four fourteen days at the end of which we will evaluate wether the Dex is helping and is not actually making the OCD worse, which of course is also a possibility.
I also told him about some other meds on my wish list, but he likes to do things one step at a time, for which I can't blame him. And I revealed (please don't move this to faith, Dr. Bob) to him some of my fears for side-effects, like getting titties (gynecomastia) from too much prolactin (a possible but rare side-effect of SRI's and a more common side-effect with antipsychotics, Risperdal being the leader of the hyperprolactinemi-izing pack).
All in all, it was a good, open, balanced session, and I came out with a Dex prescription without any euphoria or Yes!- or I did it!-feeling, which I regard as a good sign. This is, somehow, serious.
My pharmacy has to custom prepare the (generic) dexamphetamine, which I hope they won't protest to do. I have no clue yet wether my insurance is gonna cover it. Doc thought they did, and said that Dex wasn't expensive.
Of course I hope to keep y'all updated on my Dex trial. If it doesn't work out well, I think my next suggestion would be Rita. But let's not jump ahead at this point. Let's do things one step at a time..
Current meds: clomipramine 225mg, fluvoxamine (Luvox) 50mg
As needed: bethanechol 25-50mg, oxazepam 5-10mg
poster:Brainbeard
thread:968420
URL: http://www.dr-bob.org/babble/20101030/msgs/968420.html