Posted by psychobot5000 on November 14, 2011, at 13:11:07
In reply to Concerta, Abilify or Geodon?, posted by tensor on November 3, 2011, at 5:52:19
> I lack initiative, interest, energy and motivation, am on two antidepressants with clonazepam and Lyrica for anxiety.
> Modafinil does not longer work, so I'm looking at Concerta but suspect that any response would fade quickly, which is why I'm also considering the above AAP. Anxiolytic effects are welcome. Any ideas?
>
> /MattiasDon't sell the concerta short. Energy and motivation are where methylphenidate (in theory, and in my personal experience) excels in comparison with other medications. It's true that anxiety COULD be a problem, but I also have anxiety and continue to take it on occasion. In my experience, anxiety simply means the dose is too high. Titrate it slowly, and I'll bet you'll be fine.
It's true, its effect will likely fade somewhat after continued use, but you can up the dosage to get a substantial amount of the effect back (if you try to retain 100% of the initial benefit, I think you'll likely end up dosing too high).
Shorter: with the symptoms you describe, concerta is worth a try, but start at low doses, go slowly, and watch for anxiety.
Hell, if that doesn't work, dexedrine is probably worth trying, also, I'd think. It's supposed to be better for mood than concerta/methylphenidate, though in my experience this varies, person to person.
Also: for mood flattening, I'm suspicious of your Lyrica. In my experience, drugs in that class can do that.
poster:psychobot5000
thread:1001557
URL: http://www.dr-bob.org/babble/20111110/msgs/1002535.html