Posted by psychobot5000 on May 4, 2012, at 17:01:38
In reply to Re: question for SLS » SLS, posted by g_g_g_unit on May 2, 2012, at 8:35:49
Not that you asked, but in my opinion, there is no moral conundrum concerning self-medicating. Just health and safety conundrums, though it probably speaks well of you that you're still concerned about the ethics of it after dealing with the problem all this time.
Have you read this post on tranylcypromine and selegiline by Chairman MAO, from about six years back?
http://www.dr-bob.org/babble/20060304/msgs/617798.htmlYou're in rough straits over there for ADD--they won't co-prescribe a stimulant...and guanfacine and desipramine are both unavailable! Damn! What to do! Beyond reboxetine, one other thought is protriptyline, if they have it? It's supposed to be even more activating than desipramine, though I don't know that it's been vetted for ADD.
For what it's worth, I found tranylcypromine to have some activating and stimulant-like properties even at low doses like 30mg per day--and that was in marked contrast to phenelzine. Those stimulant properties never disappeared, though as my MAO inhibition increased, I ran up against the fuzzy, brain-fog feeling that all MAOis give me and which worked at cross-purposes to it. From your words about cloudiness, it sounds like you may be experiencing a small version of this phenomenon. If you deem this likely, my tentative advice would be to back off the dose before your active MAO levels go even lower, and the problem gets worse (as it did for me). In my experience, it seemed to be directly related to the level of [presumed] MAO inhibition in my body.
But, yeah, apologies for the meandering and unsolicited response. And protriptyline might be helpful with attention and activation. Its serotonin reuptake inhibition ought to be low enough they won't give you sh*t about serotonin syndrome when combining the two. There's some literature out there about that.
poster:psychobot5000
thread:1016531
URL: http://www.dr-bob.org/babble/20120425/msgs/1017130.html