Posted by nix on November 21, 2013, at 2:54:44
In reply to Nardil + Dextroamphetamine, posted by Peter Gibbons on November 20, 2013, at 17:24:18
You will want to be very careful with this. And no, I would not characterize it as an 'excellent combo'. I only just started an MAOI (EMSAM) + Dexedrine myself, but I've been taking Dexedrine for years for ADD/depression/fatigue. I was taking 90mg/day (30mg TID) before starting the MAOI. My psychiatrist had me clear the Dexedrine from my system completely first, then titrate up the MAOI, then re-added the Dexedrine at 1/3 my previous dose (30mg/day) max. I would say this is about correct; my sensitivity is about three times greater; I'm titrating up 5mg/day. The duration of action is now much longer, 10 hours instead of 4-5, so I've switched to once-a-day dosing. I am also seeing an uncomfortable increase in my heart rate (just above 100bpm resting), even at 5mg/day, although this doesn't seem to be dose-dependent.
I also would not characterize it as pro-social, as it has also increased my anxiety substantially. I'm now having to take 3mg Klonopin per day (up from 1mg).
If your system is naive to classic stimulants, I definitely would not take more than 10mg/day of Dexedrine until you are very sure of how this will affect your BP/HR and anxiety and how long it will kick around in your system.
poster:nix
thread:1054685
URL: http://www.dr-bob.org/babble/20131115/msgs/1054709.html