Posted by tom2228 on March 26, 2016, at 21:21:08
In reply to Re: SLS/others: Dual diagnosis, but need ADHD meds, posted by zonked on March 20, 2016, at 9:10:20
I'm a recovering meth addict and I too have used meth on MAOIs (Marplan) + desipramine .. No *physical* problems (other consequences that come along with an addiction, yes of course). My brain seems to be completely tolerant to this combo. Makes me shirk when certain docs are too afraid to prescribe low dose stimulants with my MAOI and desipramine... But that's lack of experience/ knowledge and another rant.
I've also been on Desoxyn as part of the combo for the past 6 years, and I can truly and honestly say that I am highly satisfied with my ADHD treatment. Nothing has given me close to the relief and focus I have taking this med in combination with desipramine. I am completely honest with my doctors and while they're hard to find, they've understood that having my ADHD treated is a significant relief to the stresses in my life that often manifest as mood episodes or trigger drug use. I've explained to them that I've used meth while medicated and while off Desoxyn and notice that if I'm not treated I use much harder, more dangerously, find it much harder to control myself or my behavior on or to get the drug and that the rewards of drug use are fueled by an unmedicated state.
I've also been sober on Desoxyn and off Desoxyn and struggle a whole lot more off the medication ... Things like feeling ineffective as a person , unable to control myself or regulate my actions or affect, or focus enough to tune into my relationships.. Is a huge trigger for my self-destructive tendencies.
Last year I truly tested it out trying to get by on Nuvigil, then retrying Vyvanse and finally back on Desoxyn at half a year sober. Once I got back on my career took off, I developed a set of skills that I have achieved the feint of self-support, and I've been able to do what I set my mind to. It is not a catch-all or magic pill that I pep myself up on. It just allows me to not be held back if I decide I want to embark on something that requires my attention or personal growth.
I am taking 20mg daily, 5mg 4 times a day on a strict every-4-hours schedule, sometimes only 3 times a day if I sleep in. I never abuse it, barely ever feel tempted to take more. It is a blessing to have at least one of my psychiatric diagnoses in check and why abuse 5mg pills when if I'm going to destroy my life I'll just buy a 1.8grams for 80 bucks and go from there until I'm destitute again.
It definitely takes self-discipline. At the end of the day you must ask yourself what you really want in your life and wherther your decisions support or oppose that goal... Surrounding ADHD meds + dual Dx , or otherwise.
I have found several several doctors who are support this, or me being on Stimulants, even Desoxyn, as a meth addict in recovery. It's just getting that plus the Marplan AND desipramine prescribed that's a real pain in the *ss.
Let me know if you have any questions and good luck!
Tom
poster:tom2228
thread:1087281
URL: http://www.dr-bob.org/babble/20160306/msgs/1087579.html