![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 15 of 15. This is the beginning of the thread.
Posted by your#1fan on November 17, 2007, at 23:31:37
i need to know because right now im in a crisis, and im going to have to explain it to my doctor about, how? how can i be treated with out stimulants. Strattrea and Prozac cause immidate reations to eachtoher, and it happened to me.
What exactly does a dopamine agonist do? and how could it help ADHD? what would be the best one?
Thanks
im holding in there.
Posted by Mishal on November 18, 2007, at 2:36:06
In reply to can a dopamine agonist help ADHD?, posted by your#1fan on November 17, 2007, at 23:31:37
> i need to know because right now im in a crisis, and im going to have to explain it to my doctor about, how? how can i be treated with out stimulants. Strattrea and Prozac cause immidate reations to eachtoher, and it happened to me.
>
> What exactly does a dopamine agonist do? and how could it help ADHD? what would be the best one?
I would definitely recommend adding TRIVASTAL Retard in your cocktail. It is a unique French product which affects D2, D3 receptors and more importanlty it has noradrenergic effects. I find it moderately stimmulating, laser sharp focus while on it, and after all an excellent safety profile. The only side effect I experience now is difficult to sleep and stay asleep. But that is no big deal, because even after sleeping for less than four hours at night, you will wake up refreshed and from the very moment you will feel the magnificent effects of Trivastal. Just pop your usual dose. I think you can decrease your amphetaminelike stimulant intake. Trust me. This has been the best dopaminergic for me which took me into my old teenage days. An extremely heightened libido plus a huge blow to the anhedonia which was my annoyance for the past ten or more years.Trivastal Retard, how unlucky US guys are as they can't get their hands on most of the French medications whcih are far superior in efficacy and toerability compared to the god damned FDA drugs. I know docin US are still tiptoeing with SSRIS.
My only concern is : Just like what FDA did the Survector, whcih got the reputation within a ew monnths, had to withdrrq
Posted by cumulative on November 18, 2007, at 3:41:07
In reply to Re: can a dopamine agonist help ADHD?, posted by Mishal on November 18, 2007, at 2:36:06
Sweet, that's just what I was hoping for. I'll be getting some Trivastal soon, for mood, creativity, and focus.
You might consider adding guanfacine or clonidine (alpha-2 agonists) in the evening to counteract the noradrenergic effect of Trivastal's alpha-2 antagonism. Even if you feel refreshed, there can be some long-term problems from missing sleep all the time. This is what I plan to do anyway.
It's really great that you're doing well. I wish you (and me) further success with this well-conceived dopaminergic ...
Posted by Mishal on November 18, 2007, at 4:13:30
In reply to Re: can a dopamine agonist help ADHD? )) Mishal, posted by cumulative on November 18, 2007, at 3:41:07
> You might consider adding guanfacine or clonidine (alpha-2 agonists) in the evening to counteract the noradrenergic effect of Trivastal's alpha-2 antagonism. Even if you feel refreshed, there can be some long-term problems from missing sleep all the time. This is what I plan to do anyway.Unfortunately, clonidine is only available here in this part of world for use in d-addiction clinics. I checked with Pharmacists and they confirmed this. The drug is only being used in inpatient settings.
Meanwhile, yesterday when I added 300mg of Neurontin in the evening, it not only dealt with the stimulant low (or I will say crash) but helped me sleep also. Though not to a great extent. I think it could be because, my dose has not been adequate. Today, I am going to try 300mg of Neurontin in the evening and same amount at night. Hope this help me to sleep.
But surprisingly, Provigil-Trivastal combo has turned me into a guy who is not at all worried about sleep any longer. I like to stay up as late as possible, only to sleep with a switch on TV and computer. I really enjoy it. I know there are chronic insomniacs who has accustomed to the insomnia and still leading a producting life. Can't I be the one?
Thanks for your kind words.
PS; I can bring Clonidine from India, but I have read it many where that it can worsen depression. That's not what I am looking for. Provigil-Trivastal combo has put me into a state where a slight reduction in motivation, drive etc have been quite unaffordable for me even for days.
Posted by Deputy 10derHeart on November 18, 2007, at 13:11:10
In reply to Re: can a dopamine agonist help ADHD?, posted by Mishal on November 18, 2007, at 2:36:06
> how unlucky US guys are as they can't get their hands on most of the French medications whcih are far superior in efficacy and toerability compared to the god damned FDA drugs.Please don't exaggerate or use language that could offend others.
If you or others have questions about this or about posting policies in general, or are interested in alternative ways of expressing yourself, please see the FAQ: http://www.dr-bob.org/babble/faq.html#civil
Follow-ups regarding these issues should be directed to Admin and should of course be civil. Dr. Bob has oversight over deputy decisions, and he may choose a different action.
- 10derHeart, acting as deputy for Dr. Bob
Posted by your#1fan on November 18, 2007, at 15:16:40
In reply to Please be civil » Mishal, posted by Deputy 10derHeart on November 18, 2007, at 13:15:50
Is it available in the united states? i dont know. I dont take stimulants.
But im looking for someting that might help with focus, belive me i've been on wellbutrin, l-trosine.
sorry if i was getting off subject....
Posted by cumulative on November 18, 2007, at 20:13:06
In reply to Re: can a dopamine agonist help ADHD? )) Mishal » cumulative, posted by Mishal on November 18, 2007, at 4:13:30
>yesterday when I added 300mg of Neurontin in the evening, it not only dealt with the stimulant low (or I will say crash) but helped me sleep also.
That's great!
>Today, I am going to try 300mg of Neurontin in the evening and same amount at night. Hope this help me to sleep.
I'm actually going to be picking up Pregabalin along with my Trivastal, for sleep quality. Not sure if it's great for sleep induction, but I remember always waking up completely refreshed for the first time in my life when I popped 800mg Neurontin before sleeping when I was younger, taking it recreationally. We should correspond about our results here once we get our respective medicines in.
>I really enjoy it. I know there are chronic insomniacs who has accustomed to the insomnia and still leading a producting life. Can't I be the one?
Yeah, especially hypomanic people. I dunno, it can really get to you and impair your judgment/ability/general health/intelligence over the while, maybe even in ways one wouldn't notice. You do get a lot done. My advice is to keep people who care about you close, and try to listen if they notice any problems.
>PS; I can bring Clonidine from India, but I have read it many where that it can worsen depression.
Haha. I'm actually in the U.S. and "acquiring" Trivastal through similar means. Clonidine ... yeah, I mean, noradrenergic deficit will certainly cause depression, and there's no doubt that part of that which is improving your mood with trivastal is its adrenergic activity. Still, maybe you could find a dose that would help you shut down at night without problems later on. That's my plan, generally -- I want to find a happy medium between adrenergic stimulation of classic stimulants and the sedation that dopamine agonists other than piribedil provide. Chronic activation can definitely cause a depression/crash over time -- hence the crash into anergic depression from mania. It also might be worth looking into (this is what I might do) relaxing/sedative herbs like ashwagandha, which will have additional benefits in dealing with stress.
>Provigil-Trivastal combo has put me into a state where a slight reduction in motivation, drive etc have been quite unaffordable for me even for days.
I remember a bipolar woman on here mentioning one of the problems she experienced with her phases is that she would get involved in so many friends, projects, activities while hypomanic ... and then once she crashed she suddenly couldn't follow up on a single one. When I was abusing methamphetamine heavily I had similar experiences ... people always called the day after I had met them while on it.
Anyway, stay safe and do remember your health -- try to maintain a sense of balance. You can't keep things in overdrive forever. That's why I prefer dopaminergic stimulation without too much of either sedation or adrenergic activity. Again, it's wonderful that you're doing well. Good luck!
Posted by Mishal on November 19, 2007, at 4:14:09
In reply to Re: Mishal, posted by your#1fan on November 18, 2007, at 15:16:40
> Is it available in the united states? i dont know. I dont take stimulants.
>Hi dear,
Unfortunately, Trivastal (piribedil) is not available in US. Check with your doc there whether he can prescribe Trivastal. I think it is possible to import this med with a US prescription.
For more information on this med, check their website. http://www.servier.com/pro/Neurosciences/trivastal/trivastal_spc.asp
Posted by your#1fan on November 19, 2007, at 23:47:16
In reply to Re: Mishal, posted by Mishal on November 19, 2007, at 4:14:09
thank;)s
but i just talked to my doctor's nurse on the phone, he doenst approve it for ADHD (dopamine agonists). Well thats the way it goes. Ill have to do what he wants.
Its either Stimulants, strattera, or wellbutrin. Strattera is already out of the picture, i hated strattera you cant take it with prozac, too much norepheniphrine, anxiety...
But thanks for link.
Posted by rvanson on November 21, 2007, at 3:25:03
In reply to Re: can a dopamine agonist help ADHD?, posted by Mishal on November 18, 2007, at 2:36:06
> > i need to know because right now im in a crisis, and im going to have to explain it to my doctor about, how? how can i be treated with out stimulants. Strattrea and Prozac cause immidate reations to eachtoher, and it happened to me.
> >
> > What exactly does a dopamine agonist do? and how could it help ADHD? what would be the best one?
>
>
> I would definitely recommend adding TRIVASTAL Retard in your cocktail. It is a unique French product which affects D2, D3 receptors and more importanlty it has noradrenergic effects. I find it moderately stimmulating, laser sharp focus while on it, and after all an excellent safety profile. The only side effect I experience now is difficult to sleep and stay asleep. But that is no big deal, because even after sleeping for less than four hours at night, you will wake up refreshed and from the very moment you will feel the magnificent effects of Trivastal. Just pop your usual dose. I think you can decrease your amphetaminelike stimulant intake. Trust me. This has been the best dopaminergic for me which took me into my old teenage days. An extremely heightened libido plus a huge blow to the anhedonia which was my annoyance for the past ten or more years.
>
> Trivastal Retard, how unlucky US guys are as they can't get their hands on most of the French medications whcih are far superior in efficacy and toerability compared to the god damned FDA drugs. I know docin US are still tiptoeing with SSRIS.
>
> My only concern is : Just like what FDA did the Survector, whcih got the reputation within a ew monnths, had to withdrrq
Not to worry, Mishal.Some of us "US Guys" have some Trivastal Retard on the way here as we write ;-)
And, yes, The FDA blows big-time, not that it matters very much as our dollar is sinking fast just like our economy is doing and so "budget cuts" will have to be made sooner or later <bg>!
Hallelujah !
Please keep us updated with your progress on the Trivastal, if you could.
Posted by ripanrico on November 23, 2007, at 14:26:45
In reply to Re: can a dopamine agonist help ADHD?, posted by Mishal on November 18, 2007, at 2:36:06
Is there a dosage of Trivastal that is recommended for depression? How much are you currently taking? Thanks
Posted by ripanrico on November 23, 2007, at 14:34:30
In reply to Re: can a dopamine agonist help ADHD?, posted by ripanrico on November 23, 2007, at 14:26:45
Sorry, what dosage is recommneded for ADHD/ADD? What dosage are you taking for ADHD? Thanks
Posted by Mishal on November 25, 2007, at 1:32:40
In reply to Re: can a dopamine agonist help ADHD?, posted by ripanrico on November 23, 2007, at 14:34:30
Mishal here,
> Is there a dosage of Trivastal that is recommended for depression? How much are you currently taking?
> Sorry, what dosage is recommneded for ADHD/ADD?There is no recommended dosage for depression or ADHD, because Trivastal is not an officially recognized for these uses. It is a med used to treat Parkinson's. However its dopaminergic and noradrenergic activity can help ADHD & depression. One can go as high as 200mgs a day, but this should be made slowly, starting 50mgs daily for the first three days then slowly going up.
> What dosage are you taking for ADHD? Thanks
I don't take it anymore, but when I used to, I was not taking more than 50mgs a day.
Best wishes
Posted by Dreamann on November 27, 2007, at 14:16:25
In reply to Re: can a dopamine agonist help ADHD? » ripanrico, posted by Mishal on November 25, 2007, at 1:32:40
Hi Mishal,
I have had really great success with ritalin, untill it pooped out and tolerance and cardiac issues made it useless. Strattera had little benefit and gave me slight anxiety. Provigil made me feel horrible, heart palpitations, completely spacey, and way to much anxiety. ENSAM little in the way of benefits, and BP and food restriction became impossible even at the lowest dose. Ive recently been on Wellbutrin, which has been one of the more successful trials. I did really really well initially (first month) then seemed to loose some if not all of its effectiveness. I seem to develop tolerance to dopaminergic and or meds that give me a boost very quickly. Iam currently taking a break from Wellbutrin, and will add it back in with low dose lithium, and the equivalent of zeplin as enhancers.
Ive got trivastal in the mail for my next trial and so was wondering if you could give some final remarks about your experience with it. Specifically I was wondering if you could explain why you got off trivastal. Did you end up having any side effects besides sleeping less? Did you get off because the good effects were lessoning? I was wondering if you noticed any tolerance during the short time you were on it? Any problems now that your off of it...more tired during the day? Also were you getting it prescribed or did you take it on your own?
Have you had experience with stimulants, wellbutrin, or any other dopamine enhancing meds? If so what was your experience with them so I can compare.
my description: chronic fatigue, ADD inattentive type, lack of motivation, anhedonia,
thanks
> I don't take it anymore, but when I used to, I was not taking more than 50mgs a day.
>
> Best wishes
>
>
Posted by Mishal on November 28, 2007, at 3:58:47
In reply to Re: can a dopamine agonist help ADHD?, posted by Dreamann on November 27, 2007, at 14:16:25
Hi Dreamann,
Mishal here.
> Ive got trivastal in the mail for my next trial and so was wondering if you could give some final remarks about your experience with it.
Only good things about Trivastal.
> Specifically I was wondering if you could explain why you got off trivastal.
Some people on the board scared the hell out of me. That made me look unto this med very pessimistically.
> Did you end up having any side effects besides sleeping less?
No. In fact taking it in the morning time lessened the sleeping troubles.
> Did you get off because the good effects were lessoning? I was wondering if you noticed any tolerance during the short time you were on it?
Not at all. The effects sustained. There never was a tolerance issue.
> Any problems now that your off of it...more tired during the day?
Not either.
> Also were you getting it prescribed or did you take it on your own?
I made my doc prescribed it to me.
> Have you had experience with stimulants, wellbutrin, or any other dopamine enhancing meds? If so what was your experience with them so I can compare.I have taken Wellbutrin but didn't like the effect. Parlodel another dopaminergic was too much for me to tolerate.
Trivastal is unique in all its aspects. I can't compare its effect to any other med.> my description: chronic fatigue, ADD inattentive type, lack of motivation, anhedonia,
Then I am sure you are going to be tremendously helped with Trivastal. When I was on Trivastal, I could find pleasure even in the simplest things. But anhedonia is slowly returning after going off it.
Hope this helps
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.