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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by TriedEveryDrug on November 29, 2009, at 9:50:47
My primary complaint is ADHD, inattentive-type. I'm having a hard time finding a drug that works for that, but this is not what this post is about.
Anyway, I'm fairly depressed and anxious too. I've been on lexapro for about a week now. It's fine except it clouds my thinking.I've tried augmenting with things like adderall, focalin and desipramine (low low dose) - a little better but not much.
Are there any anti-D's that do not impair concentration AND do not cause anxiety?
(wellbutrin makes me very anxious)
Thanks.
Posted by Phillipa on November 29, 2009, at 10:48:41
In reply to AD/AA with the least impairment on concentration?, posted by TriedEveryDrug on November 29, 2009, at 9:50:47
Seriously the one experience with luvox was the only one but that also combined ativan at about 4mg a day. Was in the hospital then. Boy back then I felt human no more. I wish there was. Love Phillipa
Posted by tensor on November 29, 2009, at 11:57:45
In reply to AD/AA with the least impairment on concentration?, posted by TriedEveryDrug on November 29, 2009, at 9:50:47
Maybe Edronax or Strattera? You can add them to Lexapro.
/tensor
> My primary complaint is ADHD, inattentive-type. I'm having a hard time finding a drug that works for that, but this is not what this post is about.
>
>
> Anyway, I'm fairly depressed and anxious too. I've been on lexapro for about a week now. It's fine except it clouds my thinking.
>
> I've tried augmenting with things like adderall, focalin and desipramine (low low dose) - a little better but not much.
>
> Are there any anti-D's that do not impair concentration AND do not cause anxiety?
>
> (wellbutrin makes me very anxious)
>
> Thanks.
Posted by linkadge on November 29, 2009, at 12:44:12
In reply to Re: AD/AA with the least impairment on concentration? » TriedEveryDrug, posted by tensor on November 29, 2009, at 11:57:45
Well, stims are clean in terms of cognition. In terms of AD's lexapro is probably the cleanest.
Zoloft may be slightly better, but to be honest I don't think so.
Parnate is pretty clean for cognition, I guess. But it causes nasty insomnia which can hurt cognition more in the long run.
Luvox may also be clean. Its sigma agonism is supposed to improve cognition.
Linkadge
Posted by TriedEveryDrug on November 29, 2009, at 12:52:20
In reply to Re: AD/AA with the least impairment on concentration?, posted by linkadge on November 29, 2009, at 12:44:12
> Well, stims are clean in terms of cognition. In terms of AD's lexapro is probably the cleanest.
>
> Zoloft may be slightly better, but to be honest I don't think so.
>
> Parnate is pretty clean for cognition, I guess. But it causes nasty insomnia which can hurt cognition more in the long run.
>
> Luvox may also be clean. Its sigma agonism is supposed to improve cognition.
>
>
> Linkadge
>
>Stims make my inattentive-type symptoms/cognition worse.
I asked my doc about luvox and he it was a nasty drug... I have been curious about it though.
Posted by linkadge on November 29, 2009, at 13:26:35
In reply to Re: AD/AA with the least impairment on concentration?, posted by TriedEveryDrug on November 29, 2009, at 12:52:20
Luvox was just another SSRI IMO, but there is some research to suggest it can be beneficial for cognition.
Effexor or duloxetine might be worth a try, as the norepinephrine reuptake inhibition is supposedly helpful for cognition.
Linkadge
Posted by southernsky on November 29, 2009, at 14:19:28
In reply to AD/AA with the least impairment on concentration?, posted by TriedEveryDrug on November 29, 2009, at 9:50:47
You mentioned some stimulants you tried, but i noticed you didn't mention d.amphetemine. Ive had anxiety for years, but that one helped me without causing any anxiety. Its just really powerful at first-but it only takes a week for it to level out..and you can cut the pills in half or any size. i took it for about a year, it just doesnt seem to be as helpful anymore though so i recently quit.
It's hard to answer your post though when your name is "tried every drug"!
Posted by TriedEveryDrug on November 29, 2009, at 19:28:56
In reply to Re: AD/AA with the least impairment on concentration?, posted by southernsky on November 29, 2009, at 14:19:28
> You mentioned some stimulants you tried, but i noticed you didn't mention d.amphetemine. Ive had anxiety for years, but that one helped me without causing any anxiety. Its just really powerful at first-but it only takes a week for it to level out..and you can cut the pills in half or any size. i took it for about a year, it just doesnt seem to be as helpful anymore though so i recently quit.
>
> It's hard to answer your post though when your name is "tried every drug"!You mean straight dexedrine? I'm pretty sure I tried that, but years ago.
The only stims I have not tried are Desoxyn and vyvanse. My doc doesn't think vyvanse will be any better than adderall.
every stim I have tried has clouded my thinking severely.
Posted by Phillipa on November 29, 2009, at 19:53:42
In reply to Re: AD/AA with the least impairment on concentration?, posted by TriedEveryDrug on November 29, 2009, at 12:52:20
Seriously what did your doc say about luvox being nasty in what way? Thanks Phillipa
Posted by TriedEveryDrug on November 29, 2009, at 20:27:38
In reply to Re: AD/AA with the least impairment on concentration? » TriedEveryDrug, posted by Phillipa on November 29, 2009, at 19:53:42
> Seriously what did your doc say about luvox being nasty in what way? Thanks Phillipa
He said it was a "dirtiest" SSRI, meaning it hit other receptors and such.
Although looking at Stahl's book, it doesn't seem as bad as he makes it out to be.
I don't know. He doesn't like prescribing it.
Posted by Phidippus on November 30, 2009, at 13:35:09
In reply to Re: AD/AA with the least impairment on concentration?, posted by TriedEveryDrug on November 29, 2009, at 12:52:20
> Stims make my inattentive-type symptoms/cognition worse.
Are you sure you're not bipolar? Why not try a mood stabilzer? Your innattentive symptoms may be due to bipolar disorder.P
Posted by TriedEveryDrug on November 30, 2009, at 16:16:25
In reply to Re: AD/AA with the least impairment on concentration? » TriedEveryDrug, posted by Phidippus on November 30, 2009, at 13:35:09
> Are you sure you're not bipolar? Why not try a mood stabilzer? Your innattentive symptoms may be due to bipolar disorder.
>
> PMy doc had a theory that I was. So I tried Lamictal for a while. Didn't really work. Made me spacey and quick to anger.
But you know... Desipramine worked well for my inattentiveness, but it makes me irritable, angry and depressed.Just today I realized this might be a "mixed state". (I didn't understand this term before.)
So maybe you're right.
If this were the case, what would be good to try besides lamictal? Valproic acid? Maybe Lamictal + NRI?
Thanks.
Posted by Phidippus on December 10, 2009, at 18:54:58
In reply to Re: AD/AA with the least impairment on concentration? » Phidippus, posted by TriedEveryDrug on November 30, 2009, at 16:16:25
> If this were the case, what would be good to try besides lamictal? Valproic acid? Maybe Lamictal + NRI?
Lamictal can cause agitation. Depakote or Valproic Acid might be a good choice. Why not give Lithium a shot?
P
This is the end of the thread.
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