Posted by Katz on January 24, 2001, at 11:53:05
In reply to Re: Reboxetine/Ritalin - what about ADHD?, posted by Leonardo on January 24, 2001, at 10:43:35
> Hi Katz
>
> Thanks, I'll continue looking for Ritalin on the net, but it does waste a lot of time! I only want enough to do trial for the time being - I may have to steal some more from my son. I am a bit panicked now by what Sigolene said - my son is on 40mg Ritalin a day, I'll have to keep a close watch on him.
>
> Re the rebox, etc, we seem to have had a similar response, except I never found it sedating. I started with 4mg morning + 4mg evening and could hardly sleep at all. It was during this period that I went a bit hyper/manic and lost all social inhibition. I then cut down and started taking the second dose at lunchtime, either 4 + 2 or 2 + 2. I wouldn't dare take it in the evening again. Have you tried Paxil? Like I said, the two together gave me a much smoother response, my steady dose was 2mg rebox am, 2mg at lunch, and 5 or 10 mg paxil in the evening. In retrospect, my best responses were in the transition from one drug regime to another, I never managed to remain 'normal' feeling for more than hours or days together. In at least two cases (coming off full dose Paxil and coming off full dose Remeron) I think the good feeling may have been more to do with the release from their terribly sedating side effects!
>
> I am a bit wary of trying Zoloft and Effexor, but maybe I'll be lucky. I at least have to give them a try so my Pdoc will agree to try more radical approaches if they don't work.
>
> I actually believe that I do have ADHD, and that may well have been the cause of my depression indirectly. I really am taking it seriously now that my son has been diagnosed and responsded well to Ritalin (ADHD runs in families) and it would explain a lot of my school/work problems that have always been a mystery to me - I am 'capable' but never achieve my potential. I have always had terrible problams with concentration/motivation and being distractable, even before I got depressed. I read a top 20 symptoms list for adult ADHD when I was looking into it for my son, I scored 18/20! To get my Pdoc to take it seriously though, I have to get my depression under control for a while and show that I still have the concentration problems.
>
> As you prob. know, not everyone with ADHD has hyperactivity, there is a subset called 'primarily inattentive' or somesuch which is harder to spot. I should be working right know, but I've got a bit distracted...
>
> Best wishes
> LeonardoHi Leonardo,
Thank you for that quick response. Have you tried the combination of andrafinil & amisulpride that John recommends? Perhaps you should give it a try before going the Ritilin route. If it works, it sounds like it would be a kinder, gentler albeit very effective treatment. I know that you can't order from sources inside your own country but I'm sure you can find sources elsewhere, e.g. Mexico, Italy, etc. Perhaps someone with that information could post it here.
As for the paxil. I don't feel I need it. At least not yet. I have not found the energizing effects of Rebox overwhelming. Now that I am beginning my dosing during the daytime, I doubt I will have a problem sleeping. In the event that I do, I will keep your Paxil suggestion in mind although I would really hate to increase my seratonin levels under any circumstances. Infact, now that I think about it, if sleep does become a problem, I think Melatonin might be a better choice for me.
Leonardo, if you believe you have ADHD you should discuss it with your doctor immediately. He might be willing to introduce the stims more readily. I don't believe that I have either ADHD or ADD although I do believe there is some frontal lobe inactivity involved which is causing my anhedonia and possibly my social phobia. Who knows, unless one can actually look at the brain activity, it's just speculation as to what is really going on.
Good luck,
Kathy
poster:Katz
thread:52347
URL: http://www.dr-bob.org/babble/20010122/msgs/52412.html