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Re: low dose Provigil update Ritch

Posted by Emme on May 20, 2002, at 10:28:31

In reply to Re: low dose Provigil update Emme, posted by Ritch on May 17, 2002, at 22:20:30

> Hey, you are doing pretty well! The MAX of Wellbutrin I could stand was 150mg/day and that in the absolute middle of a major depression and only for a few days. Paxil at 4mg per day gave me EPS (choking feelings-tongue zaps, etc.), Zoloft-diarrhea/restless legs, Prozac-nightime hallucinations, Luvox-laughing spells, Celexa-choking feelings-tongue zaps, acid reflux (but not as bad as Paxil). Serzone was OK-except that I was dreadfully confused and couldn't see straight (on 50mg/day).

You're right. Compared to what you've experienced I have done pretty well with some of these. You really have had a dreadful time.

> Effexor made me itchy, dream vividly, and made me hostile and hypomanic WITH diarrhea and elevated heart rate and blood pressure.

Effexor was bad news for me, though not as bad as for you. It bumped my heart rate up a lot, which is when we experimented with atenolol. Ditched the Effexor, with the usual discontinuation miseries. But we found that a low dose of atenolol took the edge off my anxiety and I have no side effects from it.

> IF I didn't get anxious on stimulants, they would be the best meds I had ever taken for seasonal recurrent major depression-most efficacious undoubtedly-with few side effects except for the anxiety. I think I will wind up back on nortripytline or imipramine this time around (TCA's).

Do the TCA's give you less trouble than the SSRI's and other antidepressants?

> Unless..long shot....pdoc will go for Concerta.

Is concerta supposed to make you less jittery than ritalin and dexedrine?

> > If only it were a good punch. MOrning was better, more normal. The afternoon punch is a bit much.

> That *still* sounds good to me. Mid-late daytime I get the most profound fatigue, I am constantly yawning at work.

Huh, well maybe that would time out nicely for you.
Good luck with the search for the right stimulant-type drug. Have you mentioned how good ole caffeine works for you? I can't tolerate much, but a dash of it (a third of a cup of coke) has been known to keep me from falling asleep in seminars. :)





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