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Typical ADHD w/ atypical side effects? » francesco

Posted by DSCH on September 4, 2003, at 15:38:37

In reply to I try again » DSCH, posted by francesco on September 4, 2003, at 13:33:14

It sounds to me like you have "typical" ADHD, inattention plus hyperactivity... but with the oddity that Wellbutrin affected you quite badly, whereas it is one of the "first line" meds for adult ADHD in the USA. But then little can be taken away from that in your case because Wellbutrin doesn't have a clear psychoactive mechanism as far as I have read.

Messing around with the serotonin system when it isn't broken is likely to lead to trouble. In my case I believe it led to apathy. Having it lead to compulsiveness is something I have not heard about but paradoxical reactions are not unheard of (Prozac and other SSRIs often help compulsives). By the way, what you describe sounds more like mild compulsive personality traits rather than full-blown OCD. Real OCD tends to involve time-consuming, complex, and often self-destructive rituals related to orderliness and hygene (washing hands dozens of times a day, counting all the leaves on trees, etc.).

What medications does classic ADHD point to other than Wellbutrin? Stimulants like the various amphetamines (Desoxyn, Dexedrine, Adderall, etc.) and methylphenidate (Ritalin). And then there are the selective norepinepherine reuptake inhibitors like reboxetine (Edronax and Vestra) and atomoxetine (Strattera).

I would recommend exhausting all your possibilities of obtaining and trying out one of the NE-RIs before going to the stimulants because of the dependence/tolerance/addiction/abuse issues.

The nutritional supplements you may want to try out (in addition to a good multivitamin/mineral complex) would be L-phenylalanine and the OPCs from grape seed/pine bark extract. I would recommend talking it over with your pdoc first if you will take them in addition to meds.


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