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news from the ritalin world DSCH

Posted by francesco on October 19, 2003, at 12:26:36

In reply to See where it goes, keep in mind you have options francesco, posted by DSCH on October 19, 2003, at 10:20:25

> Your posts aren't quite as well written as when you are on Anafranil it seems to me... and you just made a triple posting! ;-)

yeah, I know : / but I used a lot of difficult words ! (I found them on the dictionary ;-)
Now that my second 5mg dose kicked out I feel a lot better. these are my first impressions on Ritalin:

1. makes me a little robotic, less emotional
2. makes me introverted but not shy
3. makes me obsessive - overfocused
4. sometimes careless mistakes (dued to overfocusing on something else - Wellbutrin too)
5. blank mind sometimes (Wellbutrin too)
6. sometimes difficulty in listening to people (dued to overfocusing on something else)
7. makes me a little dumb (average joe feeling)
8. difficulty in switching from task to task and from tought to tought
9. worried (in a non-anxious way) about things that I have to do which results in motivation
10. less spontaneous (which results in being more organized and precise, which can easily results in being obsessive-compulsive-personality)

compared to anafranil:
11. no relevant physical side-effects
12. not depressed
13. not nervous (very very calm = dumbness)
14. can take it when I need it more easily

> Give it some more time to see if your body has some adjustments to make.

This is what I'm going to do. I'm waiting my psychiatrist to returned me the mail I wrote him describing my first impressions on the Rit.

I have some trouble in talking to the pediatrist because, above all, he's enthusiastic of Ritalin (and therefore he's not objective).

> Just keep this in mind, you have yet to exhaust medications that are, or are close to being, selective norepinepherine reuptake inhibitors: desipramine, nortriptyline, reboxetine, and atomoxetine.

I understand your point and I agree with you.
The problem for me anyway is not only to find the right med but also a physician who would prescribe it. I have to fix an appointment with a new pdoc, then wait, then trying to make him prescribe me what I want he to prescribe me : )

My next step is, if I decide to stop Ritalin, to push to my new p-doc desipramine instead of imiprammine ... the last time I had a script for Ritalin and Imiprammine, and I didn't want to ask for desipramine instead of tofranil, because he allowed me to take rit (and Tofranil was "his" idea ;-)

(atomoxetine is not yet on the italian market ...
reboxetine scares me for the impotence thing and it will be my last resort ...)

> They tested amitriptyline, imipramine, nortriptyline, and desipramine (and non-TCAs) and they come back in the order of imipramine, amitriptyline, nortriptyline, and desipramine from lowest to highest selectivity for the human norepinepherine reuptake pump vs. the serotonin reuptake pump. Note they did not test other TCAs, which presumably would more skewed towards the serotonin reuptake pump than imipramine.

If all of what we're talking about is true it follows that Imipramine should be tried only *after* desipramine. Anyway, it would be not easy to convince him because Tofranil is considered "the gold standard" (after Ritalin).

I'm beginning to think you're right about the NE issue. If Anafranil acts on NE and SE and if Ritalin acts on Dopamine and NE and if they both helped me with concentration maybe the problem is NE-related. I know this sounds semplicistic but we're all waiting for a brain-scan, aren't we ? ;-)

What are doing next summer ? What about a trip to AmenClinc ? ;-)(It's in the UK, isn't it ?)


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poster:francesco thread:270575
URL: http://www.dr-bob.org/babble/20031015/msgs/270827.html