Posted by AndrewB on September 8, 2004, at 0:07:37
In reply to Re: AndrewB, posted by TenMan on September 6, 2004, at 23:07:29
> Hi Andrew,
>
> Good to see you posting. If you don't mind me asking are you still taking the same combo of selegiline/amisulpride/memantine and adderall that you were doing so well on?
>
> ThanksTen Man (Give Me FiveMan?),
On the memantine and adderall still, as well as the nightly Klonopin that I've been on for years.
I stopped the amisulpride and selegiline in February. I had not intended to. My amisulpride order was late, so I ran out. I expected to feel awful, like before when had stopped. Not this time though. Actually I was a little better without it. More mentally flexible. I interpret that as having been a lil' OCD symptomology that had slowly crept in. OCD stuff is a fairly clear sign that you've over stoked the limbic system in relation to the PFC, that is, gone on over to the other side of the teeter totter.
Anyway, it was nice to be able to drop a couple meds. Just maybe it's a sign something in my brain has changed for the better. My gut tells me I can go off the Adderall too. It would be a long period of titrating down though, I figure, so I've put it off. I think I will always need the memantine and klonopin, from what I've read about the biophysiology of my condition.One side note: as you know effective treatment for fatigue states depends on the individual. The closest thing I've seen to a 'Rosetta Stone' for figuring out and treating fatigue states is "Tuning the Brain" by Jay A. Goldstein, M.D. All sorts of 'secret' concoctions are spelled out in there and the mechanisms behind why they work when they work, and an algorithm for subtyping yourself so you don't have to blindly try everything. I did like it when I read his lament that he didn't have access to sulpiride, because there was no US drug for dealing with situations of supersensitive DA autoreceptors in the NAc.
Amazon sells the book at a righteous price, and, by gosh, Dr. Bob has a link right on this page I think.AndrewB
poster:AndrewB
thread:386251
URL: http://www.dr-bob.org/babble/20040904/msgs/387904.html