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Re: why does Provigil help my ADD » karaS

Posted by zeugma on October 2, 2004, at 18:24:56

In reply to Re: why does Provigil help my ADD » zeugma, posted by karaS on October 1, 2004, at 23:36:00

hi K,


The Strattera is an AD for me, without doubt. I never doubted that its primary action, besides its unwanted subsidiary ones, was as an AD as well as ADD treatment. In fact I always considered it an AD with positive effects on ADD, much like the TCA's.

I felt some of that trouble doing attentional set-shifting today that I experienced on Ritalin and Provigil. But it was to a much less degree. These drugs have complex cognitive effects that I am going to try to discuss in another post. Basically, I don't know what the Ritalin is doing, it never had an easily identifiable effect on me like Provigil did: a "self-conscious" med; or Strattera, "transparency." Nortriptyline felt like a glacier was melting, but a lot of that could be because it was my first return to an AD in a decade, and the first one that worked in almost two - its predecessor was none other than itself.

I am going to run out of Ritalin after Monday. I am under so much pressure at work, and I can ill afford drug "vacations," and I don't know how the Ritalin is affecting the Strattera, or for the better or the worse. My next pdoc appt. is a week away. I hope he writes me a script for a week's worth of 30 mg Ritalin LA a day. The Ritalin side effects are wearing off, and weren't very disturbing to begin with. I will post below about the cognitive effects. But moodwise, I am ok, and for what it's worth, since this topic has come up elsewhere, Provigil is a stimulant that had some anxiolytic effect, and marginal antidepressant effect. Strattera has a strong antidepressant effect, which for me at least, kicks in immediately. It has some anxiolytic effect, because I was able to slightly reduce my clonazepam dosage, back to my maintainance dose of 1 mg/ day. I am happy about that.

-z


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