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Re: Treating side effects » zeugma

Posted by ed_uk on January 29, 2005, at 21:12:57

In reply to Re: Treating side effects » ed_uk, posted by zeugma on January 29, 2005, at 19:42:24

Hi,

>> Have you ever taken more than 100mg of nortriptyline?
>It might be helpful for anxiety and even ADD, I don't know. 100 mg nortrip seems to be more stimulating than 75 mg.

Try it!

>Doctors may be less leery of prescribing benzos in the US than UK, but only slightly.

Don't be so sure! One thing I have noticed is that MUCH higher doses seem to be prescribed in the US, for much longer periods of time!

> Part of the problem, as I see it, is that stims produce positive effects only when plasma levels are highest, and on the up- or down-slope I would experience severe irritability, anxiety, and marginal cognitive benefit. I don't see any way around this conundrum.

I think you could probably overcome this by taking small dose very frequently (every couple of hours)- this would avoid any major peaks or troughs.

>I wonder what your view of the effectiveness of reboxetine is. have you ever tried it?

I've never tried it. Although Edronax is marketed here it's rarely prescribed to be honest. Do you want to try it?

>Are you still trying to get on some kind of stimulant?

Yes, but I doubt I'll ever get one though, I might as well be asking for IV heroin!

I know you highly favor d-amphetamine over methylphenidate. Is this because d-amph is less anxiogenic?

It would be interesting to see some scientific evidence that d-amph is less anxiogenic- there doesn't seem to be any, all the evidence I've got is anecdotal. If I had the opportunity to try any stim, I think I might actually try Ritalin first because of the evidence that high doses of d-amph *may* be neurotoxic in animals. I suspect that I'd end up on d-amph though, most adults seem to prefer it to Ritalin.

Ed.


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URL: http://www.dr-bob.org/babble/20050128/msgs/449958.html