Posted by zeugma on February 3, 2005, at 17:06:18
In reply to Re: Stimulant withdrawal » zeugma, posted by ed_uk on February 3, 2005, at 8:29:41
hi Ed, just to let you know, I've been feeling better now that the nortriptyline has kicked in again. I've had this experience before: going below 75 mg plunges me into misery.
My blood levels were taken a couple of years ago when I was on 60 mg nortrip and experiencing a suboptimal response. My pdoc didn't tell me the exact level but said it was 'low' so I moved up to 75 mg and started feeling better. So I'm assuming 75 mg is the bottom threshold for therapeutic response.
I suppose I'll try 25 mg Strattera again tomorrow. I don't know if my current pdoc will see me any more, though. I didn't call the sleep doctor today but will have more time tomorrow (less full work schedule).
It's been really, really crazy lately with all the med changes and trying desperately to hang on to my job. I suppose I need to get used to the anxiety, or think about something like Seroquel. I just worry about movement disorders (I have a tic from the Ritalin) and I experienced a neuroleptic-like effect from >30 mg buspirone, and buspirone is a very weak D2 antagonist.
So yes, I'm feeling better, but I don't know if I currently have a pdoc, because the way I left it with him was that I would see a sleep doc instead. (I'm putting it mildly, of course. I was yelling at him on the phone, and this is not very cool behavior. this is part of why the Ritalin had such a bad effect on me. Instead of calming me down as is apparently the norm with ADHD patients it hyped me up.)
-z
poster:zeugma
thread:446337
URL: http://www.dr-bob.org/babble/20050202/msgs/452573.html