Posted by zeugma on August 10, 2005, at 17:48:38
In reply to Re: lex- and therapeutic window for stims » zeugma, posted by ed_uk on August 10, 2005, at 14:24:52
> Hi Z!
> >Lexapro (escitalopram)....
> Too expensive. Try generic citalopram (Celexa) first!
Ed, how dare you make that suggestion! Don't you know that single-isomer drugs are TWICE AS GOOD as the racemate, in every case? (just kidding)
> >....It's just that I have this feeling that more meds = multiplying s/x.......
> You don't take that many meds! A woman came to the pharmacy today with 5 (full) prescription forms - 25 drugs. This isn't uncommon.
It's not a phobia of taking too many meds. It's that no matter what I add to nortriptyline, buspirone, and clonazepam (which added together don't give me too many side effects, but also do nothing for sleepiness and ADHD) starts to feel like 'too much' before too long, whether it's increased anxiety, appetite suppression, dry mouth, or 'vaguely toxic' feeling (Provigil).
> In the UK, clotrimazole only comes as a cream and a pessary. How are you taking it? - obviously not as a pessary LOL ;-)
I don't think so ;-) It comes as a 'troche' (slowly dissolving tablet).
> >oh, and I tried Zoloft when it came out- AWFUL AWFUL AWFUL. I was in a nauseated fog.
> Hmm. Definately start with a very low dose if you try citalopram!
I would (but I insist on the single isomer if it bankrupts me!). I'm sure citalopram (ahem, escitalopram) is nothing like Zoloft- consider the differences between nortriptyline and atomoxetine. But I was told by the sleep doc that SSRI's can be disruptive to sleep, which corroborates my research.
speaking of which, do you have any thoughts on Focalin, the d-isomer of methylphenidate? An XR version just came out, and this report claims it has a duration of action of 12 hours:http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=16026226&query_hl=4