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Re: Ritalin 80mgs-not doing it anymore?- Restlessness

Posted by utopizen on August 29, 2005, at 15:31:51

In reply to Re: Ritalin 80mgs-not doing it anymore?- Restlessness » Paulbwell, posted by ed_uk on August 29, 2005, at 3:39:33

> Perhaps you should taper the Ritalin and try desipramine.
>
> ~Ed

That's a possibility. I'm glad to know if _anyone_, including Ed, has ever found success with anything.

I'm unaware of much clinical trials supporting the use of this med in controlled trials; it is important to emphasize some may respond more than others because depression often may mimic symptoms of AD/HD, according to my psychopharmacologist.

He actually told me that one of the ways docs determine a diagnosis is by treating a patient with a certain drug, and observing the response that follows.

Therefore, let's suggest I had depression, and took an antidepressant like desipramine. I'd say, "wow, my mental energies are back, I can concentrate, wow!"

And I'd never know whether it's just a novel reaction, if it's depression, or if it's falling in love or whatever.

So moral of story: I'm not discounting Ed. I'm also not suggesting Ed has depression alone, or has depression, or doesn't have depression. This isn't even about Ed.

Moral is: If you talk to your doc about desipramine, he'll probably give it a shot, but mostly 'cause it's an antidepressant.

Keep in mind, from my own experience, "stimulant burnout" is basically often early stages of depression complicating your AD/HD. Which is why an antidepressant combined with a stimulant ain't ever a bad idea-- stimulants can cause dysphoria, so it's actually wise to take one with antidepressants in general.

I would be ill advised to think your energy levels are "tolerance" only-- you'll find if you have any luck with getting a mood bounce back for you one day, somehow, you'll find a much lower dose may even work better.

In the meantime, I advise if you have somnolence to augment with Provigil.

And if not on an SSRI, go on on. If on one, switch or up the dose markedly.

And Ritalin @ 80mg is quite a bit. Consider Adderall, Desoxyn, Dexederine, Straterra.


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