Posted by med_empowered on August 29, 2005, at 19:44:50
In reply to Re: Ritalin 80mgs-not doing it anymore?- Restlessness » utopizen, posted by ed_uk on August 29, 2005, at 16:00:13
Stimulant+antidepressant combos are good for ADHD, depression, and some tricky variants of depression (for example, the combo helped me with treatment-resistant bipolar depression). In cases of really bad narcolepsy, Provigil can be added to a more traditional stimulant; I imagine that in your situation, this could help. I kind of think that if you did a switch to Dexedrine or Adderall (Desoxyn would be an option, but its usually chosen after failed trials of Ritalin and Adderall/Dexedrine) *and* added an AD (my votes would be for Pamelor, Cymbalta, or Effexor) you might get some relief. I suggest a switch just because Ritalin, for me at least, tended to "poop out" in general, and that got worse as the dose got up...my shrink switched me from 60mgs/Ritalin to 40mgs/Adderall, and I did much, much better. Good luck!