Posted by utopizen on December 30, 2005, at 7:53:26
In reply to Re: ADHD: Aricept/Namenda vs. Provigil, posted by utopizen on December 30, 2005, at 7:00:13
A lot of these newer drugs, for novel approaches to treating Executive Dysfunction in ADHD, or sleepiness with AD/HD (sleep apnea-associated, etc., when combined with a CPAP/BiPAP) often work well when the drugs are combined.
In the case of Namenda, it is already generally used as an adjunct med for Aricept and Reminyl and other drugs of that class.
In the case of Provigil, especially if you have Excessive Daytime Sleepiness, as often occurs in melancholia (a sleepy form of depression with hypersensitivity to rejection, sometimes also called Atypical Depression for God knows why) Provigil, Straterra and a CPAP/BiPAP machine often work well according to my pulmnologist I once saw back when I was depressed.
I never took up his advice to consider Provigil + Straterra combined, fearing it meant forsaking the only last hope to do immediate work in school i had--- amphetamine treatment using Desoxyn.
I also never took up his advice to take the semester off from school, and take a 5th year. I was too depressed to make sense. So I failed most of my classes that year, despite weeping in his office with his Nurse Practioner for no reason other than being depressed and looking like death from it.
End result? I'm taking my 5th year now, and likely could have missed out on a chance to reduce my stress at a terrible point of my life due to depression.
I felt like I had to take on the world, but, I geuss that's a different post.
Anyhow, point is, Namenda, is often combined with Aricept and other drugs of its class.
Provigil is often combined with Straterra. My pulmnologist, a world leader in research for AD/HD comorbid with Sleep Apnea, was remarking he found remarkable results with the combination unseen in either drug used alone in his patients.
So there is always synergy.
Either/or thinking... it rarely works in any event.
That said, reducing the total number of drugs was his priority as well, as that was kind of his basis for suggesting my psychiatrist do it. It would have meant possibly killing need for Klonopin, Desoxyn, Inderal, etc.
poster:utopizen
thread:591702
URL: http://www.dr-bob.org/babble/20051221/msgs/593377.html