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Re: Stimulants (was: Good calm vs. bad calm) » rgb

Posted by Molitor on December 2, 2007, at 19:09:49

In reply to Re: Stimulants (was: Good calm vs. bad calm), posted by rgb on December 1, 2007, at 9:51:17

> Hello cumulative,
>
> well, I'd say the "just sitting still, and your body and whatever you are doing at the moment feels so right" is bordering on euphoria territory :) But maybe I do have ADD after all and that's the therapeutic effect ;)
>
> I don't have a qualified opinion about sustainability of therapeutic effects, but I'm curious as to why you think that it is sustainable? For me personally, the crash after even a single day makes me horrified of what would happen after a few months.

I've taken stimulants for (extreme) sleepiness and fatigue, as well as to augment antidepressants since the mid-80s, and usually the antidepressants lost effectiveness before the stimulant did. I've never had a problem discontinuing them, even to the point where I can stop while I still have half a bottle of left. If I taper a few days, I don't get any withdrawal at all.

Ritalin uniquely had an annoying mood-up, mood-down thing when I'd take it, and I'd imagine this could get rather unpleasant as dose increases. Realize that the mood-up, happy, motivated, king of the world stuff is a *side-effect*. It's a pleasant side-effect, but it's still a side-effect and not part of the therapeutic action. That part usually isn't sustainable because, well, it's a side-effect. Provigil has some degree of mood elevation, but Cylert and Adderall are very mood-neutral.

When I took Adderall three times a day, I'd even forget doses and, although I'd get sleepy later on, there was never any urge to take them, and never any kind of crash.

So for me, at least, they are sustainable long-term, perhaps indefinitely. If Nardil were as sustainable as Adderall, I'd be very, very happy.


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