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Re: Restarting Methylphenidate

Posted by undopaminergic on February 29, 2020, at 11:17:14

In reply to Restarting Methylphenidate, posted by linkadge on February 29, 2020, at 7:12:02

> Hi all,
>

Hi, welcome back.

> I have been taking:
>
> lithium 300mg
> venlafaxine 37.5mg
> mirtazapine 7.5mg
>
> I connected with a new doctor who agreed to restart methylphenidate. I am a bit uncomfortable taking 4 meds (especially cost), but am not sure what to cut.
>

My vote's on mirtazapine. See below for a comment.

> Anyhow, I am noticing that I am feeling quite a bit better. I am taking it for ADHD, but am noticing my motivation, interest and mood are improved as well.
>

It used to have those effects for me too, in addition to wiping away all suicidal ideation.

Since you're taking medications for ADHD, you should consider mirtazapine in that light. I mean, guanfacine (Intuniv) is an alpha2-adrenoceptor agonist used for ADHD, and mirtazapine is an antagonist. (Guanfacine is also an antihypertensive, and as you would expect from a drug that does the opposite, mirtazapine increases heart rate and maybe blood pressure.)

Well, that said, since you're taking mirtazapine in the first place, I assume there must be something good about it. If it's good enough, you can always quit one of the others instead. Keep lithium if you need an anti-suicidal effect.

-undopaminergic


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URL: http://www.dr-bob.org/babble/20200104/msgs/1108727.html