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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by shellie on June 14, 2000, at 20:51:42
Well, after one day (one dose) of Revia, I threw in the towel. I didn’t like how it made me feel at all. I sort of felt like I had all the bad side effects of codeine (sort of drugged, spacey feeling) and none of the benefits –(lift of mood, lessening of pain). I finally had to take 1 mg of klonopine to stabilize myself.
This morning I had an early photo shoot, and was afraid to try revia again. Usually when a medication gives me a drugged feeling, it doesn’t get better with time. So I e-mailed my pdoc the results and asked if we could just cut it now and try provigil. So tomorrow will be a provigil day. I'm interested in trying adradinil from what I have read on this site. I'd hate for provigal to work, only to lose effectiveness in a short time--but I'll start with it--then talk to my doctor about adradinil later. With my record of rejecting medications, I'm not feeling incredibly optimistic. I hope to give it a longer trial. shellie
p.s. to ant-rock. I'm taking it with nardil, so your combination of parnate and adrafinil seems like it would be okay. But I don't know for sure.
Posted by JohnL on June 15, 2000, at 4:16:16
In reply to Naltrexone out; Provigil in. p.s. to ant-rock, posted by shellie on June 14, 2000, at 20:51:42
Shellie,
I can certainly relate to your lousy experience with Naltrexone. I too have noticed with myself that an initial lousy reaction pretty accurately predicts a continued lousy reaction in longer trials. In other words, "it gets better with time" just doesn't happen. With me anyway.BUT I have to admit Naltrexone was the one and only exception. It ended up not being of any benefit. But that's another story. The point is that lousy initial feeling did indeed completely go away. It's the only drug I've ever tried where that actually happened.
Whether you quit prematurely or not is anyone's guess. Personally though I'm like you. If it sucks the first day, forget it. I know our physicians tell us otherwise, but like I said, I have NEVER seen my own lousy initial reactions or side effects get better with time. I know it happens with some people, but not me.
I really like the fact that my doctor has never pushed me into continuing a drug I'm not comfortable with. I think that's because he was always on the lookout for a superior match for me. Not just a good drug, but the superior one. Superior matches are hardly ever characterized by initial lousy reactions. On the contrary, superior matches are characterized by dramatic initial improvement instead. In my own trials, I have noticed that the jump between a good drug and a superior one is quite astonishing. It's a huge dramatic leap from good to superior.
Anyway, I'm rambling. Just wanted to say I hear ya, I can relate. Hopefully Provigil will turn out better. If not, Adrafinil would be a wonderful next choice I think. I've tried both. Even though they are supposedly similar, I can tell you first hand they are not. They are as different as night and day. Adrafinil to me was by far the kindest, gentlest, and most effective med. Provigil on the other hand was rude and crude. It's hard for me to even think of them as being in the same class with each other. So if Provigil doesn't work out, don't despair. You're another step closer to that superior med, whatever it is. For me...Adrafinil.
JohnL
Posted by ChrisK on June 15, 2000, at 6:48:46
In reply to Naltrexone out; Provigil in. p.s. to ant-rock, posted by shellie on June 14, 2000, at 20:51:42
Sorry to hear that the Naltrexone didn't work out for you. I took it without any problem. I started it for alcoholism problems but got the added AD effects so kept up with it.
Provigil on the other hand gave me such painful constipation that I had to stop it after 5 days. I tried to give it the most time I could but reverted to Adderall for my stimulant.
I don't remember your story of why you are trying to augment but have you considered trying the antipsychotics? I really like the Zyprexa I take. It has good AD qualities and has really cleared up my thinking.
As always, YMMV but that's part of why there are so many meds available to us.
Chris
Posted by Ant-Rock on June 15, 2000, at 8:34:50
In reply to Naltrexone out; Provigil in. p.s. to ant-rock, posted by shellie on June 14, 2000, at 20:51:42
> Well, after one day (one dose) of Revia, I threw in the towel. I didn’t like how it made me feel at all. I sort of felt like I had all the bad side effects of codeine (sort of drugged, spacey feeling) and none of the benefits –(lift of mood, lessening of pain). I finally had to take 1 mg of klonopine to stabilize myself.
>
> This morning I had an early photo shoot, and was afraid to try revia again. Usually when a medication gives me a drugged feeling, it doesn’t get better with time. So I e-mailed my pdoc the results and asked if we could just cut it now and try provigil. So tomorrow will be a provigil day. I'm interested in trying adradinil from what I have read on this site. I'd hate for provigal to work, only to lose effectiveness in a short time--but I'll start with it--then talk to my doctor about adradinil later. With my record of rejecting medications, I'm not feeling incredibly optimistic. I hope to give it a longer trial. shellie
>
> p.s. to ant-rock. I'm taking it with nardil, so your combination of parnate and adrafinil seems like it would be okay. But I don't know for sure.Thank you shellie,
Lets hope for the best for both of us!Anthony
Posted by KarenB on June 16, 2000, at 2:35:45
In reply to Re: Naltrexone out; Provigil in. p.s. to ant-rock » shellie, posted by Ant-Rock on June 15, 2000, at 8:34:50
Shellie,
Please let us know how Provigil works out for you. I faxed info on it's testing in ADD patients to my doc and (hopefully) will start a trial with it after my appt. on the 22nd. I'll be replacing Adderall, which is working OK but as JohnL says, I'm looking for a superior match.
Karen
Posted by Rick on June 17, 2000, at 21:28:56
In reply to Re: Naltrexone out; shellie, posted by KarenB on June 16, 2000, at 2:35:45
> Shellie,
>
> Please let us know how Provigil works out for
you. I faxed info on it's testing in ADD patients
to my doc and (hopefully) will start a trial with
it after my appt. on the 22nd. I'll be replacing
Adderall, which is working OK but as JohnL says,
I'm looking for a superior match.
>
> KarenI was my pdoc's guinea pig on Provigil (by my own
request), and it's worked so well for me that he's
got another patient he's going to recommend it to.
I'm someone who's usually very sensitive to even
small amounts of stimulating meds -- they
typically worsen my anxiety. But Provigil has had
nothing but good effects from the start, and I
quickly ramped up to 200 mg. After four weeks,
there isn't the slightest indication of poop-out.
I should point out that I added the Provigil to
Klonopin and Serzone...maybe that makes a
difference. On the other hand, I was on Klonopin
and Celexa when I added a small amount of
Wellbutrin, but I couldn't handle the anxiety it
brought back...and I forced myself to give it a
full four-week trial.So if your body chemistry is anything like mine,
look for a positive experience. If it's more like
JohnL's, Adrafinil could turn out to be the way to
go. If you can afford it, maybe you should order
some Adrafinil in advance, "just in case". I've
never ordered from overseas -- the whole concept
makes me kinda nervous -- and don't know how long
it takes to arrive.Good Luck,
Rick
This is the end of the thread.
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