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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by mark57 on July 1, 2004, at 19:42:21
Has anyone had experience taking these 2 at the same time. I'm currently on 10mg Zyprexa but haven't felt much relief with it yet. My symptons include depression, anxiety, and ADD. I'm also taking 60mg Nardil. My doctor agreed to let me start on a small dose of adderall (2.5mg), but I haven't started it yet. The reason for the adderall was to help with my severe lack of enery and symptons of ADD. Besides the concern of taking Adderal with an MAOI, he was concerned that the adderall would counteract the Zyprexa. I'm don't really know how Zyprexa and Adderall work or if they would work against each other.
Thanks for any ideas about this.Mark
Posted by Sad Panda on July 2, 2004, at 9:45:03
In reply to Zyprexa and Adderall, posted by mark57 on July 1, 2004, at 19:42:21
> Has anyone had experience taking these 2 at the same time. I'm currently on 10mg Zyprexa but haven't felt much relief with it yet. My symptons include depression, anxiety, and ADD. I'm also taking 60mg Nardil. My doctor agreed to let me start on a small dose of adderall (2.5mg), but I haven't started it yet. The reason for the adderall was to help with my severe lack of enery and symptons of ADD. Besides the concern of taking Adderal with an MAOI, he was concerned that the adderall would counteract the Zyprexa. I'm don't really know how Zyprexa and Adderall work or if they would work against each other.
> Thanks for any ideas about this.
>
> Mark
>Hi Mark,
10mg of Zyprexa is a hefty doseage unless you are having psychosis symptoms, OTOH, 60mg of Nardil is a smallish dose & I would be inclined to try increasing that further before adding anything else. Have you tried Parnate? It maybe usefull for the ADD & Depression since Zyprexa should cover anxiety.
Cheers,
Panda.
Posted by mark57 on July 3, 2004, at 7:05:05
In reply to Re: Zyprexa and Adderall » mark57, posted by Sad Panda on July 2, 2004, at 9:45:03
Hi, yes I was on Parnate before but it didn't help too much so that's why I'm trying Nardil now. I didn't try the Zyprexa whil on Parnate so I don't know how that might have worked. Today I'm increasing the Nardil to 75mg so will see how that goes. I have lots of trouble with depression and social anxiety, but also with ADD. That's why I'm interested in taking Adderall but don't know if I can take a large enough dose of it to really be helpfull.
Thanks!
Mark
> > Has anyone had experience taking these 2 at the same time. I'm currently on 10mg Zyprexa but haven't felt much relief with it yet. My symptons include depression, anxiety, and ADD. I'm also taking 60mg Nardil. My doctor agreed to let me start on a small dose of adderall (2.5mg), but I haven't started it yet. The reason for the adderall was to help with my severe lack of enery and symptons of ADD. Besides the concern of taking Adderal with an MAOI, he was concerned that the adderall would counteract the Zyprexa. I'm don't really know how Zyprexa and Adderall work or if they would work against each other.
> > Thanks for any ideas about this.
> >
> > Mark
> >
>
> Hi Mark,
>
> 10mg of Zyprexa is a hefty doseage unless you are having psychosis symptoms, OTOH, 60mg of Nardil is a smallish dose & I would be inclined to try increasing that further before adding anything else. Have you tried Parnate? It maybe usefull for the ADD & Depression since Zyprexa should cover anxiety.
>
> Cheers,
> Panda.
>
Posted by Sad Panda on July 4, 2004, at 10:02:02
In reply to Re: Zyprexa and Adderall, posted by mark57 on July 3, 2004, at 7:05:05
Did you get up to a decent doseage with Parnate? I've thought a little more about it & I would say that Zyprexa would block the effects of stimulants somewhat. If you have ADD I would say that you would be much better off with a Benzo + something stimulating rather than an AP.
Cheers,
Panda.
> Hi, yes I was on Parnate before but it didn't help too much so that's why I'm trying Nardil now. I didn't try the Zyprexa whil on Parnate so I don't know how that might have worked. Today I'm increasing the Nardil to 75mg so will see how that goes. I have lots of trouble with depression and social anxiety, but also with ADD. That's why I'm interested in taking Adderall but don't know if I can take a large enough dose of it to really be helpfull.
>
> Thanks!
>
> Mark
>
>
>
> > > Has anyone had experience taking these 2 at the same time. I'm currently on 10mg Zyprexa but haven't felt much relief with it yet. My symptons include depression, anxiety, and ADD. I'm also taking 60mg Nardil. My doctor agreed to let me start on a small dose of adderall (2.5mg), but I haven't started it yet. The reason for the adderall was to help with my severe lack of enery and symptons of ADD. Besides the concern of taking Adderal with an MAOI, he was concerned that the adderall would counteract the Zyprexa. I'm don't really know how Zyprexa and Adderall work or if they would work against each other.
> > > Thanks for any ideas about this.
> > >
> > > Mark
> > >
> >
> > Hi Mark,
> >
> > 10mg of Zyprexa is a hefty doseage unless you are having psychosis symptoms, OTOH, 60mg of Nardil is a smallish dose & I would be inclined to try increasing that further before adding anything else. Have you tried Parnate? It maybe usefull for the ADD & Depression since Zyprexa should cover anxiety.
> >
> > Cheers,
> > Panda.
> >
>
>
Posted by mark57 on July 4, 2004, at 11:49:25
In reply to Re: Zyprexa and Adderall » mark57, posted by Sad Panda on July 4, 2004, at 10:02:02
I was up to 60 mg on Parnate. I wanted to go higher but my pdoc(clinical nurse specialist) wouldn't allow that. Could you please tell me what "AP" stands for. Benzos tend to put me to sleep, even at a small dose. I've tried Klonopin and Xanax in the past. I think I need the Zyprexa due to problems with anger and irritability as well as mood swings. I'm either some form of bi-polar or aggitated depression, but I can feel euphoric at one moment and then quickly sink into depression. I'm up to 75mg of Nardil now but have only been on it about 3 weeks. I have hopes for it since I've always struggle a lot with social anxiety. It seems like I can't take all the meds I would need to treat all my symptons I have because they interfere with each other.
Thanks for your feedback.
Mark
Posted by Sad Panda on July 5, 2004, at 9:01:50
In reply to Re: Zyprexa and Adderall, posted by mark57 on July 4, 2004, at 11:49:25
> I was up to 60 mg on Parnate. I wanted to go higher but my pdoc(clinical nurse specialist) wouldn't allow that. Could you please tell me what "AP" stands for. Benzos tend to put me to sleep, even at a small dose. I've tried Klonopin and Xanax in the past. I think I need the Zyprexa due to problems with anger and irritability as well as mood swings. I'm either some form of bi-polar or aggitated depression, but I can feel euphoric at one moment and then quickly sink into depression. I'm up to 75mg of Nardil now but have only been on it about 3 weeks. I have hopes for it since I've always struggle a lot with social anxiety. It seems like I can't take all the meds I would need to treat all my symptons I have because they interfere with each other.
>
> Thanks for your feedback.
>
> Mark
>AP is Anti-Psychotic, that's the type of drug Zyprexa is. AP's primarily are intended to block dopamine receptors while stimulants are norepinephrine & dopamine reuptake inhibitors & releasers which causes stimulation of NE & dopamine receptors. An AP would block half the action of a stimulant & blocks one third of the action of Nardil or Parnate(they raise Serotonin, NE & Dopamine).
If you are bipolar, you should try a mood stabilizer of the more normal variety being anti-seizure drugs such as Lamictal & Valproate. I really think the AP's should be last choice for people who are not suffering from psychotic symptoms because they do mask the effects of so many other drugs.
Cheers,
Panda.
Posted by mark57 on July 5, 2004, at 13:49:08
In reply to Re: Zyprexa and Adderall » mark57, posted by Sad Panda on July 5, 2004, at 9:01:50
> > I was up to 60 mg on Parnate. I wanted to go higher but my pdoc(clinical nurse specialist) wouldn't allow that. Could you please tell me what "AP" stands for. Benzos tend to put me to sleep, even at a small dose. I've tried Klonopin and Xanax in the past. I think I need the Zyprexa due to problems with anger and irritability as well as mood swings. I'm either some form of bi-polar or aggitated depression, but I can feel euphoric at one moment and then quickly sink into depression. I'm up to 75mg of Nardil now but have only been on it about 3 weeks. I have hopes for it since I've always struggle a lot with social anxiety. It seems like I can't take all the meds I would need to treat all my symptons I have because they interfere with each other.
> >
> > Thanks for your feedback.
> >
> > Mark
> >
>
> AP is Anti-Psychotic, that's the type of drug Zyprexa is. AP's primarily are intended to block dopamine receptors while stimulants are norepinephrine & dopamine reuptake inhibitors & releasers which causes stimulation of NE & dopamine receptors. An AP would block half the action of a stimulant & blocks one third of the action of Nardil or Parnate(they raise Serotonin, NE & Dopamine).
>
> If you are bipolar, you should try a mood stabilizer of the more normal variety being anti-seizure drugs such as Lamictal & Valproate. I really think the AP's should be last choice for people who are not suffering from psychotic symptoms because they do mask the effects of so many other drugs.
>
> Cheers,
> Panda.
>
>
>Thank you for the information. I'm still feeling pretty depressed and am thinking of just stopping the Zyprexa and see what happens on just the Nardil. I'm on 75mg now and will go up to 90mg a day in another week. It does seem pointless to take one drug the blocks the effects of the other one. I do have a lot of trouble with ADD but I doubt if my pdoc will let me take a decent dose of a stimulant with Nardil. If what I'm trying now doesn't work out I'm wondering about taking some combo like Prozac, Lamictal and Adderall?
Thanks again,
Mark
Posted by Sad Panda on July 7, 2004, at 10:31:10
In reply to Re: Zyprexa and Adderall, posted by mark57 on July 5, 2004, at 13:49:08
> > > I was up to 60 mg on Parnate. I wanted to go higher but my pdoc(clinical nurse specialist) wouldn't allow that. Could you please tell me what "AP" stands for. Benzos tend to put me to sleep, even at a small dose. I've tried Klonopin and Xanax in the past. I think I need the Zyprexa due to problems with anger and irritability as well as mood swings. I'm either some form of bi-polar or aggitated depression, but I can feel euphoric at one moment and then quickly sink into depression. I'm up to 75mg of Nardil now but have only been on it about 3 weeks. I have hopes for it since I've always struggle a lot with social anxiety. It seems like I can't take all the meds I would need to treat all my symptons I have because they interfere with each other.
> > >
> > > Thanks for your feedback.
> > >
> > > Mark
> > >
> >
> > AP is Anti-Psychotic, that's the type of drug Zyprexa is. AP's primarily are intended to block dopamine receptors while stimulants are norepinephrine & dopamine reuptake inhibitors & releasers which causes stimulation of NE & dopamine receptors. An AP would block half the action of a stimulant & blocks one third of the action of Nardil or Parnate(they raise Serotonin, NE & Dopamine).
> >
> > If you are bipolar, you should try a mood stabilizer of the more normal variety being anti-seizure drugs such as Lamictal & Valproate. I really think the AP's should be last choice for people who are not suffering from psychotic symptoms because they do mask the effects of so many other drugs.
> >
> > Cheers,
> > Panda.
> >
> >
> >
>
> Thank you for the information. I'm still feeling pretty depressed and am thinking of just stopping the Zyprexa and see what happens on just the Nardil. I'm on 75mg now and will go up to 90mg a day in another week. It does seem pointless to take one drug the blocks the effects of the other one. I do have a lot of trouble with ADD but I doubt if my pdoc will let me take a decent dose of a stimulant with Nardil. If what I'm trying now doesn't work out I'm wondering about taking some combo like Prozac, Lamictal and Adderall?
>
> Thanks again,
> Mark
>
>Don't drop Zyprexa cold if you have been taking it for awhile, taper down. There is a chap here who does really well on 90mg of Nardil with just 2.5mg of Zyprexa.
If Nardil doesn't work out, maybe try a benzo again with a stimulant?
Cheers,
Panda.
Posted by kotsunega on July 8, 2004, at 22:17:06
In reply to Re: Zyprexa and Adderall » mark57, posted by Sad Panda on July 7, 2004, at 10:31:10
I thought I would throw in my .02.
I am bipolar 1 with inattentive ADD. I take 20mg of Zyprexa nightly and 90 mg of Adderall XR during the day split into 2 or 3 doses. I also take Paxil and Wellbutrin. My pdoc had to write a letter to my insurance company in order to get the 90 mg of Adderall authorized for insurance coverage. Without the letter, my insurance will only pay for 60 mg per day.
I have noticed that even though the CNS stimulant effect of the Adderall is blocked for the most part by the Zyprexa, I can still tell it is working. I can get through a day of work and stay on task. I can get so involved in my work that I forget to go home on time.
Without the Adderall, I'm lazy, bored, and can't stand to sit in my cube and perform my duties, so I surf the net a lot to accommodate my miniscule attention span, and try to find excuses for leaving work early on as many days as possible.
It is my opinion and experience that the CNS stimulant effect isn't necessary for the stimulant to work. I only miss the stimulating effect from a recreational standpoint.
Regards,
kotsunega
Posted by mark57 on July 9, 2004, at 1:18:18
In reply to Re: Zyprexa and Adderall, posted by kotsunega on July 8, 2004, at 22:17:06
Well, I went ahead and stopped the Zyprexa myself so I'm just on the Nardil now. Tomorrow I'll be increasing the dose to 90mg a day. I guess I just want to see what the Nardil will do by itself before adding anything else. Maybe I'll need to add a mood stabilizer later. I'm doubtful if they'll let me take a decent dose of Adderall along with the MAOI, but since depression and social anxiety are my biggest problems maybe it will be worth it.
Thanks for your replies.
Mark
This is the end of the thread.
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