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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by temoigneur on December 10, 2005, at 1:10:15
I'm wondering if anyone knows of any way to attempt preventing tolerance to caffeine. I've found that it potentiates the prozac well, and with the combo of zyprexa, valproate, clonazepam, in addition to prozac, I find that caffeine is essential to maintaining any mental clarity.
If tolerance to caffeine can't be prevented, (I know it can be an individual thing), can anyone suggest a smooth stimulant. And what if anything, (DXM??) can be taken to prevent tolerance from developing tolerance to the stimulant.
I'm wondering about concerta, I used to take ritalin but it gave me horrible mood swings, would the valproate help with that. I'm reposting a bit here, you'll have to excuse my redundance, I forgot what I said.
Posted by med_empowered on December 10, 2005, at 1:26:20
In reply to Preventing Tolerance to Stimulants, posted by temoigneur on December 10, 2005, at 1:10:15
If Ritalin didn't work, Provigil might. Nicotine prodcuts (patches, gum, sprays) help some people...I guess you could try smoking, but thats a bad idea. Good nutrition can help alot; some people seem to get a boost from high-dose antioxidants (COq-10, alpha lipoic acid, that kind of thing)...this may or may not work for you, but it probably wouldn't hurt anything. Changing your source of caffeine may help; both Yerba Matte and Coffee seem to have as-yet unidentified compounds that provide a stimulant effect *in addition* to their caffeine content...this may or may not be true of other teas and caffeine pills.
Stimulating ADs might help.Wellbutrin might help; Pamelor is an option, but its a TCA so the side effects are sometimes pretty bad. If you I remember correctly, you're taking neuroleptics. Reducing your dose and/or switching over to non-drowsy alternatives (Abilify,maybe Molindone) might help you out somewhat.
Good luck!
Posted by theo on December 10, 2005, at 7:58:42
In reply to Preventing Tolerance to Stimulants, posted by temoigneur on December 10, 2005, at 1:10:15
> I'm wondering about concerta, I used to take ritalin but it gave me horrible mood swings, would the valproate help with that. I'm reposting a bit here, you'll have to excuse my redundance, I forgot what I said.
Concerta is so different in release than Ritalin that it almost acts as a different med. I could not handle plain Ritalin, but loved 18mg Concerta.
Posted by Phillipa on December 10, 2005, at 18:21:19
In reply to Re: Preventing Tolerance to Stimulants » temoigneur, posted by theo on December 10, 2005, at 7:58:42
Boy med are you right 5mg of pamelor left me melted to the bed. Once was all I took it. Fondly,Phillipa
Posted by temoigneur on December 10, 2005, at 22:04:02
In reply to Re: Preventing Tolerance to Stimulants » temoigneur, posted by theo on December 10, 2005, at 7:58:42
> > I'm wondering about concerta, I used to take ritalin but it gave me horrible mood swings, would the valproate help with that. I'm reposting a bit here, you'll have to excuse my redundance, I forgot what I said.
>
> Concerta is so different in release than Ritalin that it almost acts as a different med. I could not handle plain Ritalin, but loved 18mg Concerta.
>
> Theo this is really encouraging to hear. Ritalin was the only thing that gave me drive and allowed me to concentrate, but I had such horrible mood swings I couldn't stay on it.Can I ask what you take it for; I take it in combination with prozac and other things to combat anxiety/OCD, the AP's leave me so sedated I can't get much done I have no drive unless I have some caffeine. Maybe I'm obsessed with Concerta, but I would be interested to know what effect ritalin previously had on you and what you take it for now. Thanks
Ben
Posted by temoigneur on December 10, 2005, at 22:07:01
In reply to Preventing Tolerance to Stimulants, posted by temoigneur on December 10, 2005, at 1:10:15
> I'm wondering if anyone knows of any way to attempt preventing tolerance to caffeine. I've found that it potentiates the prozac well, and with the combo of zyprexa, valproate, clonazepam, in addition to prozac, I find that caffeine is essential to maintaining any mental clarity.
>
> If tolerance to caffeine can't be prevented, (I know it can be an individual thing), can anyone suggest a smooth stimulant. And what if anything, (DXM??) can be taken to prevent tolerance from developing tolerance to the stimulant.
>
> I'm wondering about concerta, I used to take ritalin but it gave me horrible mood swings, would the valproate help with that. I'm reposting a bit here, you'll have to excuse my redundance, I forgot what I said.Hi Med. E. I just wanted to thank you for your input, you seem very knowledgeable, glad to have you here:)
Posted by med_empowered on December 11, 2005, at 1:22:58
In reply to Re: Preventing Tolerance to Stimulants » theo, posted by temoigneur on December 10, 2005, at 22:04:02
hi! could you elaborate on your diagnosis? Im sure you shared it before, but I seem to have forgotten what it was. Maybe you could decrease the AP and/or the Valproate? Valproate tends to be pretty sedating..maybe you could switch to Trileptal or Keppra? Good luck!
Posted by theo on December 11, 2005, at 9:55:25
In reply to Re: Preventing Tolerance to Stimulants » theo, posted by temoigneur on December 10, 2005, at 22:04:02
> Can I ask what you take it for; I take it in combination with prozac and other things to combat anxiety/OCD, the AP's leave me so sedated I can't get much done I have no drive unless I have some caffeine. Maybe I'm obsessed with Concerta, but I would be interested to know what effect ritalin previously had on you and what you take it for now. Thanks
>
> Ben
>
>
Currently I'm trying Adderall XR but am going to go back to Concerta for ADD symptoms, lack of motivation, etc. Adderall XR is giving me nervous energy versus the calm effect Concerta seems to give me. I never took plain Ritalin for more than 2 days because I felt paranoid and uncomfortable on it.
This is the end of the thread.
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