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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by jacs on January 27, 2007, at 13:07:11
Can anyone help me and lend some advice --I would be most grateful. I have weaned myself off of Wellbutrin after 4-5 years of it. Was great when it worked, but eventually I felt it was doing nothing but giving me hand tremor and just making my sleep more difficult. It did help me though--but I need a change. Pdoc tried me on Provigil in the afternoon-- WHOA--not an afternoon drug unless you want to be awake for days. So, I do take 1-2 mg Klonopin a night to help sleep--sort of helps. We are going to talk about my weaning off this which I had weaned down to one but as of late life has been stressful and I have had to increase to turn my brain off at night. I told him I want to give the provigil a shot again. I have tried it w/o Wellbutrin 1st thing in the morning and it is a good energizer, but will it last? For depression it is not so great. I want to suggest Strattera and provigil and wanted to know about this combo -- I mention this combo because focus is shot ( in college, older student, racing thoughts and cannot focus and the provigil alone makes me sometimes so exhausted I feel weepy...is this common the crying? Or is my little life also that sad/ it is actually.) Are there a ton of sexual side effects from this combo? I sensed there were not as I researched, but I could be wrong.
Anyway, my doctor is a stickler about ADHD meds or ADD meds as far as prescribing them--he is cautious and I respect that, but yet had me on WB for so long manybe I can talk him into trying a change? Also a new sleep aid that sounds like Remeron but isn't the name. Any help would be great. I talk to him Monday via phone. He is very good--not traditional shrink-- just prescribes, tell him what is happening, but no personal stuff (he seems to abhor that--which bothers me, but I trust him---he has been with me for nearly 7 years...so trust outweighs his distaste for talking....except about meds.) Thank you for helping me.
jacs
Posted by med_empowered on January 27, 2007, at 14:08:37
In reply to Provigil/Strattera, posted by jacs on January 27, 2007, at 13:07:11
there are lots of p-docs out there. If you have ADHD and you think you would benefit from a trial of stimulants, your doc should try them. Adult ADHD is still ADHD and unless you have health problems, like a heart condition, that would bar their use...stimulants can be very effective AND they are recognized as the standard treatment for ADHD, child and adult types. So...I say, if your doc won't help you out, go to a doc who specializes in ADHD (maybe even adult ADHD) and see what happens. You shouldn't pay someone $$$ to help you and have to stick to their agenda--thats a waste of time, money, and effort.
Posted by Phillipa on January 27, 2007, at 14:28:18
In reply to Re: Provigil/Strattera, posted by med_empowered on January 27, 2007, at 14:08:37
Ahhh go to straterra's official website they call it a nonaddictive SRNI? How can this be? Thought cymbalta and wellbutrin were the only ones? Love Phillipa
Posted by alohashirt on January 30, 2007, at 21:43:59
In reply to Provigil/Strattera, posted by jacs on January 27, 2007, at 13:07:11
Do you have ADHD?
If you do, the most effective medications are the stimulants. My personal experience is that Focalin XR and Dexedrine Spansules are best for me because they have an extended release and fewest side effects. If you have ADHD and your pdoc won't prescribe the most effective meds you should get a new doctor.
My opinion is that I would prefer to have a more effective medication and treat any side effects, but that's probably just my personality.
Posted by jacs on January 31, 2007, at 4:03:01
In reply to Re: Provigil/Strattera, posted by alohashirt on January 30, 2007, at 21:43:59
Thanks for the advice everyone. We are going to try Concerta and I am fine with that having done pretty extensive research on it before he mentioned it. I mentioned years ago about potential ADD or ADHD and he wsa not convinced ( I knew myself better) but he knows now....there is a problem. So, we will try and I hope it works, but I need to stay on Wellbutrin for depression, which I am finding comes and goes as far as working. It's worth a shot. Thank you.
This is the end of the thread.
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