![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by utopizen on March 4, 2004, at 15:46:13
Sorry for ranting, but justg curious if anyone besides PsychoSage has tried this... I have sleepiness+ADD, and my sleep doc wants the combo on me for both. I've failed Provigil at 400mg, but my sleep doc says that he's had patients fail Provigil and succeed when combining it with Straterra (plus his BiPAP, of course-- he's a pulmnologist, and I have ADD+narcolepsy+borderline case of sleep apnea)
I'm a 20yr old college student...
Posted by King Vultan on March 4, 2004, at 16:01:10
In reply to Anyone try Straterra+Provigil (at SAME time)?, posted by utopizen on March 4, 2004, at 15:46:13
> Sorry for ranting, but justg curious if anyone besides PsychoSage has tried this... I have sleepiness+ADD, and my sleep doc wants the combo on me for both. I've failed Provigil at 400mg, but my sleep doc says that he's had patients fail Provigil and succeed when combining it with Straterra (plus his BiPAP, of course-- he's a pulmnologist, and I have ADD+narcolepsy+borderline case of sleep apnea)
>
> I'm a 20yr old college student...
I've tried both separately and found both quite sedating, the Provigil intolerably so; although, this is an extremely bizarre reaction. The sedation with Strattera, though, is pretty common. I found desipramine to be relatively effective for my ADD symptoms and activating rather than sedating, with less severe side effects than Strattera.I've also tried Vivactil (protriptyline) and found this to be a very effective stimulant and quite good for ADD also. Unfortunately, I cannot recommend it to anyone who is male due to the severe anticholinergic effects I suffered while on it, particularly prostate and erectile issues. I have no obstructive apnea but do have some snoring problems and found I slept quite well on the Vivactil. This has been studied for sleep disorders for decades and apparently has some type of marginal effectiveness on sleep apnea, and it definitely reduces snoring.
Have you tried a real stimulant such as Ritalin or an amphetamine? This would seem to be indicated for narcolepsy + ADD.
Todd
Posted by utopizen on March 4, 2004, at 18:03:37
In reply to Re: Anyone try Straterra+Provigil (at SAME time)?, posted by King Vultan on March 4, 2004, at 16:01:10
> Have you tried a real stimulant such as Ritalin or an amphetamine? This would seem to be indicated for narcolepsy + ADD.
>
> Todd
>I've tried Ritalin, Adderall, Desoxyn, and Dexedrine. Adderall is helpful, and Desoxyn seems moderately more so, but I'm still very tired during the day-- even at 50mg of Desoxyn.
Posted by vasdef on March 4, 2004, at 21:34:59
In reply to Anyone try Straterra+Provigil (at SAME time)?, posted by utopizen on March 4, 2004, at 15:46:13
> Sorry for ranting, but justg curious if anyone besides PsychoSage has tried this... I have sleepiness+ADD, and my sleep doc wants the combo on me for both. I've failed Provigil at 400mg, but my sleep doc says that he's had patients fail Provigil and succeed when combining it with Straterra (plus his BiPAP, of course-- he's a pulmnologist, and I have ADD+narcolepsy+borderline case of sleep apnea)
>
> I'm a 20yr old college student...
Hi, I'm a 39 yr old male, I'm Biploar 2, and have been on Lithium and prozac for 15 years, with good, controlled results. About 4 years ago I was diagnosed with sleep apnea and had the UPPP operation, and I sleep with a CPAP machine every nite. About 3 months ago I was diagnosed with Narcolepsy, and have been taking 400 mg Provigil every day. I still need a nap every now and then, but it seems to be working. A couple of weeks ago I was also diagnosed with A.D.D., and have been taking Strattera for about 3 days now. I'm not seeing a real difference yet, but I'm sure it takes a couple of weeks for the Strattera to do its thing. So, as you can see, I'm a pretty busy guy...
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.