Psycho-Babble Medication Thread 349631

Shown: posts 1 to 12 of 12. This is the beginning of the thread.

 

these days are med mixing testing grounds....

Posted by linkadge on May 22, 2004, at 11:22:18

Doctors just assume that throwing two medications together will result in the sum of the two indevidual effects.

Many of the combinations people are on have never been tested together and oftentimes result in funky outcomes.

Combinations like antipsychotics and stimulants. This is a combination that up untill now would have been considered completely retarded, but now for some reason doctors are throwing the two together. It is almost as if they are giving up on the science of it all and just giving people temporary hope in a placebo effect.

Except for the fact that sometimes the combination mess with your mind.


Linkadge

 

Re: these days are med mixing testing grounds....

Posted by SLS on May 22, 2004, at 11:33:02

In reply to these days are med mixing testing grounds...., posted by linkadge on May 22, 2004, at 11:22:18

> It is almost as if they are giving up on the science of it all and just giving people temporary hope in a placebo effect.

I guess when it comes to psychopharmacology, there must be a balance struck between evidence-based medicine and anecdotal clinical experience.

It would be instructive to query the doctors you refer to as to their exact reasons for choosing a particular polypharmaceutical strategy.


- Scott

 

Re: these days are med mixing testing grounds.... » SLS

Posted by zeugma on May 22, 2004, at 13:01:40

In reply to Re: these days are med mixing testing grounds...., posted by SLS on May 22, 2004, at 11:33:02

> > It is almost as if they are giving up on the science of it all and just giving people temporary hope in a placebo effect.
>
> I guess when it comes to psychopharmacology, there must be a balance struck between evidence-based medicine and anecdotal clinical experience.
>
> It would be instructive to query the doctors you refer to as to their exact reasons for choosing a particular polypharmaceutical strategy.
>
>
> - Scott

When things go bad, that's the time I query my doctor for reasons for his particular med choices. But the polypharmacy I have had for the past year and a half has been very much an empirical matter. On my first visit to him, he gave me samples of Buspar (I suppose the drug company was making a last-ditch attempt to promote this drug before it went off patent). I was finding nortriptyline unsatisfactory in the treatment of anxiety, and I decided i was going to try the samples regardless of what he said, unless there was a definite contraindication, which there wasn't. It did nothing for anxiety, but had an AD effect, so I got him to provide scripts for me without any problem. It was stictly my decision to try the Buspar.

Then I needed more help for my ADD, and he made the pharmacologically redundant choice of Strattera to add to the nortriptyline. It did work (Strattera is a much more powerful inhibitor of the NE transporter than nortriptyline and has no sedating effect, for me at least) so I was happy to use the two concurrently as I was getting relief from depression and ADD for about the 1st time in my life (the nortriptyline at that time had the depression in near-remission). As I've described elsewhere, I was able to convince his colleague to intercede for me to get a script for Klonopin after a disaster with CBT and a major change in life circumstances that would have made my previous level of social phobia an insurmountable obstacle. He had no desire to add the K even though I regularly complained of anxiety/social phobia. This is unfortunately standard practice for pdocs to think of SP as a 'minor' problem that can be handled with therapy.

My last visit, I had an episode of depression that was provoked by an exogeneous circumstance, and I was determined to get answers from him as to what med combos made sense and what didn't. We decided to slowly discontinue the nortriptyline, and I am going to ask him to let me try Provigil since it seems to work on noradrenergic systems in a synergistic (not redundant) way with Strattera. It will also target the symptoms of fatigue and desire for social isolation that may be consequent on fatigue in a more 'rational' way than anything that has been done so far with him. The truth is that I feel obligated as a patient to research as thoroughly as I can and listen to others' experiences as closely as possible so I can 'rationalize' my treatment. Unfortunately, no pdoc has had a global understanding of how the parts of my various disorders fit together (ADD, melancholic depression, social phobia and severe generalized anxiety, narcolepsy) and what i consider to be mere prejudices- against benzos, for example- also interfere with optimal treatment. It has been frustrating as h*ll, but then I am also functional to a degree I have never come to in my more than three and a half decades of life. So I trust him to help me, but many of the decisions seem to be mine. Maybe that's why i consider him to be the first pdoc who has helped me at all.

 

To Zeugma others: Rotting in bed. Please Advise

Posted by Mila S on May 30, 2004, at 4:21:20

In reply to Re: these days are med mixing testing grounds.... » SLS, posted by zeugma on May 22, 2004, at 13:01:40

Hey zeugma, judging from what you wrote below and what you have written in a few other posts I thought I'd ask you (or anyone else) for some advice:

I have problems similar to yourself. You mention "ADD, melancholic depression, social phobia and severe generalized anxiety, narcolepsy" I have all of these difficulties except the social phobia. Although I do lack confidence in social settings especially among intellectuals (my peers studying philosophy). Part of that is due to problems with my language abilities-I have noticed a decline which I think has to do with having been on various psychotropics over the past ten years. I have tried SSRI's, benzos, lithium, remeron+neurontin, effexor, zyprexa, risperdal, a cocktail of lamictal, adderal, and vivactil, and others. Nothing has helped. Recently my depression has spiralled into severity due to a breakup. I saw a new PDoc. I told him of my constant crying, my spending 18-24 hours in bed, my tendency to have panic-attack-like episodes two or more times a day in which I writhe on the floor, wail, rock back and forth, scream into a towel...etc. I told him I have been taking some old xanax pills I had and these have been the only thing helping me. He would not prescribe more xanax. He simply asked which of the drugs I have tried helped the most. I told him effexor seemed to help a little and so he has prescribed effexor at 75mg (I was taking 400mg when it *seemed* to help). He also prescribed trazadone to help me sleep. I get drowzy but I do not fall asleep on it. I Am completely nocturnal and am out of my bed only between 5-8PM to 1-3AM ususally. I am very dissapointed about the effexor prescription. That was three weeks ago, I have been taking the medications as he has directed me to, but I am in the same boat. The only things that have changed is that I am eating a bit more again. The xanax is the only thing keeping me from the ER (which I've been to several times in the past when the symptoms become unbearable and the screaming begins).

I am a grad student who is experiencing cognitive blunting, zero motivation (to the point where I shower once a week and stopped brushing my teeth for quite a while). I have a history of fatigue problems. I have been inclined toward a nocturnal schedule since I was a child. I have no longterm close friendships, nor is my family comforting to me despite their attempts to be supportive. I may have ADD as my last pdoc suggested for I cannot concentrate long enough to keep up with talks/lectures or even long conversations. I need something that will help my concentration and motivation, treat my fatigue/low energy, treat my severe anxiety and depression, and help me get on a normal sleep schedule (all wihtout cognitive dulling.

I'm going to run out of the xanax soon and I am scared to death. I really can't take the screaming sessions--the xanax has really helped with that. But I'll need something more for all my other problems. At the moment I am highly disfunctional and pretty much rotting away in bed (i spend many hours in bed just making repetitive movements with various parts of my body as I repeatedly count the edges of my room).

Furthermore, because of my condition, I could not fullfill my obligations to my dept. in full this past semester. I am at risk of losing funding and health insurance.

So I need to get functional fast. Even if I could work 2-3 days a week I would be incredibly better off. As things stand I feel hopeless and physically, because of all the time spent in bed, I am starting to experience throbbbing pain in my back and legs.

I know I need to force myself to get out and get some exercise, but I have not been able to do that. Getting out of bed seems to be impossible. I spent hours awake crying in bed, but I just will not get up. when I do get up, I cry more. finally when the xanax kicks in, I am calm but in despair. I eat a little and watch nonsense TV for in the wee ours of the morning hours and then return to bed. But I fall asleep around 7AM.

I've been trudging along with depression and semi-functional for over ten years. Lately when in public, which has been very rare, I become tearful and openly self-pitying. People look at me strange. It is humiliating. I have not been able to forge a social life because of this.

I have been therapist shopping and will start with one in two days. I will see my pdoc again in three days.

I would like for him to recognize the urgency of my condition. I told him what was happening when I saw him three weeks ago, yet he gave me nothing but the effexor at a low dose. So for the past three weeks I have been in practically the same condition. I don't understand how pdocs so easily send home people with acute symptoms without giving them any medication that can be of more immediate help.

Do you have any advice for me? Things have gone on like this too long. I am afraid of ending up in the hospital. Do you have any advice about medicationts that might help witht he symptoms I've described (meds that are less likely to slow down cognitive ability)? Also, any advice on how to assert myself to my doctor would also be appreciated.

Thanks,
Mila


> When things go bad, that's the time I query my doctor for reasons for his particular med choices. But the polypharmacy I have had for the past year and a half has been very much an empirical matter. On my first visit to him, he gave me samples of Buspar (I suppose the drug company was making a last-ditch attempt to promote this drug before it went off patent). I was finding nortriptyline unsatisfactory in the treatment of anxiety, and I decided i was going to try the samples regardless of what he said, unless there was a definite contraindication, which there wasn't. It did nothing for anxiety, but had an AD effect, so I got him to provide scripts for me without any problem. It was stictly my decision to try the Buspar.
>
> Then I needed more help for my ADD, and he made the pharmacologically redundant choice of Strattera to add to the nortriptyline. It did work (Strattera is a much more powerful inhibitor of the NE transporter than nortriptyline and has no sedating effect, for me at least) so I was happy to use the two concurrently as I was getting relief from depression and ADD for about the 1st time in my life (the nortriptyline at that time had the depression in near-remission). As I've described elsewhere, I was able to convince his colleague to intercede for me to get a script for Klonopin after a disaster with CBT and a major change in life circumstances that would have made my previous level of social phobia an insurmountable obstacle. He had no desire to add the K even though I regularly complained of anxiety/social phobia. This is unfortunately standard practice for pdocs to think of SP as a 'minor' problem that can be handled with therapy.
>
> My last visit, I had an episode of depression that was provoked by an exogeneous circumstance, and I was determined to get answers from him as to what med combos made sense and what didn't. We decided to slowly discontinue the nortriptyline, and I am going to ask him to let me try Provigil since it seems to work on noradrenergic systems in a synergistic (not redundant) way with Strattera. It will also target the symptoms of fatigue and desire for social isolation that may be consequent on fatigue in a more 'rational' way than anything that has been done so far with him. The truth is that I feel obligated as a patient to research as thoroughly as I can and listen to others' experiences as closely as possible so I can 'rationalize' my treatment. Unfortunately, no pdoc has had a global understanding of how the parts of my various disorders fit together (ADD, melancholic depression, social phobia and severe generalized anxiety, narcolepsy) and what i consider to be mere prejudices- against benzos, for example- also interfere with optimal treatment. It has been frustrating as h*ll, but then I am also functional to a degree I have never come to in my more than three and a half decades of life. So I trust him to help me, but many of the decisions seem to be mine. Maybe that's why i consider him to be the first pdoc who has helped me at all.
>
>

 

Re: To Zeugma others: Rotting in bed. Please Advise » Mila S

Posted by zeugma on May 30, 2004, at 10:00:14

In reply to To Zeugma others: Rotting in bed. Please Advise, posted by Mila S on May 30, 2004, at 4:21:20

Mila,

I'm not sure which meds would work for you. Other than maybe trying a TCA at night (not Vivactil or desipramine), which will SLOWLY regularize your sleep schedule, and Provigil. My own academic career has been on hold, because I became extremely anxious around peers and professors (I am also in philosophy), and I also missed a lot of classes (not that they cared) from oversleeping. Writing papers was hellish also, and one paper was literally written by writing about one paragraph a week, over a year, because I didn't have the energy to concentrate for more than a few minutes at a time.

Right I have a great advisor and an approved topic, but I have not worked on my thesis since I stayed up all night in January, then became non-functional at work. My energy is low, low, low. Writing papers, especially philosophy, is about the most exhausting thing I can imagine....

The repetitive movements are suggestive of autism. I have them too, except not when I am in bed, but when I read or when I am pacing around my room (I rhythmically tap when I read and snap my fingers when I pace). I think they are signs of a disrupted central nervous system. I wouldn't worry about the dx BUT when talking to the pdoc mention that you have narcolepsy and can't stay awake during the day. Maybe adding provigil to Effexor, and you DEFINITELY need something to relieve anxiety. According to chemist Xanax is in a class of its own, otherwise I would recommend Klonopin. Tell him/her that Effexor helped at high dosages; I wouldn't think a pdoc would be wary of upping the dose from 75 mg. You could add Strattera to Effexor- that might help with concentration, but probably not with fatigue. There are currently a lot of anecdotal reports of Strattera plus Provigil being highly beneficial, but unfortunately there have been no studies yet that I know of.

I think the goal of trying to work 2-3 days is a good one. You might want to get some kind of medical leave from your school so you don't lose funding and health insurance. You DEFINITELY need a pdoc who will prescribe a benzo, so you don't go through withdrawal, and to acutely help. TCA's did work for me for the vegetative, nocturnally aroused depression, but it took months. For energy, I am currently relying on about 800 mg caffeine per day (about eight or nine cups of coffee). I told my pdoc about this but as I am in the process of adjusting my other meds (hopefully to make room for a stimulant) he has not prescribed anything else yet.

Please write back with any comments.

Best of luck,

z

 

Re: To Zeugma others: Rotting in bed. Please Advise

Posted by Mila S on May 30, 2004, at 22:54:59

In reply to Re: To Zeugma others: Rotting in bed. Please Advise » Mila S, posted by zeugma on May 30, 2004, at 10:00:14

Z --thanks so much for responding. I have been in bed all day as usual. Do you experience isolation too? I will ask my doctor about a TCA. You said it took months before it helped. If I take it, should I wait several months in order to determine if it is effective. Seems a long time to wait. Also I am interested in the provigil+Strattera combo--what benefits have been reported regarding it?

I have until August to become functional again. If things get better, I will get half a TA and be allowed to continue school. I am done with course work and examinations. I was supposed to submit a proposal this past semester but I was not able to. Also I have 4 incomplete papers to write. I'm wondering: How does a TCA help undo a noctural tendency? I have had this problem since i was a child and nothing seems to help. I have trouble falling asleep at night, but I can easily sleep during the day. Its awful. I do not want to live my adult life this way. It has left me socially isolated. I spend most of my time in my room and have little supportive contacts. Going through this all alone has been hell. I hope I can convince my doctor to take my other symptoms seriously and prescribe a benzo.

Mila


> Mila,
>
> I'm not sure which meds would work for you. Other than maybe trying a TCA at night (not Vivactil or desipramine), which will SLOWLY regularize your sleep schedule, and Provigil. My own academic career has been on hold, because I became extremely anxious around peers and professors (I am also in philosophy), and I also missed a lot of classes (not that they cared) from oversleeping. Writing papers was hellish also, and one paper was literally written by writing about one paragraph a week, over a year, because I didn't have the energy to concentrate for more than a few minutes at a time.
>
> Right I have a great advisor and an approved topic, but I have not worked on my thesis since I stayed up all night in January, then became non-functional at work. My energy is low, low, low. Writing papers, especially philosophy, is about the most exhausting thing I can imagine....
>
> The repetitive movements are suggestive of autism. I have them too, except not when I am in bed, but when I read or when I am pacing around my room (I rhythmically tap when I read and snap my fingers when I pace). I think they are signs of a disrupted central nervous system. I wouldn't worry about the dx BUT when talking to the pdoc mention that you have narcolepsy and can't stay awake during the day. Maybe adding provigil to Effexor, and you DEFINITELY need something to relieve anxiety. According to chemist Xanax is in a class of its own, otherwise I would recommend Klonopin. Tell him/her that Effexor helped at high dosages; I wouldn't think a pdoc would be wary of upping the dose from 75 mg. You could add Strattera to Effexor- that might help with concentration, but probably not with fatigue. There are currently a lot of anecdotal reports of Strattera plus Provigil being highly beneficial, but unfortunately there have been no studies yet that I know of.
>
> I think the goal of trying to work 2-3 days is a good one. You might want to get some kind of medical leave from your school so you don't lose funding and health insurance. You DEFINITELY need a pdoc who will prescribe a benzo, so you don't go through withdrawal, and to acutely help. TCA's did work for me for the vegetative, nocturnally aroused depression, but it took months. For energy, I am currently relying on about 800 mg caffeine per day (about eight or nine cups of coffee). I told my pdoc about this but as I am in the process of adjusting my other meds (hopefully to make room for a stimulant) he has not prescribed anything else yet.
>
> Please write back with any comments.
>
> Best of luck,
>
> z

 

To Zeugma/others: Rotting in bed. Please Advise

Posted by Mila S on May 31, 2004, at 3:54:50

In reply to Re: To Zeugma others: Rotting in bed. Please Advise, posted by Mila S on May 30, 2004, at 22:54:59

I forgot to ask: Why do you exclude Vivactil or desipramine?

 

Re: To Zeugma others: Rotting in bed. Please Advise » Mila S

Posted by zeugma on May 31, 2004, at 4:56:53

In reply to Re: To Zeugma others: Rotting in bed. Please Advise, posted by Mila S on May 30, 2004, at 22:54:59

Z --thanks so much for responding. I have been in bed all day as usual. Do you experience isolation too? I will ask my doctor about a TCA. You said it took months before it helped. If I take it, should I wait several months in order to determine if it is effective. Seems a long time to wait. Also I am interested in the provigil+Strattera combo--what benefits have been reported regarding it?

I have until August to become functional again. If things get better, I will get half a TA and be allowed to continue school. I am done with course work and examinations. I was supposed to submit a proposal this past semester but I was not able to. Also I have 4 incomplete papers to write. I'm wondering: How does a TCA help undo a noctural tendency? I have had this problem since i was a child and nothing seems to help. I have trouble falling asleep at night, but I can easily sleep during the day. Its awful. I do not want to live my adult life this way. It has left me socially isolated. I spend most of my time in my room and have little supportive contacts. Going through this all alone has been hell. I hope I can convince my doctor to take my other symptoms seriously and prescribe a benzo.

Mila>>


Mila,

It took months before it helped in a major way because it took a long time to titrate up to a therapeutic level, probably because my body was weakened from years of poor sleep and nutrition. TCA's help with sleep schedules because they are sedating and there is also evidence that norepinephrine in the brainstem helps regulate sleep/wake cycles. This is less true of Vivactil and desipramine because they are not sedating. Vivactil however (as well as desipramine) is a powerful norepinephrine reuptake inhibitor. Did you get any benefit from it?

Effexor at 400 mg will strongly affect norepinephrine, however at lower doses it is mostly a serotonergetic med. There's some evidence that severe vegetative depressions respond preferentially to noradrenergic medications.

The isolation is horrible. Feeling like my nervous system is always on overload makes me want to be completely alone, however this adds to depression when the isolation is excessive. I can enjoy spending time around others as long as it's balanced with time spent alone. Lately the fatigue has returned (intensified) and it aggravates the 'jangled' feeling of my nervous system, as well as the isolation. I don't know what I would do without Klonopin.

Do you find that your sleep is not restful at all? I used to work in a school on Saturday mornings, and in order to feel a little better I would deliberately stay up all night then work eight hours. I suppose it's part of narcolepsy that sleep does not restore any energy at all, hence the use of stimulants like Dexedrine and provigil.

From what I can gather, the benefit of the Strattera-Provigil combo is that they amplify the effects of one another. Strattera is not stimulating, but it can help with concentration, while Provigil increases wakefulness and energy.


z

 

Re: To Zeugma others: Rotting in bed. Please Advise

Posted by Mila S on May 31, 2004, at 19:35:03

In reply to Re: To Zeugma others: Rotting in bed. Please Advise » Mila S, posted by zeugma on May 31, 2004, at 4:56:53

thanks, the vivactil did not seem to help. Although I was also taking lamictal, adderal, and welbutrin at the same time.

Vegetative depression--is that the kind of depression where you basically have no motivation and stay in bed all the time?

In addition to that, I cry a whole lot, to the point of wanting to scream. Thank god for the xanax (but I'm running out!).

I have also been having major self-esteem issues for the first time. This has to do with my having a depressed personality around others. When people get to know me one on one they like me. However, socially, I am utterly boring. I have no interest in conversation. When I do engage myself with others, i come off blunted. My ex was an extremely talkative, interesting person who everyone enjoyed having around. I feel one of the reasons he left me was because I was not lively enough. So that has excerbated the self-esteem problem to the point where it has really become a problem. Before it did not weigh on me as much.

How is a depressed person supposed to forge long-term friendships and find a partner? I feel really hopeless about that. The isolation is killing me. Seems I need a live-in coach to make me get out of bed, brush my teeth, etc.

The repetitive movements I make seem to be a coping mechanism. I had no idea they could be suggestive of any kind of autism.

I'm also wondering if the crying/screaming sessions, n which I writhe on the floor, and get extremely tense are panic attacks. They don't seem to fit the profile of a panic attack. In the past they got so bad that I would let my body collide into things or bang my head against the wall. Then I'd end up in the emergency room.
I am trying really hard right now not to let it get to that point.

I really still want to do philosophy (in language and mind). But I am so tired of trudging through (college and grad school) by the skin of my teeth (constantly missing class, getting incompletes, losing weeks at a time, having no social life, etc). I'm afraid that if I take a leave of absence, I will just end up spending more time in bed. So I have opted for a partial TA-ship, but If I don't get better, I won't be able to fullfill my obligations. The department is already wary of me. They want me to take leave next semester. I don't think I can leave without losing medical insurance.

I was wondering what kind of philosophy you do and which meds have helped you the most with concentration and motivation. Caffine(coffee) makes me nauseous, so that is not an option for me. Also, have you tried exercise for your low energy problems? Lastly, you say TCA's can help adjust one's schedule because they are sedating. My problem is even if I fall asleep at a decent time at night, I am still sleepy during the day. And if I force myself to stay up say 24 hours and try to got o bed at 9PM, I fall asleep, but I awake by around 2AM. It seesm my body just wants to stay up at night and sleep during the day no matter how much sleep or lack of sleep I have had.

You say you keep yourself up all night to help you feel better when working. I heard somewhere that sleep deprivation attenuates depression. Unfortunately it is not a feasible treatment given all the negative effects it has. However, currently researchers are working on a medication that "keeps awake" the relevant area of the brain, whilst the rest of the body sleeps in order to force the benefical effects of sleep deprivation on depression.

 

Re: To Zeugma others: Rotting in bed. Please Advise » Mila S

Posted by Sebastian on June 1, 2004, at 18:16:57

In reply to To Zeugma others: Rotting in bed. Please Advise, posted by Mila S on May 30, 2004, at 4:21:20

Abilify

That's what you should take. It will wake you up, get out, more energy, seem , try it.

 

Re: To Zeugma others: Rotting in bed. Please Advise » Mila S

Posted by zeugma on June 1, 2004, at 20:04:30

In reply to Re: To Zeugma others: Rotting in bed. Please Advise, posted by Mila S on May 31, 2004, at 19:35:03

I don't think TCA's are useful for sleep schedule because they are sedating. The benefit is supposed to result from their actions on the parts of the brain that control sleep/wake cycle- they are mostly noradrenergic reuptake inhibitors, and they potently block REM, and may regulate the overall aleep/wake mechanism. I have always had problems with my sleep/wake cycle- I would fall asleep at a reasonable hour (say 1 a.m.) for a couple of nights, then the total insomnia would return and i'd be up until 7 or or later. It seemed beyond my control so it added to my depression. The few jobs I was able to get, I would lose eventually, because they were daytime jobs and I needed the day to sleep. So I would get less and less sleep until my functioning became completely impaired and I had to be let go.

My sleep/wake cycle is much better now but my energy level is low. I slept about 10 hours last night and maybe I need that much sleep, but it isn't practical for me to get that much sleep since I have a job that entails early morning wakening.

I am exercising, began running about three weeks ago as an attempt to alleviate depression. I would like to use exercise as a means to boost energy but am also considering that I may need a stimulant no matter what. What effects did Adderall etc. have on you? did they help?

Vegetative depression- you've got the right term.

Sleep deprivation is a proven AD mechanism, unfortunately as you say it is not sustainable. What is intriguing is that sleep deprivation and AD's may work by the same mechanism- by preempting REM sleep. Both depressives and narcoleptics have shortened REM latencies, many depressives go into REM early in their cycle (when delta sleep is called for) and narcoleptics often go DIRECTLY into REM from full waking. That is what causes the atonia and hallucinations that accompany narcoleptic phenomena. For many years TCA's were standard treatment for this aspect of narcolepsy since they are potent REM blockers. A new treatment called Xyrem appears promising, however, it appears that it is contraindicated with many meds including benzodiazepines and seems to be prescribed only after a thorough workup by a sleep doc.

I study philosophy of language and mind also. I have been depressed lately, so that's meant I have begun writing philosophy again (there seems to be an inverse relationship between creativity and mood for me). If you'd like to discuss this further please email me at marsaq2@yahoo dot com.

 

Re: To Zeugma others: Rotting in bed. Please Advise

Posted by Mila S on June 1, 2004, at 23:27:46

In reply to Re: To Zeugma others: Rotting in bed. Please Advise » Mila S, posted by zeugma on June 1, 2004, at 20:04:30

I have tried adderall and provigil while on other drugs. They did not seem to help. I also tried strattera, that too did not work out. But it may have been because I was severely depressed at the time and the anti-depressants were not helping. I felt horrible most of the time so I could not gage minor benefits.

I am willing to give them another shot. I really need a stimulant too. I have been low energy all my life. For a while, exercising and the happiness of having a partner I loved helped alot. But he did not love me and in the long run it left me in misery.

I have emailed you. thanks!


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