Posted by Ritch on May 16, 2003, at 22:13:42
In reply to Re: Effexor tremors?, posted by cybercafe on May 16, 2003, at 17:15:53
> > My pdoc told me to figure out what med was causing it and to reduce it to get the number below 90. I dropped the Effexor down a lot, and my BP followed.
>
> it's a good thing you mentioned this... mine is just as high... i'll have a talk with my doc about it soon.. i almost never caught itThere was someone that posted a link to an AD chart previously and it mentions BP increasing with dosage on Effexor. The monograph mentions it too. My GP brushed it off (the high number 148), but the low number (93), my pdoc thought was too high and my pharmacist also agreed.
>
> > The latest thing I heard was Depakote or Lithium + Wellbutrin. The trouble is that WB caused me to hyperfocus really bad and made things worse (at higher doses anyhow). The best response I've had strictly for attentiveness was desipramine or Adderall thus far. I think Straterra would work, but I think it is overpriced and overhyped.
>
> hmm.... really wellburtin is that powerful?
Wellbutrin is considered the med of choice for folks that have ADHD and bipolar combined, because WB is considered to be least likely to set off manic symptoms of the antidepressants available. The trouble is... when WB doesn't really work that well for ADHD symptoms. When I'm taking WB I find that the sense of time passing slows down incredibly (even at tiny doses-37.5mg, ie.), and I tend to stay on one task, but it is very sleep disruptive for me, and getting quality sleep seems to be directly correlated to my next day cognitive abilities. So it helps one thing and then it hurts another. But for BP depression with Effexor at low-doses it works rather well to keep me from being a total hypersomnic dishrag.
>
> > I'm still convinced I don't have ADHD. The trouble is making it through recurrent seasonal bipolar depressions and have the ADD-"like" symptoms under control. My ADD isn't as bad as yours because I don't think I have ADD :) Whenever I'm in the depths of a depressive episode I'm sure it may be as bad.....
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> hmmmm... i wonder how many cases are as complicated as ours
>
Well, I saw a poster below replying to your question about "severe" ADD symptoms and when I read that I thought yet once again: "Dang-those are precisely my symptoms". The trouble is that it changes with the seasons. I don't think it should be doing that if I had ADHD, unless my manic hyper-productiveness is *masking* the ADHD symptoms. Who the hell knows.
poster:Ritch
thread:225269
URL: http://www.dr-bob.org/babble/20030514/msgs/227147.html