Posted by aazospiro on March 24, 2004, at 15:46:25
In reply to Re: THE BEST MEDICINE FOR ADULT ADHD; HELP!, posted by PsychoSage on March 24, 2004, at 14:35:57
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> well, i would hold off on excluding wellbutrin and strattera because neither affect serotonin. In fact they may be helpful with a stimulant and give a foundation of constant action instead of the sharp rise and falls of stimulants.
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> I would also think about your caffeine, tobacco and other substance use if there is any. When you have a sensitive brain, and you are trying to work things out with meds, you can't be self-defeating.
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> my hunch would say you sound like you have manic propensities. If you are comorbid which is not at all unusual then sending you flying straight to stimulants is not at all a good idea. You would need to be carefully monitored, so you don't switch on to mania. That would also mean you need balance in your regimen and you can not toss the mood stabilzers or whatever else by the wayside.
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> stimulants cause big time agitation and anxiety too.
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> provigil is a more tolerable stimulant option.
I am aware of the fact that stimulants can cause anxiety and agitation.. Thats actually what SURPRISED me about the caffeine. Because although I drank about 9+ cups a day of that stuff I never achieved the calm I had. Intially it felt like an moderate buzz, which last for about 15-30 minutes and then it was like total calm, minimal agitation sometimes none. My mind slowed to a controllable speed, but my cognition wasnt impaired. However, the strange thing is that even though mentally i was about 90% better, my heart raced alittle and my hands tremored a bit. I actually fell asleep about 4hrs after 200 mg of caffeine!This is weird!
poster:aazospiro
thread:327665
URL: http://www.dr-bob.org/babble/20040319/msgs/327800.html