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Re: pstim for Bipolar II with comorbid ADHD? » Ritch

Posted by Ron Hill on December 30, 2004, at 1:06:50

In reply to Re: Ritalin with Bipolar? » jay, posted by Ritch on December 28, 2004, at 14:56:31

> Stims tend to make me feel just generally icky after several weeks (no cycling, just kind of a blah icky jittery feeling)-- so that's why I don't bug my doctor about them any more. I was offered desoxyn with Depakote a few months ago. No thanks!

--------------------------------------
Mitch,

How have you been? I'm committed to a self-imposed one-year block from posting (ends in Feb '05), but I need to interrupt my block to ask you a couple quick questions.

Please correct me if I'm wrong, but as I recall, your dx is Bipolar II with comorbid ADHD (or do I have your dx confused with that of cybercafe?). Also, wedged in the deep recesses of my cranial crevices is the remembrance that last year your cocktail included a low dosage (like 10 mg) of Adderall XR as an add-on to your moodstabilizer for the purpose of treating your comorbid ADHD.

Is my memory anywhere close, or am I off in left field? Here are my questions:

1) What was your dosage of Adderall, and how long were you on it?

2) What are your comments, opinions, and recommendations regarding the use of a low dosage of Adderall XR as an add-on to a moodstabilizer in a BP II patient for the purpose of treating atypical depression (via the dopamine and norepinephrine reuptake inhibitor actions of Adderall)?

3) What are your observations and/or opinions regarding the likelihood of eventual pstim poop-out if Adderall were to be used on a long-term basis in the manner described directly above in question #2?

4) Finally, what prompted you to discontinue the add-on Adderall tx?

Thanks much Mitch!

-- Ron


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poster:Ron Hill thread:435006
URL: http://www.dr-bob.org/babble/20041228/msgs/435597.html