Posted by Jazzed on June 12, 2005, at 11:18:41
In reply to Re: P.S., a possible factor? » Jazzed, posted by Spoc on June 12, 2005, at 5:22:41
> I just hope my new p-pharm will not be annoyed when I start quoting from message boards.
You don't have to quote from the message boards, (or don't tell him you are!) just tell him what you're experiencing, and ask him if you can start at a lower dose, and titrate up more slowly. Seems like a reasonable request to me.
>
> I haven't been up to doing the research I normally would, but did refresh my memory on the fact that in practice, 40 mg. really is high to start.This is my understanding too from people's actual experience, but both my p-doc, and my GP say no, it's the starting dose. I know at the Amen Clinic, they start you at 18 or 25, and you go up slowly from there. What's the harm with asking if you could try starting lower?
>I can't go through another day this way, will stop and call my doc Monday and ask if he even thinks I should bother starting over again at 18 or 25 mg.I sure don't blame you! I wouldn't want to feel that way either. Surely there's no harm in asking if you could try it that way!
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> One thing I am still curious about is, if someone can force themselves to stick out the too-high initial dosing, will they eventually arrive at the exact same level of effectiveness (or ineffectiveness) as they would have going slower.
This I don't know about, but might be something on the www.addforums.com web site, in the Strattera area.>
> FYI, if it sheds any clues, Wellbutrin, Ritalin and Adderral have all also made me irritable if not depressed. Maybe I am hitting the entirely wrong receptors for me, but SSRIs have made me flat and not noticeably improved...
>That's odd, what were your doses on the adderall and ritalin? I got depressed when my adderall wore off when the dose was too high, and depressed when the strattera dose was raised. Haven't tried wellbutrin, although my gp did give me a prescription, and I have it. Might be you need to soak in the serotonin more , and not the norepinephrine or dopamine. As long as you're not on an SSRI you could try supplementing with 100 mg of 5 HTP, which you can get at a health food store, to see if it makes you feel any better. It works on the serotonin. But don't ever take it if you're on an SSRI, it can cause serotonin syndrome.
Good luck, keep me posted on what the doc says, and how it goes with the meds.
Jazzed
poster:Jazzed
thread:510941
URL: http://www.dr-bob.org/babble/20050611/msgs/511439.html