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norepinephrine uptake inhibitors (help please!)

Posted by leor on October 6, 2002, at 14:34:25


Dear Babblers

Over the past month I have been taking effexor (short acting form) for the management of the ‘overfocus' symptoms of my A.D.D. (17.85mg twice a day) I also take 15 mg of Dexedrine XR once a day. My DX is bipolar II plus non-hyperactive A.D.D

Effexor seems to do the job nicely - but not without some nasty side effects; mild headaches and mental ‘dulling'. While under the influence, it is difficult for me to feel that my brain is fully stimulated and allways a pall of mild mental & emotional exhaustion hangs over my body.

I am no stranger to such problems; on or off of medications. They are with me yearround but are at their most excrutiating during the winter when I suffer from severe seassonal affective disorder.

Now that I am taking dexedrine for focus, and effexor to prevent over-focus it seems that it might make sense to try a norepinephrine uptake inhibitor. According to my understanding, this neurotransmitter is responsible for regulating one's stamina.


A MEDICATION TO DEAL WITH MY LACK OF STAMINA
I am wondering whether anyone has suggestions about what medication to try

In the past my body has had difficulty tolerating wellbutrin as well as the numerous SSRI and AD's that I've tried (except in very small doses). Are there norepinephrine uptake inhibitors that deal solely with norepinephrine other than wellbutrin? If not, which of the ones available is likely to have the least effect on my serotonin level?


A REVERSAL EFFECT ON WELLBUTRIN
When I was on the wellbutrin it made me very sedate to the point that I could scarcely summon up the stamina to go out of my house for about a week. After 10 days of that my p-doc took me off the med.

In hindsight I wonder whether what I experienced could have been the ‘reversal effect' which people sometimes experience during the initial phase of using a medicine that acts on their neurotransmitters. Has anyone experienced this themselves or come across it in the medical literature?

My psychiatrist has his own suggestions about what meds I should try. Though I take them seriously I always like to understand the full range of options so I can do so me good research and than make an informed decision. Thank-you.

Blessings,

Leor


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poster:leor thread:122549
URL: http://www.dr-bob.org/babble/20021006/msgs/122549.html