Posted by med_empowered on November 7, 2006, at 2:39:26
In reply to Re: Stimulant + what?? » Jimmyboy, posted by Phillipa on November 6, 2006, at 19:24:09
if you have anxiety that gets worse on stims, they should be back-burnered for now. If you have good insurance, maybe try Provigil...its expensive, but its a new, often effective stimulant that's less harsh than old-school stims. Plus, its a schedule IV, not schedule II, so thats a plus.
You might want to try an MAOI...maybe EMSAM, again, if you have insurance, cause its expensive. You can add stuff to EMSAM (stims, benzos, whatever) pretty easily, but you'll need to be very careful adding stuff to old-school MAOIs.
A mood stabilizer in low dose might be helpful...trilepal or lamictal in particular might helpful. You can add stuff to these as necessary.
Since you also have ADHD symptoms, you might want to consider Effexor..its rough stuff to withdraw from, but super-high dosages can help people when other drugs fail. It does effect serotonin, but at higher dosages it effects dopamine, norepinephrine, etc...basically a tricyclic, only cleaner.
Good luck!
poster:med_empowered
thread:700880
URL: http://www.dr-bob.org/babble/20061104/msgs/701146.html