Posted by bleauberry on March 12, 2018, at 15:57:41
In reply to Best meds for 'I don't care anymore' sydrome, posted by maurorless on March 10, 2018, at 16:41:43
Ritalin 10mg every 3 hours or 20mg 3 times a day. Nothing else needed.
The hard part will be the transition. You will have withdrawals getting off of either Wellbutrin or Prozac and they can last for weeks, even a couple months.
Maybe drop Wellbutrin, keep Prozac, start Ritalin at a low dose - maybe 5mg t.i.d. - and ramp up to full dose over several weeks - then start trying to wean off of Prozac slowly, by simply skipping doses - skip a day - after a while start skipping 2 days - you can also mix the Prozac contents of the capsule into juice and drink a custom sized dose - 20mg in juice, drink 1/4 of it, that is a 5mg dose, and the rest of it stays good in the fridge for about a week. Prozac half-life is a week, very long, which is why you can skip doses and get away with it.
A major problem with all of the antidepressants is their strong tendency to numb out your emotions so you just don't feel much.
While Ritalin is a stimulant, it makes a really good antidepressant after a few weeks of titrating onto it. It can make you interested in the world again, it makes you feel calm and you sleep better.
If your complaint is emotional numbness and a lack of desire to do anything then I would suggest staying far away from antidepressants. Or if you feel you want them or need them, stay with low doses.
To get out of the rut you need more active dopamine and norepinephrine and not from a re-uptake mechanism.
The herb Rhodiola Rosea is also an excellent candidate for you. It works better as an antidepressant and anti-anxiety than any meds I ever tried. It can have an effect almost immediate, which fades, but the real effect comes on slowly over weeks and months, and continues to get better the longer you take it.
I battled anhedonia and lack of motivation for decades. I didn't realize during that time that it was my meds causing most of the problems. Without meds I still have some 'procrastination', but way more functional and in the world.
The thing that got me better after 20 years of psychiatry was meds and herbs for Lyme disease instead, which totally obliterated the depression, schizo-affective, and bipolar stuff. Gone. Totally gone. It was microscopic monsters in my brain the whole time. Based on what my doctors told me, 9 out of 10 people here at this site also have monsters in their brains.
poster:bleauberry
thread:1097273
URL: http://www.dr-bob.org/babble/20180212/msgs/1097292.html