Posted by Ritch on December 29, 2002, at 22:27:57
In reply to Re: does everyone get rebound depression on a stim?, posted by SLS on December 29, 2002, at 20:48:39
> > > My son hates how he feels either on it or coming off of it. He takes Dex because of severe anorexia with Adderall and tics with Ritalin. He uses it because he has to to get through school. He hates how it flattens his mood, makes him very serious and quiet, and causes sexual dysfunction.
> >
> > The mood flattening can be a real bummer. I've got bipolarII mixed in with ADHD and stims make me lose my sense of humor almost entirely. Also, I noticed some loss of empathy for others. It was even difficult to feel sad in any way. I *do* need mood stability but I can't stand the icky, jittery, blah, type of alertness.
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> Have you ever considered trying Lamictal? Unfortunately, it is a real pain in the ass to get started on, but I believe that it has pro-dopaminergic effects, perhaps mediated by modulating glutamatergic neurotransmission. I have no concrete reason for believing it would help, other than a gut feeling. If anything, Lamictal would activate your mood rather than flatten it. Care to be a guinea pig? :-)
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> - ScottScott, I have considered it for quite some time. I have a pdoc that may be excessively concerned with safety issues, but OTOH I have a history of strange skin reactions to several medications and that has me paranoid about trying it. I'm even concerned about MAOI's because I have a very significant hypertensive reaction to very small doses of Effexor or Wellbutrin. For example, I can take zero Effexor and have a BP avg. of 124/67 and then take as little as 18.75mg of Effexor or 75mg of Wellbutrin for a few days and have a BP of something like 148/93. However... meds that tend to make me hypertensive also have been effective antidepressants. Lamictal would be something I would consider if other stuff wasn't working at least half-ass (Depakote/Trileptal, i.e.).---Mitch
poster:Ritch
thread:133594
URL: http://www.dr-bob.org/babble/20021223/msgs/133750.html