Posted by Peter on February 8, 2003, at 18:32:15
In reply to Re: dexedrine spansules vs. adderall » Peter, posted by Ritch on February 8, 2003, at 17:32:49
> You can get dextrostat immediate release tablets that are 10mg (I think). IR dexedrine has a rather harsh crash to it though-that's probably what your pdoc is trying to avoid. They lasted about 3-4 hrs. fairly smooth and then off the cliff pretty fast over another 2. I'm doing OK I guess. I'm just taking Trileptal, Klonopin, and a tiny bit of Effexor. Trileptal definitely doesn't depress me like Depakote did, but the nausea is pretty bad. I've tried increasing to 300mg/day (which isn't much), and I can't handle it. I'm at 225mg/day now, and that is still a little rough. What a drag, it does have good mood stabilizing properties, though. I tried to go back on Neurontin with it, but could only take that a few days. I started getting the same bizarre side effects from it that I had before (esophageal spasm-chest pain-slumped posture). It worked great for anxiety. Everything that works great I can't tolerate at all or I can't tolerate enough of it to do me much good. Can't take AP's. I may end up having to drop the Trileptal back to 150mg/day and just accept partial mood stabilization. Hey, at least I'm not depressed, just a little hypo at times.
>Mitch:
I know what you're saying-all the meds that work really good for all my symptoms I eventually end up being unable to tolerate! That's especially the case with SSRI's for me. I've heard Trileptal is a very promising stabilizer, like tegratol w/o the problematic SE's. I know what it's like to be shifting meds all the time, and it's always a nice thing to be able to settle on a particular regime, at least for a while. I would agree that a little hypomania is far better than depression, unless there's dysphoria or anxiety associated with it. But, if you don't feel that trileptal is working out for you, what about lamictal? I remember you said you didn't try it because of the rash thing; that's the same reason why I didn't want to give it a try for the last few years. But now that I've been taking it since October, the only side-effect I noticed was some initial GI upset and spaciness, most of which has gone away; really when it comes down to it, Lamictal has a very low SE profile except for the rash thing, which of course they put in bold letters even though the fatal kind is really very uncommon.
I'm realizing that the awful depressive periods I went through were due to the zoloft withdrawl, and the fact that I was not on a high enough dose of lamictal for it to be therapeutic. But the reason why I think it really works is because it's subtle-it seems to even out my mood without sedating me like depakote or Neurontin (BTW I got crazy side-effects from Nuerontin also); if anything, lamictal tends to stabilize in the other direction-a little energy for once! I also find that it's dealing with my anxiety better as I increase the dose. As you know, it requires a slow titration, but once your in the therapeutic range, I think it's a step above the other AC's (though, again, I've heard the same said about trileptal-so if you're satisfied, might as well stick with it).
Peter
poster:Peter
thread:140031
URL: http://www.dr-bob.org/babble/20030208/msgs/140205.html