Posted by zeugma on May 15, 2003, at 10:10:19
In reply to Re: day 1 Strattera: ravenous and alert » zeugma, posted by bookgurl99 on May 14, 2003, at 23:54:04
> Hey, what's your dx? Is it ADD? I wonder if you're responding better due to being actually ADD, while I'm just 'anxious.' ?
Also, I've been taking a med that shares a mechanism of action with Strattera (nortriptyline), so the effect was like a sudden dose increase instead of start-up. I think NE-active drugs can be good for anxiety... the TCA's are proven to work well for GAD as well as depression. They just work very differently from serotonin-active drugs (SSRI's and for the most part Effexor). Whereas those drugs tend to restrict emotion, generating apathy as part of the therapeutic effect, NE-active drugs might INCREASE emotion as part of a normalizing process. This is probably why TCA's have a bad reputation among atypicals and bipolars. The two classes of drugs seem to work for different populations (though there is probably some overlap and shared mechanisms among the drugs too). By the way, you might not be as 'dumb' as you think you are if you scored so well on your test!
poster:zeugma
thread:226375
URL: http://www.dr-bob.org/babble/20030514/msgs/226812.html