Posted by PsychoSage on February 25, 2004, at 0:05:50
In reply to Re: bipolar disorder and A.D.D., posted by vasdef on February 24, 2004, at 21:47:49
> First I want to thank all the people who took the time to give me some input. Yeah, it's starting to get a little complicated now. For years I was taking 20 mg (1) cap of Prozac a day, after a depression that came over me Dec. 2002, he bumped me up to 80 mg (4) Prozacs a day, along with the same 900 mg lithobid a day. I use a cpap machine every night for sleep apnea, I take 400 mg Provigil every day for Narcolepsy, Mirapex every nite for RLS, and now ADD has joined in all the fun. I'm curious to see if my pdoc will put me on any ADD medication at all at this point.
What is RLS? Mirapex and provigil are also used for memory/attention/concentration/depression. It seems to me your bases should be covered and that the doses should be tinkered with.Maybe you need more of your NA covered, but provigil is doing part of that. Effexor, wellbutrin and strattera are used for ADHD, and they all can hit NA [noradrenaline].
Aricept may be helpful with executive functions, organization and time management. It is an anticholinerase [acetylcholine].
I just started provigil for attention because i can not take amphetamines because I am in recovery for substance abuse.
Sometimes prozac can make bipolars apathetic or irritable which can contribute to inattention and depression. I have an article about a man who stopped prozac after having a BP2 diagnosis, and he became better with a typical bipolar med regiman minus the SSRI. Otherwise, a stimulant can probably hit other dopamine places the provigil or mirapex don't hit.
I am heavily skeptical of SSRIs and anything to do with Serotonin because for many years I was diagnosed with major depression, and I finally got on the mood stabilizer more than 5.5 years after my first psychiatric treatment. I used many new generation antidepressants which hit serotonin, and they all did not do much for me. I am BP2 I think. I am not formally ADHD, but I have inattention from substance abuse. I have been clean for a couple of years, and I am in my 20s, but I am still struggling.
I hope your ADHD gets taken care of!
poster:PsychoSage
thread:316416
URL: http://www.dr-bob.org/babble/20040223/msgs/317385.html