Posted by med_empowered on August 3, 2005, at 1:51:55
In reply to Adding A Dopamine Agonist to an SNRI, posted by TommyIsland on August 3, 2005, at 1:10:26
hey. I've tried stimulants (adderall, ritalin) in addition to SNRIs such as Cymbalta. It works reasonably well. Low-dose antipsychotics (Abilify for me) helped as well, but only for a short period and had some undesirable side effects. If you raise the Effexor high enough, you will probably get some dopamine action...I think the usual max is around 375, although you can go up to 600 for severe, treatment-resistant depression. On the other hand..this approach carries all kind of problems with it, and may or may not work. Based on my own experiences, I think that if your side effects from Effexor are minimal, you can probably add low-dose ritalin or adderall (if the dose gets too high you'll get the "crash" effect and you'll get all the usual amephetamine side-effects with minimal benefit) and do pretty well. Some people swear by the new anti-parkinson's and anti-alzheimer's drugs, like mirapex and exelon. I haven't tried Provigil myself, but it certainly seems that it would also be worth trying.
poster:med_empowered
thread:536927
URL: http://www.dr-bob.org/babble/20050728/msgs/536932.html