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Ideas for inattentive-type ADD treatment?

Posted by TriedEveryDrug on December 25, 2008, at 9:43:32

Hi,

I was dx'ed with inattentive-type add about 10 years ago.

Nothing really helps my symptoms except desipramine. It brings me out of my fog and lets me get things done, get better grades, do better work...

But for me, that is a really miserable drug with terrible side effects (I get almost psychotically angry constantly, high levels of anxiety, moodiness, social phobia off the scale).

But it really works like nothing else has.

I have tried other TCAs - none did anything really.

I have tried stimulants - adderall, adderall XR, ritalin, focalin - these make me 'hyperfocus' on nonsense things and do not really help my symptoms.

I have tried strattera - a tiny bit of help, but not worth the side-effects.

I have tried effexor and pristiq - effexor at higher doses seems to start working a little, but I have crohn's disease and both of these make my crohn's symptoms much worse.

I have tried remeron, ssris, emsam, wellbutrin, aricept, lamictal, gabapentin, provigil at high doses.

I have tried combos - ssris + wellbutrin, + adderall, lamictal + adderall - lots and lots of combos.

I have tried fish oil and other supplements.

My pdoc is out of ideas. desipramine is out of the question because of the side-effects. Even at tiny tiny doses (as low as 5mg). Desipramine doesn't mix too well with anything else either.

Any other ideas? Something overlooked? My doc is pretty good and he says my case baffles him completely.
My brain MRI looks semi-normal except for a hypocampus that is a bit small and evidence of a possible stroke while I was a fetus - but no abnormalities in the executive areas. I also had some sort of experimental high res EEG that didn't show anything except I'm not fully awake when I'm awake, and a slight tendency to be obsessive (my doc and I are skeptical of this eeg - a different doc did it).

Anyway, if someone has any other ideas I'd greatly appreciate it.

Happy Holidays

 

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URL: http://www.dr-bob.org/babble/20081223/msgs/870732.html