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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by psychopharmaddict on October 26, 2005, at 11:24:22
Ok, I would like some advice about this combination , even though these meds are working so good, it may be too good or am i just fooling my self. Well here we go.
To be brief, (Im diagnosed ADD, Opiate Addiction, and refractory depression , social anxiety. Now, some wonder what and why a doc has me on meds which can be abused. I tried explaining on another board and a person got me very angry , just saying addict, addict this and that. I dont like to hear this because I dont abuse these medications, I take less except for adderall, i take exactly my dose.
30mg 3x day. Every 6 hrs. Suboxone 4mg every 18-24 hrs, and klonopin .5mg every 8hrs.
Now, I researched my own problems, I know I have an addiction problem, but has anyone heard of reward dyficiency syndrome. For years, I was misdiagnosed, given serotonin meds, and no avail. NE meds , not much. But Once (never new until 2 yrs ago, I Had Innatentive ADD, Refractory Depression, and a doctor who was willing to work with me. I was honest and told him I never abused stimulants, cocaine, just Opiates, so I dont think adderall would be a big problem. Since then < I never felt so mentally lively, social, happy, hardly ever angry, NOT high, and any good feelings from these drugs go away after 2 days of first taking them and just work but you really cant feel them.
Now, I cannot stop taking them, or Ill withdrawl. This is more dependancy, I know, but If im not using or drinking, Im mentally active, and feel great , not high great! but i can keep a task going, read for hrs, nice to family, plus 10. Negative, i have maybe sleep problems, or sometimes stay up late or long hyperfocuses. THe good outwieght the bad.
But Then If im posting this on say another forum, someone with throw there 2 sence in, and i dont mind, if they say its addictive and explain there reasoning, but not oh bud your an addict or these meds make everyone happy , or stuff like that. I feel like they fail to have the insite of the full picture.
I was never diagnosed with Reward Deficiency Syndrome, but believe me, that zest for life came back with adderall, but the 12 other meds, no. even taking many supplements, no. But adderall yes. Biochemically, I do feel my Limbic area is not releasing proper amounts of Dopamine from the Nucleus accumens to the prefrontal cortex when i did not have amphetamine, but once administered this, it kicked it back in.
Before this medication combination, I was on 2 potent AD;s Zoloft/Rememeron, a doctor telling me, this is very strong combonation. Well i never felt a twinkling of being happy, or satified feeling, just numb. Well If being happy is still bad or "pleasure seeking" I dont mind it, its much better than numb, or angry all the time with a bad mood.
thank you for your time. I will respond to your replys in a professional manner .
Posted by Chairman_MAO on October 26, 2005, at 15:06:11
In reply to Adderall+suboxone+klonopin, posted by psychopharmaddict on October 26, 2005, at 11:24:22
It is likely that we suffer from the same disorder; I do not find too many people like this.
I too have treatment-resistant depression, which is usually dysthymia. I believe this is reward deficiency syndrome. It masquerades as ADD, typical deperssion, etc. I alaso have social phobia, but that part is made worse by never feeling any reward when I DO put myself on the line and succeed; indeed, I would feel the OPPOSITE of reward, even with the applause of a whole classroom.
My medications: The MAOI Nardil (90mg/day) and Suboxone (12mg works best for me; you can figure your optimal analgesic dose by using 0.132*bodyweight(kg). Ask me if you are interested in how this is derived) This takes care of increasing synaptic "levels" (term doesnt make sense in reality too well)--and intraneuronal vesicle levels as well, something stimulants/ADs do not do--of NE, SE, DA, and GABA. The suboxone helps our reward deficiency by decreasing pain (physical exercise) as well as disinhibiting GABAnerigcally-inhibited DA transmission in the NAc. If I had amphetamine, I'd probably be more motivated, and cognitively sharp but since I have the label of "drug abuser" no one will ever give it to me, despite the fact that now that I'm on suboxone--and enjoying sober life--I doubt I'd ever even think about abusing it. Perhaps one day I will be able to find a sympathetic doctor or have enough money to buy ritalin from Central America or street meth.
Funny thing is, I have been on Adderall and klonopin in the past, and it was nowhere near as effective as Nardil is. This medication has a lot of side effects, but man, it is truly the best drug--licit or illicit--that I have ever taken for increased sociability. I socialize with more people on Nardil than I did on klonopin+Adderall (when I had scripst for it)klonopin+adderall+MDMA, MDMA, and klonopin+MDMA! Of course I abused my meds then, so who knows.
Nice meeting another like me. gotta go now, but I'll bbiab.
Posted by psychopharmaddict on October 26, 2005, at 19:39:45
In reply to Re: Adderall+suboxone+klonopin » psychopharmaddict, posted by Chairman_MAO on October 26, 2005, at 15:06:11
Hi chairman, I appreciate and am very happy there is someone who relates. You seem very smart and Iv been trying the pscyhopharm thing the past years, always trying to diagnose myself, and reading about this and that N.T.
Wow, you hit it on the nail. IM not sure if ill be looking for Nardil, I know about those side effects and eating cheese can kill you right? Well, Im doing just fine on this combo, and your right, Im sober, I dont feel messed up, high or is my life going down , but its going up so anyone who says addiction this or that, most likey, esp, if its a personal so called buddy, is jelous because your clean and he is not. I get that alot. ( Oh well your on adderall and suboxone, so what if im on oxys , there all the same , BLA BLA, well to break it down, no there not, ya there the same schedule , but far from (IN My CASE) life destroying (oxy).I quickly must add, I abused GHB, a dopaminergic agnonist/antagonist, totally messing up this system, (I did see a neuropsych. Doc who told me most likely my brain wiring will be messed up for a while, but I think a while was too long for me, I feel this drug plus OC did further alter this reward system, then when I came clean, Before adderall, this stystem was not performing to par, but more like drip drop drip drop instead of a steady stream.
Thank you write back
Posted by mr paul on November 29, 2005, at 15:09:41
In reply to Re: Adderall+suboxone+klonopin, posted by psychopharmaddict on October 26, 2005, at 19:39:45
dear gentleman--interesting reading your threads-
i am new to teh combination of suboxone and adderall and on occasion (as needed) klonipin--i was first on suboxone for vicodine dependancy and then was tretated for adhd and then came the script for adderall--Is there any adverse side effects from the suboxone with the adderall? 16 mg suboxone daily and 20 mg adderall taken once or twice daily?look forward to your responses
This is the end of the thread.
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Dr. Bob is Robert Hsiung, MD,
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