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Re: Ritalin is not marketed as AD (long detailed expl) » Bekka H.

Posted by fachad on March 11, 2002, at 20:51:13

In reply to Re: Ritalin is not marketed as AD (long detailed expl), posted by Bekka H. on March 11, 2002, at 20:18:50

Right now I am on:

Dexedrine 40 mg/day
Prozac 10 mg/day
Temazepam 30 mg/day

I did fine for quite a few years (about 5 yrs, I think) on Ritalin only for depression.

Last year I developed a herniated disk in my back, which caused me severe pain all the time. Being in pain day in, day out is not mentally healthy.

So I talked my GP into giving me some hydrocodone (Vicodan). Well, that worked moderately well for the pain. However, I discovered that being on Vicodin day in, day out is not mentally healthy, either.

So last March, a found myself in a Major Depressive Episode, after having done so well for so long with only Ritalin. I don't know if the constant pain or the extended usage of hydrocodone precipitated the MDD episode. Probebly both.

I hated starting an SSRI, because for me they cause a lot of problems including fatigue and lethargy, but I was really bad off and it was necessary.

The Prozac did relive my depression, but I got whopping insomnia. How ironic that I had been sleeping fine on a fairly high dose of stimulant (54 mg of Concerta), but now on an SSRI, I could not sleep. Anyway, the hypnotic is for insomnia caused by Prozac, not stimulants.

I hope to taper off the Prozac fairy soon. I'm thinking that I won't need help sleeping after that (provided I don't have rebound insomnia - you can't win), and I'll be able to quit temazepam and go back to stimulant only for prevention of depression and treatment of residual symptoms.

So that's where I'm at right now.

> Fachad, thank you for your help and for all the time you spent explaining that to me. It was a great help. I am bookmarking it so I can refer back to it.
>
> May I ask whether you are on any meds now IN ADDITION to the stimulant? Do you not need an antidepressant with the stimulant?


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URL: http://www.dr-bob.org/babble/20020307/msgs/97525.html