Posted by laima on January 5, 2007, at 23:15:26
In reply to Re: stimulants as antidepressents, posted by elanor roosevelt on January 5, 2007, at 19:36:59
Well, an interesting development for me today. I told my doctor that I wasn't so sure Emsam was doing as much anymore as it used to- and that I felt like adderall was doing more than Emsam to keep me afloat. He said he wouldn't be surprised at all if Emsam wasn't helping me as much as before because I've been on selegeline for a year, and he increased adderall. So I asked, "Do I have to worry about adderall konking out quickly?" And he said, "Interesting you ask- it's antidepressents and long acting benzos that most often konk out- with short acting stimulants we don't tend to see as much tolerance, because the brain washes out and gets a break every night. Tolerance is most likely to develope with drugs that remain in the brain all day and night". Now- before dismissing-this is one of the most respected psychiatrists in my city, teaches psychopharmacology in med school, is consulted by other psychiatrists for tough cases, no new patients, desk covered with all the journals (full of post-its) all the time, etc, etc, etc. Not a person whose opinions should be easily dismissable. I was quite shocked to hear this, but it makes sense when I mull it over. (I noted he never says "always" or "never".)Sure enough, there are people on remedyfind who say they've been on adderall and other amphetamines for years. I'm amazed. Perhaps it's a matter of finding the right kind of dose- not so high that it can't flush out overnight.
poster:laima
thread:719359
URL: http://www.dr-bob.org/babble/20070101/msgs/719733.html