Posted by bleauberry on April 19, 2018, at 12:37:55
In reply to Re: Lyme disease - a neuropsychiatric disease » bleauberry, posted by Prefect on March 30, 2018, at 20:47:32
Ok that is a tough question. Good question.
Right off the bat I like Ritalin. Because it by itself stands a decent shot at improving or eliminating all of the symptoms you listed.
My greatest fear when I started Ritalin was that it would increase anxiety. In the early stages it did, and when it wore off it did. So the trick was to titrate gradually and to not let doses wear off.
I started at just 2.5mg and then wouldn't dose it a gain until I felt like I needed to. In a few weeks I was up to 60mg. I did frequent dosing - 10mg 6 times a day instead of the customary 20mg 3 times. Way better that way. It was maybe 2 to 3 weeks in that I realized I was calm, peaceful, sleeping better than ever, and yet I was engaged in life, sociable, interested in hobbies, and living again.
For whatever reason, I think Adderall is more common. But I personally feel Ritalin is more effective in more ways and is safer for long term.
I like prozac first and Zoloft second. But any of the antidepressants can make the executive function stuff worse and add in a new symptom of emotional numbness.
If it were me I put heavy emphasis on Ritalin and then see how it goes. If I thought I needed to add something else a few weeks later, I would keep ssri doses very low - for example prozac 5mg - 20mg, or Zoloft 25mg -75mg. And for zyprexa 2.5mg or 5mg. those low doses can improve your symptoms without introducing a bunch of new problems.
LDN is novel treatment for a wide variety of conditions and I always think it is worth a shot. It involves some effort to get a compounding pharmacy and devote a couple months to it. I was on it for a month. It was rough going in the first couple weeks - worsened my depression - but felt better in the final weeks - calm, peace, and sociable mood. Overall I was just too unstable at the time and I do not remember why I ditched it. I think it was around that time I figured I had to go full bore into antibiotics and screw the psychiatric stuff. But my limited experience with LDN showed me there is a lot of potential with it for psychiatry, lyme, chronic fatigue, and other conditions.
> Bleauberry:
>
> What portion of the following cocktail would you suggest if your symptoms are anxiety/derealization/dissociation/cognitive impairment/executive functioning problems? And would Low Dose Naltrexone have any possible place here too?
>
> Prozac first, Zoloft 2nd.
> Zyprexa first, Abilify or Seroquel 2nd.
> Ritalin first, Adderall second.
> Nortriptyline
> Alprazolam or Lorazepam
poster:bleauberry
thread:1097634
URL: http://www.dr-bob.org/babble/20180331/msgs/1098253.html