Jump to content
CrazyBoards.org

Sign in to follow this  

Recommended Posts

Hi,

(now that i'm free of mood swings and (maybe) psychosis or whatever) I have realized that i have probably a very massive case of AD(H)D.

The problem is that my doc is totally convinced that i have some sort of psychosis so i'm absolutely not going to get any sort of stimulant out of him although he also mentioned the possibility of ADHD. He didn't directly mentioned that I could have ADHD per se. The thing is i was diagnosed with Asperger's before and he believes the Asperger's diagnosis is Bullshit and he said you know sometimes people with ADHD produce positive Asperger's ... test results or diagnoses or whatever.

So i'm seriously "doing my homeworks" to find out what i could take for the inattention and concentration problems i have (which i have always had but when you are totally depressed or agitated as hell you dont really care but now i do care)

I'm basicly looking for some sort of ADHD relief which is not an stimulant and not Strattera (cant tolerate and insurance wont pay for it) so it will most probably be an antidepressant (which the insurance will also pay). And doc would also not prescribe wellbutrin because it's a dopamin reuptake inhibitor (psychosis)

So long story short, I went through all the possible antidepressants and Cymbalta looks quite good. It inhibits the uptake of both noradrenalin and serotonin (1:1) and to lesser extent dopamin (which is good). Note that it inhibits the uptake of noradrenalin 20 times as much as Venlafaxine (effexor) and the Nor. is the thing good for ADD. as well as dopamin.

And then there is this small study where they tested it on some kids with ADD and it worked: http://onlinelibrary.wiley.com/doi/10.1002/hup.1188/abstract

Ok whatever, Have anyone ever tried cymbalta for ADHD or any other sort of problem with concentration or attention?

Cheerz

bear

Share this post


Link to post
Share on other sites

I'm no expert, but have worked as a Pharmacy Tech on and off since I was 18 and I have never heard of it being used for ADD. Also being ADD myself have never been told about it. I may ask my dad (pharmacist) if he has heard of anything like that though.

Share this post


Link to post
Share on other sites

If your pdoc is concerned about ADHD but won't prescribe a stim, what are his plans going forward? I think his plans are probably going to be more sound than internet research done with us, none of us have anything more than unreliable anecdotal thoughts on this. I am concerned that you are minimizing what I saw to be pretty heavy psychosis from a lot of what you posted and have self diagnosed with something you now want to figure out how to treat without really listening to your pdoc.

You don't sound well, tbh.

well i'm having a shitty day. i'm indeed not well. but you are assuming i'm having heavy psychosis by reading a handful of posts (are you a doctor?)

i have been diagnosed with ADHD before and have been prescribed ritalin and strattera before. ritalin was good but doctor pushed me to take 50 mg which was too much and strattera was bad. and changing doctor lead to different diagnosis and ... whatever.

i'm wondering which is more psychotic. my old posts or diagnosing me with "heavy psychosis" by just reading them.

Share this post


Link to post
Share on other sites

I just got off the phone with my dad I needed to ask him something else, but I asked him about the Cymbalta for ADD. Cymbalta and Prozac are basically the same thing, one generic fluoxetine the other is duloxotine. The Cymbalta also being used for Fybromyalga. He has never heard of Cymbalta being used for ADD. He does keep up on current drug uses and new uses. But as a disclaimer* he is not a complete expert, just a pharmacist that I think does his job darn well.

Share this post


Link to post
Share on other sites

I may or may not be myself (maybe old self) because i have done (and am still doing) a great deal of (IMHO very successful) talk therapy and have changed my meds quite a bit (muchas less zyprexa with doc's direction). I admit that i have a rather unique personality and it might have become even "uniquer" due to "being more myself" (because of less zyprexa but much more due to the psychoanalysis i do). I don't really belive in the Schizophrenia diagnosis anymore really. It's quite possible that i have schizoid or maybe a pinch of schizotypical PD and that would explain why i sound weird (apart from english being my third or fourth language and the possible ADHD ;-) AND it's 1 am AND i've had an extremely bad day. i'm indeed confused. but the ADHD idea is all but new. it goes back to 1999.

Edited by Überpolarbear

Share this post


Link to post
Share on other sites

I just got off the phone with my dad I needed to ask him something else, but I asked him about the Cymbalta for ADD. Cymbalta and Prozac are basically the same thing, one generic fluoxetine the other is duloxotine. The Cymbalta also being used for Fybromyalga. He has never heard of Cymbalta being used for ADD. He does keep up on current drug uses and new uses. But as a disclaimer* he is not a complete expert, just a pharmacist that I think does his job darn well.

Thank you very much. i just saw the study and went yay ok cool. I found cymbalta quite compelling also because there are all these studies around that it can be given to schizophrenics. in case that i actually have it as my doc says. I cant see why it shouldn't work because it does the same thing as desipramin (particularly muchas noradrenalin RE).

Share this post


Link to post
Share on other sites

I just got off the phone with my dad I needed to ask him something else, but I asked him about the Cymbalta for ADD. Cymbalta and Prozac are basically the same thing, one generic fluoxetine the other is duloxotine. The Cymbalta also being used for Fybromyalga. He has never heard of Cymbalta being used for ADD. He does keep up on current drug uses and new uses. But as a disclaimer* he is not a complete expert, just a pharmacist that I think does his job darn well.

Cymbalta is almost the same as prozac? I was considering switching to cymbalta, but if this is true it likely won't be of much help to me then :( Isn't Cymbalta a SNRI? I know prozac has a higher affinity for NE than many other SSRIs, but I guess I assumed ADs in two different classes would be more different.

Edited by chicchick

Share this post


Link to post
Share on other sites

Cymbalta is almost the same as prozac? I was considering switching to cymbalta, but if this is true it likely won't be of much help to me then :( Isn't Cymbalta a SNRI? I know prozac has a higher affinity for NE than many other SSRIs, but I guess I assumed ADs in two different classes would be more different.

Cymbalta is NOT the same as prozac. it has very high afinity for NE. even very much higher than effexor. 20x 3x higher. and a little of afinity for dopamine. prozac doesnt have ANY afinity for NE.

Oh i'm so stupid. Cymbalta has 3 times higher affinity than effexor not 20 times. I mistaked it with Milnacipran. Sorrryyyyy

source:

http://www.ncbi.nlm.nih.gov/pubmed/18622372

Edited by Überpolarbear

Share this post


Link to post
Share on other sites

Cymbalta is almost the same as prozac? I was considering switching to cymbalta, but if this is true it likely won't be of much help to me then :( Isn't Cymbalta a SNRI? I know prozac has a higher affinity for NE than many other SSRIs, but I guess I assumed ADs in two different classes would be more different.

Cymbalta is NOT the same as prozac. it has very high afinity for NE. even very much higher than effexor. 20x higher. and a little of afinity for dopamine. prozac doesnt have ANY afinity for NE.

My mistake, I should have clarified, I meant 5-HT which often leads to indirectly effecting NE. As far as I believe (I could be wrong, not a doctor) I know Prozac has a realtively high affinity for 5-HT and is one of the less selective of the SSRIs, with Paxil being the only AD that is even less selective than Prozac. Prozac, and to a greater extent, Zoloft, also has a higher affinity (Though likely insignificant) for DA than other SSRIs, such as Luvox, Celexa, and Lexapro. Because DA is converted into NE, I would assume the indirect effects of these two factors combined, more so the 5-HT effect, would lead to a general increase in NE levels.

That's interesting about Cymbalta though. I wonder what the NE affinity of that drug is like compared to conventional stimulants like amphetamine.

EDIT: I just wanted to add sources to justify these claims.

Sources-

http://www.nature.com/npp/journal/v28/n2/full/1300057a.html

http://apt.rcpsych.org/content/7/3/170.full

Edited by chicchick

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

Sign in to follow this  

  • Similar Content

    • By ztarrsbright
      So basically im dead inside.
      I currently being emotionaly dull, i cant feel any motivation or desire to live, despite that im still doing my everyday things, going to college, working out, doing my usual duties and chores.
      The thing is that i have an schizoid disorder, and im very paranoid.
      I posted in addiction because one of the most destructive things is my addction to many things.
      I smoke, not weed, regular cigarettes, the thing is that my parents think that i quited smoking but i dont, i wanna quit to, i hate it, and i hate it because my parents are well known religious leaders in my town and a lot of people know them and know me, when i smoke outside im always paranoid, i dont wanna live this way, my paranoia is getting worse but i always end up smoking again because my friends smoke and i always fall but i wanna quit.
      If my parents get to know that i still smoke they probably stop paying my colleges fees, a lot of people know them and can snitch on me.
      I have this fight, i cant keep going anymore, at the same time smoking helps me cope whit my side effectos made by my antipsychotics, but they dont understand, they always judge merciless even do im an adult in my twenties.
      Can anyone give advice, all advice is very helpful.
       
    • By Zaroxley
      I’ve been dealing with major depressive disorder and anxiety for several years now. I’ve read a lot of books on psychology and neurology. But I’ve only recently started seeing a psychiatrist. I was getting prescriptions from general physicians. Currently I’m on Wellbutrin and it works great for my depression but my anxiety still shows up. I told my doctor that it feels like an under-lying current. The anxiety is constant but I keep it at bay. He prescribed me Seroquel 25mg. Today is my second day on it. I don’t think I really knew how to describe my anxiety before today because today my brain feels silent. It’s like before there was a constant negative voice, my own voice - I guess, that would always repeat any negative thought I ever had. All my doubts were vocalized by this voice. I’ve never described it as a voice before because I always associated it with just thoughts. But today those thoughts are not there. I’m calm and that’s weird. So my question is, is it really anxiety? 
    • By spokety
      Hello spokety here.  I'm a sufferer of neuroleptic (anti-psychotic) induced "anhedonia."  I don't enjoy anything anymore, I don't feel pleasure.  I don't feel happiness, sadness, excitement, anger, or any other emotions.  I've lost my libido (sex drive) completely.  I'm not able to understand movies I watch, or read books anymore.  Food doesn't taste nearly as good anymore.  I have no energy or desire to do anything, I have lost all my physical strength and stamina, I can't laugh, can't cry, can't sing or dance anymore, and I can't enjoy music.  I'm sick of living but I'm too afraid to commit suicide.  I'm not depressed, it's not the illness and if you're thinking about commenting that please don't waste your time.  And yes I've tried more then one anti-psychotic, and it has nothing to do with that.  I'm looking for other people who have been damaged by the medication and are in a desperate state for recovery, if you have please respond.
    • By Shortstuff
      It's been a little over two weeks since I broke up with him. Right now I'm still on a roller coaster of emotions, from happy to depressed to angry. Everyone I know is happy I split up with him, they don't understand how hard it's been for me. With the holidays everyone has been busy and I barely have anyone I can talk to about it. It just all around sucks.
      I met him in May, when he moved into my building (lesson #1: don't date anyone in your apartment building). His reputation in town preceded him and I went out of my way to avoid him. I knew his sister and mother, whom are both schizophrenic, on meds and doing okay. I'd heard he had it too but that he refused treatment for it. So I knew that going in. 
      By the end of June, we were hanging out a lot. When you think of paranoid schizophrenia, he truly could be the poster child for it. I honestly had never seen untreated schizophrenia so it was completely new for me. He was full of delusions, paranoia and sometimes auditory hallucinations. But it wasn't that horrible and he turned out to be really nice, extremely funny and smart and a total cuddle bug. We had so much fun together. 
      I think in July, it became a relationship. It was mostly good. We rarely argued and when we did it was over stupid stuff and only lasted a few minutes. We were sleeping at each other's apartments, eating meals together, drinking together a lot (he's an alcoholic, I'm a binge drinker, I know, not good), taking day trips around the area, etc. It was just a lot of fun.
      Over September, October and November, I could tell his schizophrenia was getting worse. I mean, he has sets of good and bad days, but it just seemed he was starting to experience more of the bad than he was when we were first together. He's convinced people (especially cops) are hiding out in the ceiling tiles, people are breaking into his place, people are in the hall when there is nobody there, that the police are plotting to put him in prison, the government is after him, that all the tenants have keys to his apartment and come in when he's gone, etc. When ever he gets zits on his back, he's convinced they are RF resistors that the gov't has implanted in him. That he has to get them out. He'd spend sometimes hours in front of the mirror, with a steak knife, digging into his back until he had basically bloody craters. The amount of scarring on his back, shoulders and upper arms shows how long that has been going on. He won't even take a tylenol for a headache, because he thinks the govt puts trackers in them, etc. 
      He also believes that mental illness doesn't exist. At all. And that there is nothing wrong with him. That everyone else is wrong and only he is right. There is nothing you can say to even crack any of what he believes. It just is. 
      He's had a lot of run ins with the police in places he's lived. The part that worries me the most though, is that he's also armed. He keeps a loaded hand gun in his apartment. The cops are aware he has it but they can't do anything about it.
      So anyways, by December it was getting to be too much. He was getting distant, arrogant, angry, staying up sometimes for days at a time and our sex life was gone. Then, I realized I'd become part of the delusions. He started blaming me for being in his apartment when he wasn't there (I don't have a key, I never did have one), putting up cameras to spy on him. After accusing me multiple times, I finally had to walk away. I have so much of my own stuff to deal with anyhow. I realized how much more stress I was absorbing from him. I'd been walking on eggshells, not sure which version of him I was going to get on any given day.
      Walking away was one of the hardest things I've ever done. Because of my BPD and how it used to really wreck my life (before CBT, DBT, meds, etc.), I spend over a decade alone, because I didn't want to mess anyone else up with my stuff. That was until I met him in May. So it was a really big deal for me to open up enough to let someone in. And he really helped me so much and I got really close to him. Then it was just... gone.
      It hit me really hard a few days after I broke up with him and I OD'd and ended up in the hospital for almost a week. I've been home now for four days. I'm still trying to get my head straightened out after all this. I don't hate him, I know he's ill. I'm just really hurt and trying to sort through it all. 
      Sorry this is so long. I just needed to vent. 
       
    • By SheltieUnderdog
      Because of my extremely negative reactions to almost all the AP injections down the list, my probation officer and my psych are allowing me to switch to an oral medication for my last month on probation before I graduate. They know it's not even a risk if I didn't take it (which I'm going to) because it usually takes me many months to a year for me to become symptomatic and have a relapse. I'm not one of those type of people who relapse in less than a week or even a month. So this Tuesday, I have an appointment with my psych to discuss my options with the oral medications.
      According to my psych and what I know, I'm very responsive to low doses of anti-psychotics, almost becoming completely rational in a few hours of taking Zyprexa 2.5mg or Abilify 2mg. However, I'm also very sensitive at the same time and experience severe amounts of Akathisia that last all day from the moment I wake up to when I go to sleep. I could pace back and forth all day if there were no interruptions. I feel like I want to jump through a ceiling or run through a glass door to alleviate the constant need to be moving. We have tried everything from Cogentin, Artane, Propanolol, Clonazepam, Benadryl, and now Gabapentin 600mg 3x per day and all it's doing is helping with my anxiety and stabilizing my mood but not relieving the Akathisia. The counteractive drugs simply don't work for me. Never did. They're to weak compared to the agent that's causing the Akathisia.
      I saw a commercial over the summer that claims that Fanapt has a lower Akathisia risk than other atypical anti-psychotics but I'm not entirely sure. It seems that Fanapt has to be taken twice a day and is recommended at at least 6mg after the 1mg starting dose. I want something that can remain low. I've also read that Seroquel, at the higher doses, like 400mg to 800mg can treat schizophrenia with less of the Parkinson like side effects. I've discussed this with my psych and he says he wants to keep Seroquel as a last resort because of its low efficacy. He may not be realizing that I don't have the average type of schizoaffective disorder (if that exists). He's fearing that my claims of the extremely low-dose oral meds while I was in jail is not a true account.
      So. conclusively, what is the best option for a schizoaffective patient who's highest priority is ridding the Akathisia while still taking the medication consistently? I don't care about the 100% efficacy or having some symptoms. I just want the ******** akathisia gone. I also have other side effects from this crap they've been sticking in my arm for the last 15 months such as Weight Gain, Gynecomastia (just won a huge lawsuit against Janssen Pharmaceuticals for Invega), Sedation, Fatigue, Depression, Anxiety, Panic Attacks, Anhedonia, Throat Swelling, Involuntary Eye Movements, and Suicidal Ideation. Just to name a good amount of them. Please help me as my appointment takes place later this week and I want more knowledge going into it. Thanks  
×