My pdoc was hesitant to put me on a moderate/high dose of a stimulant because he knows they've made me manic before, so he put me on 5 mg of Dex 2x a day. I went online to all of those drug forums (first things that popped up in the google search) and the people there basically said that 5 mg isn't worth anything and won't do a thing.
However, I took 10 mg in the early afternoon and I'm still wide awake at almost 12:30 so maybe they're wrong? (I took 10 mg because I have to cut the 10 mg pills and I didn't know where the pill cutter was at the time.. long story. From now on I'm only taking 5 mg at a time, found the pill cutter--) 10 mg feels very powerful whereas the people on those websites said it might make you feel mildly high or something. I feel more than mildly high-- I feel euphoric and highly energized.
So is 5 mg a worthwhile dosage after all? If 10 mg keeps me awake long into the night, surely 5 mg will do SOMETHING, right?
A main symptom of my depression is this debilitating inertia, lack of pleasure/reward and total boredom. It's like the feedback mechanism that motivates me into action & rewards me for taking action in pleasurable activities is completely broken...
Despite this lack of reward/pleasure, I do take tons of action as far as forcing myself to exercise 3-4 days per week, eat right, socialize weekly, try creative projects, all kinds of new/different things incl volunteering to engage or distract myself, but I am fighting tooth & nail, ready to give up because I am always crazy bored and i'd rather just lay in bed or waste time online being unproductive (which in turn makes depression more severe). I feel useless and lazy. All of these positive things do not matter, I still feel the same and I'm afraid this will never change.
Is there any OTHER solution other that stimulants or dopamine-type meds for this issue? Have stims cured this problem for you? I am afraid to get completely hooked on them. i don't even know if I really have ADD - or whether this issue is an ADD thing?? I know I quickly build tolerance to stimulants, they will stop working & then my reward system will be even more screwed for life never to return! Anyone have any feedback/thoughts around this topic?
I saw a new pdoc recently, and I related to him how I frequently sleep for 20-50 hours at a time because of depression, but he thinks there may be more than just "bipolar depression" causing my body to sleep continuously without interruption for such absurd amounts of time. He recommended the potentiality of stimulants - Adderall, Provigil, Nuvigil.
I have absolutely no experience with stimulants! All my meds have always been downers.
I have friends who take Adderall and they believe it helps with their depression and bad thoughts. So I got some (haven't seen my regular pdoc yet) and tried it and it works well.
But I have an extremely addictive personality, and I'm concerned that me jacking Adderall every day could lead down a bad road, which is why I'm so curious about other opportunities, such as Provigil or Nuvigil. I don't know how the latter two work, but the Adderall as you know is a pure amphetamine mixture, and the kind I've been taking recently is non-time-released, so it gives me a nice kick and puts me into a good mood and I stay out of bed and have actually been having some great days lately (highly unusual for me). But the addiction potential is definitely there, hence the Provigil or Nuvigil options. They're supposed to be much less addictive
Will these two drugs give me the KICK that I need in my brain, to stimulate me in a good and fast way like Adderall? My research tells me that the mechanism of action is unknown. But they do stimulate the brain, not just in the same way as Adderall? Although if I recall correctly, in 2012 Provigil is now the official drug of fighter bomber pilots.
Also, is it common for someone with my conditions and meds (see signature) to be taking stimulants?
Thanks greatly in advance! I'm seeing my regular pdoc first to run all this by him, but I want your expert opinions and experiences so I can research all that I can before I see him.
Lamictal is working well to balance my mood. Problem is, my apathy & motivation level is still in the dumps. I am also concerned about longterm cognitive effects that many people experience on Lamictal, worsening issues I already have (executive function/mental processing speed, memory difficulties, etc)
I was previously on Ritalin (alone) and felt it helped with the above issues. Does being on a Mood Stabilizer cancel out the effects of a stimulant (Ritalin)? I wonder if the Lamictal will dampen Ritalin's effects because it is used to cut mania/high stimulation/impulses? Any thoughts?
My prescriber of psychiatric meds has decided to try me on adderall for my ongoing depression.
I'm on two mood stabilizers so hopefully hypomania will not be an issue... has anyone had any experience trying stimulants as a treatment for bipolar depression?