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psychwardjesus

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  1. If you're experiencing legitimate akathisia, there are better options than lorazepam (couldn't say for CBD), especially if you are taking it frequently.
  2. I've also seen 1% atropine eye drops sublingual used for clozapine-induced sialorrhea. Couldn't tell you if one is more effective than the other though.
  3. I've never personally taken a TCA, but have always understood from a clinical perspective that they have always been known for having the potential to be more effective than traditional SSRI's. That being said, they're also well known for having a wider side effect profile along with greater likelihood of the possibility of side effects as compared to SSRI's. Furthermore, they're also very potent — much more so than SSRI's — in the event of overdose, which might make some prescribers nervous and reluctant to prescribe.
  4. You say interactions, but then mention particular enzymes. Are you looking for antidepressants that aren't metabolized by certain enzymes or what? When most people say interactions, they're usually referring to interactions between two or more prescription medications, not enzyme pathways.
  5. I cold turkey stopped modafinil twice and didn't notice anything. Not sure if that's a comment on the withdraw process or because it didn't do anything for me, the withdrawal process wouldn't have the same effect on me, as with others
  6. Up to this point, I would say I was almost completely psychostimulant naïve, not even recreationally in college, or otherwise, and no non-pharceutical stimulant use either — no, cocaine, methamphetamine, etc. Closest to a stimulant I'd ever taken previously was modafinil (and it didn't do anything, even at 400mg), so I doubt that counts. Anyway, I had some hope for this medication, but was very overwhelmed overall. At doses up up 60mg BID, I felt like I had a bit more energy and maybe drank a little less coffee, but didn't notice anything else remarkable otherwise. I still take it now and then, usually 60mg, but only once a day. Still don't notice much of anything. I'm almost a little bit curious to try a higher dose, 90mg or 120mg, just to see if I'd notice any difference and to finally put to bed, once and for all, the question of whether it just doesn't work or it's not at a high enough dose.
  7. Depends on which one I'm taking at the time. I have a few, z-drug/benzo/non-benzo, that I like to cycle through so that I don't become too dependant or tolerant on any one med. But, typically, I'll take it at least an hour before I'd ideally like to fall asleep, then get into bed and either read or watch TV (I know, terrible sleep hygiene), and hopefully fall asleep.
  8. My pdoc prescribes all of my stimulants. First, it was Provigil. Was on it a few months, got up to 400mg pretty quickly, decided it wasn't doing anything, and tapered off. Tried it again some time later, but same result unfortunately, just took less time to realize that. Now, I'm on 30mg of Adderall BID. Don't really notice much of a difference other than maybe consuming a little less coffee during the day. Have even gone up to 60mg at one time(pdoc knows about it and trusts me), just out of curiosity, but didn't see all that much of a difference. Definitely not the way people describe it working for them, ADHD diagnosis or not, but maybe that's only when people take way too high of a dose or mess with the route of administration by crushing and snorting them. And even if it did have that kind of positive effect, you'd never be able to convince me to take that risk as, working on a psychotic disorders inpatient unit, I've seen and worked with some people who got really messed up abusing stimulants. My sleep doc was just for the initial sleep apnea diagnosis, cpap machine set up, and three month follow ups. I've never asked her if she'd prescribe a stimulant. I'm not sure what she'd say. My guess would be no, if only because she's expressed before her dislike of me taking any sort of sleep medications (especially benzos and z drugs), which I understand, because they affect your upper airway and can cause respiratory depression, which will obviously make sleep apnea worse. I never had an issue with my insurance paying for either Provigil or Adderall. I'm not sure if my pdoc wrote the reason for prescribing them or if he had to for insurance purposes, but they were both ultimately off-label for depression (anhedonia). But as I said before, I do have a history of testing for, and diagnosis of, sleep apnea, so maybe they saw that and just assumed. Not sure.
  9. Sounds like you did a bang up job of earning that noms de guerre.
  10. Could you not get the cast off because the doctor's office wasn't open or what? I guess having a cast on for longer isn't the end of the world, but I would've thought that as long as everyone did proper hands hygiene and both you and them wore a mask (or maybe N95 for them), then it wouldn't be a big deal.
  11. Another cause for concern might be the coronavirus going around. I know where I work, they've canceled all outpatient ECT appointments until further notice and even inpatient as well, unless they're absolutely necessary and can't be switched to TMS or ketamine infusions. I'm not sure how much of it is out of safety for staff, the patients, or both though.
  12. That's terrible. Was that the first one you've missed or have you had a tough time making appointments?
  13. If you fall and break your wrist, but still say your mood seems better it must be doing something
  14. I know it's easy to get discouraged, but don't lose hope. Kind of like most things in life, sometimes you have to do things a few times before you experience a positive and long-lasting change. It also depends on the type of treatment you're currently doing (unilateral vs. bilateral) and the settings they put the machine at. The place where I work, unless it's an acute course i.e. already inpatient, have catatonia, not eating or drinking organs shutting down, etc., they try to start with the most conservative treatment and settings to see if you benefit but don't run into issues like problems with short-term memory.
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