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adhd + psychosis(schizoaffective)


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My diagnosis is psychosis + ocd + some adhd like symptoms(attention/concentration problems with poor working memory)

 

I take clozapine for my psychosis symptoms + fluoxetine for ocd and modafinil for alertness/adhd.

 

I had tried methylphenidate last year, but that worsened my paranoia symptoms. So I dont wanna try stimulants again.

 

Now I didnt had any psychotic symptoms for over a year now. Ive had been taking modafinil 100mg for over a year without any paranoia. Since I still have adhd problems, my doc last month increased modafinil to 250 mg. He says I can increase it more if I still have attention problems but I'm afraid if that might bring paranoia back ? Ive not tried increasing the dose above 250mg. I dont wanna risk psychosis again.

 

Is there any other nonstimulant drug for adhd which is effective and does not trigger psychosis/paranoia at the same time ? What u guys think about nonstimulants such as bupropion and atomoxetine ? Do they trigger psychosis ?

Edited by clinic
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  • 3 weeks later...
Took pristiq(Desvenlafaxine) for like 2 weeks. After increasing it to 100mg from 2nd week, I noticed some minor improvement in cognition(quicker memory recall,ability to think fast) but nothing major improvement in attention/working memory. Rather had some sexual dysfunction on pristiq, and also some irritation issues. So I've stopped it for now.
 
I've started Strattera(atomoxetine). Will report soon on how it goes.
 
 

Wellbutrin is a possibility, it actually acts like a very mild stimulant. It's in a class of AD in it's own class called atypical AD. It's NOT a SSRI. Nor does it have any of those nasty SSRI side effects.

 

I cant take wellbutrin due to history of seizure.

Edited by clinic
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  • 3 weeks later...

So Ive been on atomoxetine since 2.5 weeks, I've noticed some improvement in my attention problems and also improvement in comprehension ability. I'm now at 61mg/day. Its been 3 days since i increased the dose to 61mg from 50mg. My ability to recall things from memory is at its peak. I recall things so fast ! Another positive thing about it is that I've not noticed any paranoia symptoms like I did with modafinil at higher doses.

I've read that atomoxetine can rarely cause liver damage. I've not noticed any significant liver issues but I get this urge to itch on my hands and shoulders in the evening(not sure if its from the drug or from the warm bath i take in the evening). Also frequent numbness in my legs while sitting.

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  • 2 weeks later...

Hi just posting another update.

 

So right now I'm on 60mg/day of atomoxetine. My comprehension ability is much improved and also some improvement in attention. No side effects so far. No paranoia, no anxiety.

 

I've also started Nutrigold double strength omega 3 fish oil. I've noticed if I take the fish oil at night, I don't feel sleepy. Its only been few days so its too early to conclude if its beneficial or not.

Edited by clinic
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  • 3 weeks later...

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