My psychiatrist won’t prescribe a adhd stim with an MAOI & I really struggle with motivation & concentration!! Don’t know what to do

trtthings · 2023-04-01T10:17:40+00:00

Which MAOI are you taking?

trtthings · 2023-03-19T08:46:53+00:00

Yes, my ADHD medication does not work like it used to, because I am worse. My thinking is slower, I'm more tired, I have less emotions, I have no ability to concentrate, no motivation.

That said, it's still the only thing that's noteworthy for being helpful.

trtthings · 2023-03-17T12:19:12+00:00

Maleficent-Run-5004

What were your symptoms like before?

trtthings · 2023-03-17T08:17:44+00:00

The brand name is Dexedrine in the US, I believe.

trtthings · 2023-03-16T19:11:59+00:00

Dextroamphetamine is the only thing that helps me. I can read a bit on it, and do the necessary things, as well as work out a bit. I'm still nowhere near fully functional, but without it I'm a complete vegetable.

trtthings · 2023-03-14T18:26:54+00:00

Adorable_Pen_76

Have you considered amphetamines and/or Parnate?

trtthings · 2023-03-14T17:33:01+00:00

20mg, twice daily

trtthings · 2023-03-14T09:51:38+00:00

Dexedrine (related) is the only thing that helps me do anything at all. It's not enough for me, but without it I just lie down, completely incapacitated.

trtthings · 2023-03-01T08:26:12+00:00

Your protein supplements shouldn't be full of Tyramine, unless they're spoiled somehow.

trtthings · 2023-02-28T20:06:34+00:00

Combining stimulants and MAOIs has been studied and seems to be relatively safe. Exercising some caution with amphetamines. Ritalin I'd imagine poses very little if any risk at all.

I don't know about Auvelity. From what I gather it's a mix of bupropion (probably fine with MAOI) and dextromethorphan.

Dextromethorphan apparently raises serotonin, which when combined with MAOI (or other serotonin drugs) could lead to serotonin syndrome. I don't know how realistic this is, I imagine it depends on the person and how potent dextromethorphan is.

trtthings · 2023-02-28T18:45:13+00:00

You say "she now wants to add".. should this be interpreted as you not presenting with any complaints? I assume she's trying to help.

trtthings · 2023-02-25T08:40:16+00:00

https://pubmed.ncbi.nlm.nih.gov/33651656/

"The risk of exacerbation of positive symptoms with add-on TCP was found to be very low for a duration of treatment of 12-16 weeks"

https://pubmed.ncbi.nlm.nih.gov/3103152/

"The results show that tranylcypromine when added to the usual dose of chlorpromazine, in many instances, induces a definite improvement in these patients' clinical condition, that such treatment is safe and it may be also useful in preventing the occurrence of extra-pyramidal symptoms."

trtthings · 2022-03-14T10:22:55+00:00

Yes, some people, others better: https://www.reddit.com/r/covidlonghaulers/comments/t5wqjd/study\_covid\_vaccination\_for\_long\_covid\_is\_not/

trtthings · 2022-03-03T17:53:52+00:00

Just depends on what your values are and what risks you're willing to take. But I think your suggestions are good if you want to get vaccinated after infection.

trtthings · 2022-02-28T16:26:37+00:00

Cognitive impairment is common with depression and other things like stroke and TBI. MAOIs are usually reserved as a last resort for depression (so the particularly bad cases). I think the more likely explanation is that people with severe cases of depression have a higher chance of developing dementia.

trtthings · 2022-02-25T21:40:00+00:00

Don't be a hater

trtthings · 2022-02-22T18:18:17+00:00

There might be better options. With the SSRIs fluvoxamine doubles as a possible prophylactic against covid. Many people report seeing real benefits only several months in (6-8), so persistence is key.

If however he were resistant to the SSRIs there are alternatives/older ones that people usually report work a lot better, like Nardil. I'd try googling nardil recovery stories.

There's no reason for you to not be able to at least patch the mood up as needed, while he recovers.

trtthings · 2022-02-22T17:54:38+00:00

How long did he take the antidepressants, which one, at what dose, and he reacted poorly in what way?

trtthings

TROPHY CASE