I previously mentioned IM depo-testosterone 200mg with chronic opioid usage ….but taking a dopaminergic stimulant is very essential
Adderall / Dexedrine / Desoxyn (dextro-Amphetamine & dextro-Methamphetamine)
Ritalin (Methylphenidate) is a “Classic Amphetamine” nearly identical to Cocaine in its MOA, both being classified as an Inverse Agonist, blocking the function of the DAT/NET/SERT while also causing the release of these monoamines, specifically the Dopamine transporter
Ritalin 20mg tablets X 3-4 tablets daily for an adult…..extremely safe with little to no increase in BP or HR and increases Dopamine 3-4X over Norepinephrine. Very euphoric mood-boosting properties, increased vigilance,
Methadone 80-100mg
Ritalin IR 60mg
Testosterone 200mg IM
Alprazolam 1mg