I like the fact that with memantine, while I sometimes feel like I am on a dissociative, I don't have any psychoactive effects besides the "brain fog". I also like that the clean receptor profile of memantine means that I can partake of substances without worrying about ending up with serotonin syndrome or weird body effects. It DOES drastically reduce your tolerance to anything that you quit taking though (besides other NMDA antagonists) and as little as three beers after being on memantine less than a week got me trashed and left me with euphoria and then a hangover the next day so the tolerance reduction is rather marked.
Also since I have been taking memantine, I have had some respiratory suppression here and there - I can't yet determine if this is due to the Valium being potentiated or if it is a side effect of the drug itself but it seems to be much worse when I take my Valium early.
Another key point that I've noticed is that at night, I randomly pass out, and end up missing my night dose of meds, usually before midnight, and then I wake up like clockwork around 4:45AM every morning now and generally can not go back to sleep. I woke up in my computer chair (this has been happening pretty frequently) - the ironic thing is that my back and neck hurt less falling asleep sitting up, in an awkward position on my computer chair, than they do when I sleep in my bed.
The extreme sedation that I experience at night is BEFORE I take my night dose of Valium and memantine and the sedation is rather marked - it is impossible for me to fight through it to stay awake.
I added in 30mg of Delsym yesterday as a tester to see how it would interact with the mix because I was experiencing rather significant benzo withdrawal (damn Valium and its ridiculously long half-life - it takes about 14 days before 50% of the blood plasma level goes down and I'm on day 10 as of now) - to my surprise, memantine doesn't seem to increase tolerance to DXM and about two hours after dosing the Delsym, my withdrawal side effects all but subsided. I am now up to 45mg of Delsym and I believe I will keep taking the Delsym since there is something about Delsym's pharmacokinetics that allows it to reduce tolerance to meds that you are still taking just as fast as memantine does for drugs that you are NOT currently taking.
Thanks for the note about the benzos. I am hoping so as well. I am quite confident that NMDA antagonism is the way to go in regards to benzo withdrawal but I hope I can keep doing my 25% cuts - I may wait until I've been on the DXM/memantine combo for 7 days before I attempt to dose any lower on the benzos as I'm looking for as much discomfort as possible.