Hi,
I'm looking for guidance or experiences any of you could have on the subject. I am looking to optimize my combo of meds for school with an accent on keeping anxiety at bay. I am currently taking 30mg Celexa and 15mg of Adderall. Respectively for Anxiety/Emotional and my ADD. I basically been around the block with many medications and would like to discuss the mechanisms of dopamine/serotonine and any alternatives. I'm scared I might've done damage in the past 4-5 years having alot of MDMA/Ecstasy weekly.
So far:
Adderall:
Has been very helpful with concentration and motivation, however I find stimulants as a whole kind of, hard on the body. Mainly muscle pain. I'd gladly go to the gym however, the motivation it brings makes me a little antisocial, maybe a bit of Social Anxiety, as in you know thinking what people might think or talk about you etc.
Antipsychotics:
Abilify and Latuda. Both caused some marked akathisia. That kind of feeling that something is just wrong and you just can't sit still and feel jittery and, well not good. Did seem to be a bit stimulant and kept those "anxiety/paranoia" feelings at bay, but the cost is too high. Seroquel and stuff, can't stand the weight gain. Maybe the Dopamine reduction is not something we'd like to do. Probably depends on the source of the anxiety but really It's just being on Stims makes me think everyone in the class knows I'm on it so I get nervous and agitated.
Celexa:
Didin't cause any noticeable side-effects, reduces social anxiety, general feeling of I don't care as much, which is good, but not perfect.
Ativan/Benzo:
Lot's of fun, feels kind of drunk, does mix well with Adderall but had it PRN, that it still an option like 1mg x15 per month, as discussed with my doctor.
Options:
Well I have many options that I've researched.
Here's a list of the approaches I've considered and would need an opinion on. It's something for long term, with the least side-effects, I'd like to keep my brain as sane as possible... I'm seeing my doctor soon and would like to have information on those combos before suggesting these changes to my treatment.
#1 - Switching from Adderall to Dexedrine to better control the anxiety it causes and reduce it's side effects, which may be cause by the Levo-amphetamine component.
#2 - Switching to a MAOI like Selegiline for Motivation and Concentration, keeping or removing Celexa. What is your experience with this, is it too much of a jittery combo, anxiogenic?
#3 - Adding something to help sleep/relax muscles at night and keep using Dexedrine/Celexa. Flexeryl comes to mind, Triazolam with it's very short half-life would probably knock me asleep at an earlier time, better sleep = less anxiety?
#4 - Betablockers like Propanolol to keep the physical anxiety at bay and help relax in class while doing my stuff.
#5 - Xanax/Ativan once a day PRN when too anxious in a class?
Thank you very much for any pointers you guys might have! Any experience is really appreciated.
M4007
I'm looking for guidance or experiences any of you could have on the subject. I am looking to optimize my combo of meds for school with an accent on keeping anxiety at bay. I am currently taking 30mg Celexa and 15mg of Adderall. Respectively for Anxiety/Emotional and my ADD. I basically been around the block with many medications and would like to discuss the mechanisms of dopamine/serotonine and any alternatives. I'm scared I might've done damage in the past 4-5 years having alot of MDMA/Ecstasy weekly.
So far:
Adderall:
Has been very helpful with concentration and motivation, however I find stimulants as a whole kind of, hard on the body. Mainly muscle pain. I'd gladly go to the gym however, the motivation it brings makes me a little antisocial, maybe a bit of Social Anxiety, as in you know thinking what people might think or talk about you etc.
Antipsychotics:
Abilify and Latuda. Both caused some marked akathisia. That kind of feeling that something is just wrong and you just can't sit still and feel jittery and, well not good. Did seem to be a bit stimulant and kept those "anxiety/paranoia" feelings at bay, but the cost is too high. Seroquel and stuff, can't stand the weight gain. Maybe the Dopamine reduction is not something we'd like to do. Probably depends on the source of the anxiety but really It's just being on Stims makes me think everyone in the class knows I'm on it so I get nervous and agitated.
Celexa:
Didin't cause any noticeable side-effects, reduces social anxiety, general feeling of I don't care as much, which is good, but not perfect.
Ativan/Benzo:
Lot's of fun, feels kind of drunk, does mix well with Adderall but had it PRN, that it still an option like 1mg x15 per month, as discussed with my doctor.
Options:
Well I have many options that I've researched.
Here's a list of the approaches I've considered and would need an opinion on. It's something for long term, with the least side-effects, I'd like to keep my brain as sane as possible... I'm seeing my doctor soon and would like to have information on those combos before suggesting these changes to my treatment.
#1 - Switching from Adderall to Dexedrine to better control the anxiety it causes and reduce it's side effects, which may be cause by the Levo-amphetamine component.
#2 - Switching to a MAOI like Selegiline for Motivation and Concentration, keeping or removing Celexa. What is your experience with this, is it too much of a jittery combo, anxiogenic?
#3 - Adding something to help sleep/relax muscles at night and keep using Dexedrine/Celexa. Flexeryl comes to mind, Triazolam with it's very short half-life would probably knock me asleep at an earlier time, better sleep = less anxiety?
#4 - Betablockers like Propanolol to keep the physical anxiety at bay and help relax in class while doing my stuff.
#5 - Xanax/Ativan once a day PRN when too anxious in a class?
Thank you very much for any pointers you guys might have! Any experience is really appreciated.
M4007
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