Fox Grove
Greenlighter
Just moved, been taking Ritalin for 14 years, doc says he wants to try me on this. Just took my first one. What is this all about? Oh I am 34 years old.
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BDD Moderators: Keif’ Richards | negrogesic
what is Nortriptyline?
- Thread starter Fox Grove
- Start date
ErgicMergic
Bluelighter
Maybe he is doubting your ADD, and/or either wants to:
a.)cycle you off a stimulant without you realizing, to see if focus remains, to rule out ADD
or
b.)thinks it could be anxiety or depression induced "ADD," which is not true ADD, this could be the case
or
c.)he is getting inspected/license is threatened, so he is trying to prescribe less scheduled substances
I would refuse and tell him what has worked for you for 14 years. A TCA will probably make your ADD symptoms worse, unless anxiety and depression are larger concerns for you at this moment.
a.)cycle you off a stimulant without you realizing, to see if focus remains, to rule out ADD
or
b.)thinks it could be anxiety or depression induced "ADD," which is not true ADD, this could be the case
or
c.)he is getting inspected/license is threatened, so he is trying to prescribe less scheduled substances
I would refuse and tell him what has worked for you for 14 years. A TCA will probably make your ADD symptoms worse, unless anxiety and depression are larger concerns for you at this moment.
Cane2theLeft
Bluelight Crew
- Joined
- Jun 21, 2008
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- 12,673
ErgicMergic
Bluelighter
From what I gather, Nortriptyline can't be any better than something like Bupropion (Wellbutrin) or Effexor for treating ADD. The SNRI effects of this TCA help ADHD, but the major downside is that it is a mACH antagonist. Acetylcholine agonists help with focus, not antagonists (anti-cholingergenics).
Also, MPH is a relatively powerful stimulant, not as powerful as amphetamine, but still quite powerful compared to SNRI's, NRI's, or TCA's. I still think his doctor is being investigated, or suspects abuse, and wants to prescribe a non-scheduled drug instead. I see something like Wellbutrin being far more effective, as it reuptakes and releases DA at a 2:1 ratio relative to NE. Also, it lacks mACH antagonism, which would mean no sedation, foggyness, memory deficit, focusing problems, etc.
Let us know how it goes, OP, but I would try to switch back to Ritalin immediately before you become dependent on an anti-depressant. I think these are more for hyperactive children who need some sort of significant serotonin activity and mACH antagonism to relax them. It should be used for a non-anxious, non-depressed adult who has had good results with Ritalin for 14 years, imo.
Also, MPH is a relatively powerful stimulant, not as powerful as amphetamine, but still quite powerful compared to SNRI's, NRI's, or TCA's. I still think his doctor is being investigated, or suspects abuse, and wants to prescribe a non-scheduled drug instead. I see something like Wellbutrin being far more effective, as it reuptakes and releases DA at a 2:1 ratio relative to NE. Also, it lacks mACH antagonism, which would mean no sedation, foggyness, memory deficit, focusing problems, etc.
Let us know how it goes, OP, but I would try to switch back to Ritalin immediately before you become dependent on an anti-depressant. I think these are more for hyperactive children who need some sort of significant serotonin activity and mACH antagonism to relax them. It should be used for a non-anxious, non-depressed adult who has had good results with Ritalin for 14 years, imo.