View Full Version : Experienced users, may I please have your opinion on my regimen?


liquidmetal
05-16-09, 05:45 PM
Hello, I'm a male in my early twenties and have been diagnosed with OCD (severe), MDD (recurrent), ADHD, PTSD, BDD, Low Self-esteem, Health Anxiety and Social Anxiety.
This section is about Adderall and appears to be the most popular in ADHD medications, so I decided to post it here seeing that it is all related.

1. Luvox IR 300 mg (150 mg - 12 hours apart)
2. Bupropion SR (150 mg - 12 hours apart)
3. Dextroamphetamine IR (30 mg - 10 mg 4 hours apart)

I also take a multivitamin, b-vitamin complex, and fish oil.
I've tried Effexor and Zoloft in the past only shortly - horrible sexual side effects.
My next appointment with my p-doc is in a month and I am going to CBT on a weekly basis.

Thank you for your opinion! :)

Yellow
05-16-09, 05:58 PM
you already made this thread. its like 3 threads below right in this very same adderall forum. you titled it something like "luvox 30 mg - wellbutrin 300mg - adderall 30mg" or something like.

anwyay, this is a double thread and it will eventually be deleted, but your obviously double posting because no one answered but me and your (im)patiently waiting for more feedback right? lol

well since the moderator didnt delete this post yet, which they will shortly, here is the answer that i gave you in your first original post about this same topic:

Since im frustatingly posting this again (but I AM doing it because I am a nice person with similar issues and I would like to help you) i will be even more honest. That combination is a bad idea. period. for many reasons, but heres my first post from the original thread:

that much wellbutrin with dex might be a bad idea, like possible seizure risk. i would definitely keep wellbutrin to a low dose, since its SR, i dont think u can split those pills. i would definitely ask for a lower dose, and that might require IR or XR....just lower the wellbutrin because the dex is doing almost the same thing at a much much higher potency.

the luvox sounds fine but there might be better meds for you as far as anxiolytic/antianxiety SSRI/SNRI's ill list this from another post:

SSRIs in my order of anxiolytic strength
#1 zoloft -can be activating with SLIGHT Dopamine reuptake
#2 paxil -slight Norepinephire reuptake which can acutally increase dopamine in freontal cortex but also sedating because of anticholinergic effect, so its like a very weak SNRI
#3 luvox -if zoloft doesnt work and u dont want slight sedation from paxil, id try this
#4 prozac -it can also slightly release Dopamine and norepinpehrine, but if your taking adderall, its negligble probably
(lexapro and celexa arent for anxiety, just depression)

SNRI = Pristiq. after all my research (including reading Stahl's Essential Pscyhopharmacology) and my own trials with a few of the ssri's, i think this is the best antidepressant/anti anxiety (anxiolytic) available. i would try this first before anything else seriously. one dose, 50mg, no titration. it worked for me within 3 days, i was amazed as SSRI's didnt too much for me after a whole month.

if your anxiety is really bad, adderall wont help much for that, but DEX can solve ur ADHD without much anxiety added to it.

If I were you, I would ask about Pristiq with Dex. Instead of taking wellbutrin and luvox, pristiq does what luvox does with more NET potency with a much lower dose than ur taking, and it also has some DRI properties of wellbutrin, but at a much lower level, which is better as i said anyway. its also only XR, so you take 1 antidepressant/antianxiety pill in the morning and all u gotta worry about is dex dosing.

pristiq and dex has been the best combo ive ever seen or tried. otherwise, try zoloft and dex.

Thats my opinion: forgot that combination, specifically LOSE the wellbutrin if ur gonna take amphetamines, i wouldnt do it myself because there are better combos out there and like i said you have a potential seizure/toxic event on your hads, and try what i said...

I would reschedule with your pdoc and change ur meds immediately. if you would like to read more on why i came to these conclusions, i highly recommend buying/renting but whatever way u get it, read Stephen Stahl's Essentials of Psychopharmacology. Once u get to the depression/antidepressant section, youll wanna stop taking that stuff too. really, see if u can fix up that regimine with your current doc ASAP,like dont wait a month, call him today. otherwise u should get another doctor, im very surprised that u were prescribed those things together. its risky.

hope this helps, good luck,peace

(your welcome)

Yellow
05-16-09, 06:01 PM
btw, you should be posting this in the dexedrine forum. it slipped my mind until i reread the post, but your not taking adderall. post in the appropriate forum so you can get a better answer from experienced users of dextroamphetamine. people in this forum mainly use adderall, though some dont, such as myself, and i wanted to help u out, but yeah man....double posting and posting in the wrong place will simply get you less and less replies.

liquidmetal
05-16-09, 08:29 PM
Thank you for your opinion, but I'm afraid you're mistaken on the double posting.
This is the one and only thread I have posted here in some time.
I also don't refer "Wellbutrin" or "Adderall" either.
Just Bupropion and Dextroamphetamine.

liquidmetal
05-16-09, 08:43 PM
I also heard the Bupropion is also a dopamine antagonist (I'm not sure what it does for noradrenaline), but basically it blocks the release of dopamine from amphetamine, although it does nothing to stop it from blocking reuptake - but amphetamine however is a lot weaker at doing that. I have taken Dextroamphetamine and Bupropion before, and I definitely noticed that I was a lot more edgy, full of nervous energy. They also use Bupropion for drug addiction, not just nicotine, but they're looking at it for methamphetamine. Not only because it helps with the methamphetamine cravings, but it reportedly gives the users a much weaker "high".

Yellow
05-16-09, 11:09 PM
Ok Bupropion is wellbutrin. it is not a dopamine antagonist, though its chemical structure is similar to amphetamine, and related to the amp family probably.anyway what it is is a NDRI, norepinephrine dopamine reuptake inhibitor. it increases anxiety for those with anxiety because its main action is on norepinephrine, and basically it increases adrenaline. it is used for people with depression that do not respond to ssri's or that cannot take ssri's side effects. you sound like you dont respond to ssri/snris either. many have lethargic depression from low adrenaline levels, but they dont have anxiety, and this is what works for them. it has slight dopamine reuptake inhibition, nothing really to give adhd/add people dopamine to function well, but enough to make it feel like a stimulant. i think it feels like weak weak adderall without focus. your anxiety level is too high to take wellbutrin with stims. if your lookin for a double dopamine boost from bupoprion and dex, your lookin in the wrong place, its not what happens.

combining the NDRI with a stimulant will give you ANXIETY because dex releases norepinpehrine, and wellbutrin adds to this. you dont need anymore norepinpehrine, and you certainly dont need to try to add dopamine with an NDRI if your taking dex.

you have anxiety and add. you need an SSRI/SNRI (like luvox, though i think you really should look into pristiq. zoloft is also supposed to be excellent for anxiety, but u say you dont like it) and JUST dex...no wellbutrin. pristiq actually has very slight dopamine reuptake inhibition too, so its really an SNDRI (serotonin-norepinpehrine-dopamine reuptake inhibitor) but not enough of dopamine action to be problematic like wellbutrin or bupoprion as you prefer (seizure risk)

BOTTOM LINE MAN: you dont need all three meds and the one to go is bupoprion.
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on a side note, my friend
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Luvox 300 mg - Bupropion 300 mg - Dextroamphetamine 30 mg - should I be opimistic?
<hr style="color: rgb(209, 209, 225);" size="1"> <!-- / icon and title --> <!-- message --> Does this sound like a good combination from what you guys have heard? Basically it is 150 mg Luvox IR 150 mg, Bupropion SR 150 mg every 12 hours. Dextroamphetamine IR, taken 10 mg each morning every 4 hours. The conditions I am treating is MDD (recurrent), OCD (severe), ADHD, PTSD, BDD, Low Self-esteem, Health Anxiety and Social Anxiety.


http://www.addforums.com/forums/showthread.php?t=68274

is this not your post? im pretty sure it is. now if it isnt, someone with a very similar username and i guess almost the exact same combo of meds made a post, and interestingly enough, in the wrong forum too....instead of being in the dexedrine forum, since were talking about dexedrine because its your medication, it shouldnt be in adderall forums, it should be in the dexedrine forum. you see what im sayin? i read "dex" but i automatically just saw "adderall" instead because this section is for adderall.

so i think you're mistaken about me being mistaken about a double post and the whole med confusion thing. to be honest, i couldnt care less about them in general, but the only reason i mentioned it is because i gave a really detailed, researched, and thoughtful response, and you ignored it because no onelse responded and ya made another thread instead to get more responses. i dont mean to be touchy or like sensitive or nothin, but you know, i did spend some time puttin all that together for you and i thought maybe a thank you would have been more in line than ignoring it and making another post for someone else to answer (better?). dude, u got as good an answer as u can get. and i think it was posted what? 2 days ago maybe? but you havent posted in quite some time. maybe my calendar is wrong.

now, if i am mistaken, and that isnt your post, your thread, your username, and your med combo, then i sincerely do apologize. im not being a dick, and i want you to know that the reason i answered and my primary intention in the first place was to help you by giving you a very well informed response. (i study psychopharmacology for fun man, and since i am more knowledgeable about the science than just giving my experience with whatever i tried, im tryin to give u an idea of whats goin on inside ur brain so you can understand why this isnt a good idea) im just trying to help the best i can. and i hope you do well and wish u the best of luck. Peace

(edit: P.S. With all of the psychiatric issues or disorders you have, i think you might need a better psychiatrist. if you have all those things, and he gave you that combination, hes either really incompetent or very daring/experimental. I think you should get a second medical opinion. Actually, the more i think about this, I dont think amphetamines are for you so please get a second opinion. (based on ur point about wellbutrin helping withdrawls with nicotine, drug addicition, and meth, i think you might not be telling something that might give some more insight in this combo and what u need, but in any case, i sense amps could be a problem for you down the line for some reason, rethink this, u might wanna stay away and im saying this for your own benefit/protection) good luck again dude, im out

muldoon
05-17-09, 12:45 AM
...but the only reason i mentioned it is because i gave a really detailed, researched, and thoughtful response, and you ignored it because no onelse responded and ya made another thread instead to get more responses.

Wow. I guess my reply wasn't "detailed enough" to be visible.

Lots of people double post or post in the wrong section, especially if they don't hear what they want to hear. So what. Offer your .02 and if they take it then great. If they don't and look for "2nd opinions" in some other section, then it doesn't justify capital punishment or anything.

Yellow
05-17-09, 02:23 AM
hey, if anyone took offense, please dont, remove any emotional subtext you may have implied. i write with a bit of a sarcastic tone, but i mean no harm...i mean look at the care in my response man

ive been told about my double post before i knew the forum rules, and i was just letting this guy know, especially since my "detailed, researched, and thoughtful response" went totally unacknowledged.

he missed some good stuff there, which is why i reposted. thats as good a time as any to let people know the forum rules....then they might see why the rules are there to begin with (such as no double posting to avoid monotony, wasting space, confusion, placing things in appropriate applicable forums,etccc)....again, there are always jerks on every forum that are mean about rules, saying "UTFSE!" or something like that... i was simply pointin out something useful, tho it might have sounded mean i was actually trying to be helpful and humorously sarcastic. some of that stuff is meant to be funny.

more importantly im trying to help this guy out from a possible bad combo with some medically sound alternatives based on science that ive researched personally. im guessing he doesnt know too much of the pharmacology or risks involved with that combo, and it doesnt sound like his dr does either.

beleive me, there are drs out there with DEA licenses to write scripts that shouldnt be written, and i think this is one of those cases, and im only expressing concern, as cynical as it may sound, its out of kindness that i took the time to put all that info together. and it took me quite a while, ok?

i coulda just as easily said nothing at all, but i took the time to make sure he read what i had to say because i think this site is supposed to be supportive,right? if u can help, help. i gave my 2 cents, and he either didnt want it or didnt take it or didnt see it... so now hes getting 4. now thats generosity, now if he doesnt want that then whatever.... especially if my good intentions will now be construed as "capital punishment." now thats funny

i was simply tryin to help and give the info that he wanted + more, but i guess less is more, nuff said

PS lol, i still see strange inconsistencies: besides not konwing hes taking "wellbutrin" and postin dex stuff in adderall, he said he didnt make a post anytime recently, but theres an identical post like right next to it from 2 days ago, and i dont know why the post following mine was about bupoprion being a dopamine antagonist used for drug addiction withdrawal because it gives a weak meth "high"? whatever, im done with this thread

BEST WISHES AND GOOD LUCK TO ALL

muldoon
05-17-09, 03:14 AM
Yeah it's obvious he posted twice, but my point is you were not the only one who responded to his thread. I did as well. You said "noone else responded" & "no one answered but me".

I pretty much wrapped it up without the novel by suggesting taking care of the anxiety disorders before taking any stimulants or Wellbutrin, as they are probably not the best idea for someone with unchecked OCD & anxiety. Which basically is the condensed version of your posts.

It's no big deal, but just because I didn't mention the vast quantities of research that I've done to support my reply doesn't mean it was worthless, or, in your case, apparently wasn't even there.

Yellow
05-18-09, 12:51 AM
I also heard the Bupropion is also a dopamine antagonist .....They also use Bupropion for drug addiction, not just nicotine, but they're looking at it for methamphetamine. Not only because it helps with the methamphetamine cravings, but it reportedly gives the users a much weaker "high".

You know muldoon, I think we wasted our time on this thread, especially me for bothering to look up all that stuff I did and typing such a "detailed, researched, and thoughtful response." lol For some reason, when something's not right, it sits in my head and my subconsious keeps pokin at it. Well, something clicked and now I see why I was so cynical/sarcastic/blunt (with liquidmetal).

I was thinking about his reply above (which came after our feedback in both posts), and it has nothing to do with anything at all. He should have asked a relevant question to all that I said, but the question he asked, for some reason, is about meth. Follow me:

His only acknowledgment of my post, that being the concept of the bad combination of dex and wellbutrin, is that he admits that he gets nervous and anxious with that combo. So if he knows the answer to his question, what is he really asking?

Then he asks a question to see if wellbutrin is a dopamine antagonist, which is a fairly good reason to suspect that he's is into dopamine related recreational drugs because the pharmacology he explains afterwards is jibberish. Also, a simple google search would let him know all about wellbutrin being a dopamine antagonist or not.

Then he asks if "it reportedly gives the users a much weaker (methamphetamine type) "high".

Then the lies: he lies about a double post, lies about not knowing what wellbutrin is, and partially lies about adderall/dex forum thing.

I'll bet if you check his other posts, they will probably have something to do with a "high" related to ADHD meds, specifically wellbutrin, methamphetamine, and adderall and/or dex.

So since now I know I wasted my time I take back the apology from my previous post. All of the sarcasm and cynicism should be construed as reprimanding after all. Funny how new meaning can be found after the fact.

Liquidmetal, stop trying to get high off of ADHD meds, and if you really do have those psych issues, you shouldnt be using/abusing drugs. Get a psych who cares and try to get the help you need. Dont self medicate or chase prescription highs. And dont waste peoples time on websites for ways to use ADHD meds for fun when they are trying to get help with their condition and meds.

Muldoon, you were right tho, you did post in the other thread and I missed it unintentionally, so that wasn't ignoring your feedback on purpose, I just didnt see it. peace