In a similar way to how taking Wellbutrin (very mild NDRI like Ritalin) is

Not concerned about safety as I’ve taken it many times together, I just wonder if I might be better off with a solely serotonin thing and let the Adderall handle the norepinephrine part

  • Daemon Silverstein@calckey.world
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    2 days ago

    @sopularity_fax@sopuli.xyz @nostupidquestions@lemmy.ca

    As someone who was once medicated with Paxil (Paroxetine) and Ritalin (methylphenidate), a scenario of which is quite similar to yours, I do not recommend. I believe it left lasting effects on my body even though I stopped it a decade ago. Sadly, many (if not all) psychiatrists think of their patients as guinea pigs, unbothered by possible consequences of mixing different substances inside a person’s organism.

    • sopularity_fax@sopuli.xyzOP
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      23 hours ago

      Do you have some idea of the pharmacology behind what you’re describing? Like serotonin syndrom or something

      • Daemon Silverstein@calckey.world
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        21 hours ago

        @sopularity_fax@sopuli.xyz

        I don’t know about pharmacology specifically, but in my case, the cocktail ended up provoking a “chronological limbo”: while I do remember many things from that time, I can neither remember when nor for how long they happened. This “chronological limbo” continued happening even after I decided to stop the cocktail on my own (because, if I were to depend on my former psychiatrist, I would still be taking these medication nowadays),

        All I can say is in practical, layman terminology: SSRIs/SNRIs “calm down” while Ritalin/Aderall “agitates”, and when we put their effects this way, it sounds pretty paradoxical: it’s hard to visualize someone who’s both “calmed down” AND “agitated” simultaneously without some consequences stemmed from this “seesaw” going on inside the brain.

        Also, each pharmaceutical medication comes with their own set of side effects (that’s why they come with a quite extensive medication leaflet, not just for legal purposes) and, like a lotto, a patient may or may not “win” these side effects. Doctors often don’t recommend their patients to read the leaflet (at least around here where I live) because they argue “leaflets are just legal instruments to exempt the pharmaceutical manufacturer from any legal issues, you should trust me instead”. But a doctor (such as a psychiatrist) can only know much about each drug and their side effects, and the doctor can only know much about each patient. Medical consultations last a maximum of two hours and only occur every week or month, so the doctor can’t possibly know everything about the patient in that short period of time.

        Again, I can’t really say about pharmacology, and each situation is specific, each organism reacts differently to treatments, so what I did doesn’t necessarily apply to your situation. In best case scenario, you should try to get a second opinion from another psychiatrist. I say “best case scenario” because psychiatrists often contradict their colleagues’ diagnoses: to exemplify my case, the first psychiatrist diagnosed me with GAD and depression, another diagnosed me with depression and some Freudian-like childhood trauma of loss, then another diagnosed me with StPD, then the most recent two diagnosed me with nothing at all arguing “it’s who you are” and decided not to medicate me… besides the last two, each psychiatrist prescribed me different cocktails, often with side effects, and none effectively got to “cure” whatever I have (which is more ontological than psychiatric), hence my distrust on psychiatry. Maybe the psychiatrists around you are more capable, so I’d recommend trying to get a second psychiatrist’s opinion, even though it may be an additional cost: the cost of lasting side effects from medication can be expensive on long term.

  • Angelevo@feddit.nl
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    3 days ago

    Yes. Consult Dr. before trying things like this; combinations can get out of hand fast.

        • sopularity_fax@sopuli.xyzOP
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          23 hours ago

          About? What is the objective issue? I know I’m suggesting that I consider it duplicative but that doesnt necessrily mean I know anything relevant or am even correct?

          I just mean to not take it for granted that my concern is actually well-founded or coherent

          • Angelevo@feddit.nl
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            18 hours ago

            Well, this is the kind of question that I would expect your doctor to answer for you. Generally, that is a better source than random people on the internet. If the two are prescribed together, there is probably a reason for it.

            If you feel like you may do just as well with less medication, talk to your doc about that and simply plan to try it out for a while. Titrate off one of the meds and see how it affects you.

            Good luck!