Quote:
Originally Posted by Mystical
I've been to two psychiatrists and they both suggests similar meds for focus/concentration/attention/impulsivity:
Stimulants: Vyvanse / Concerta / Adderall
Non-Stimulants: Intuniv / Kapvay / Strattera /Aplenzin
Mood Stabilizer: Wellbutrin / Efexxor / Elvadil
I haven't tried them yet. Let me know if you had any luck with those listed above.
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Hi Mystical,
Great lists of stimulants and non-stimulants.
I haven't seen your "mood stabilizer" list as designated mood stabilizers. These are generally classified as anti-depressants. For instance, Wellbutrin can be very agitating. Low dose Elavil is often used for pain and sleep. There is much talk about returning to the older tricyclic anti-depressants at higher doses to treat depression when SSRIs fail. Elavil is a tricyclic anti-depressant. (Tricyclics were popular before SSRIs were avail, SSRIs avail approximately late 1980's-1990's).
Mood stabilizers are usually anti-epileptic meds or lithium. The AEDs include: Depakote, Tegretol and some related AEDs are also tried as mood-stabilizers (Neurontin, Topamax, Lyrica, Keppra, etc.)
I have had some good luck with the more sedating SSRI meds for sleep and pain, less agitation.
(Citalopram, for example. however, citalopram is becoming increasingly controversial, as to effects upon the heart. I don't like using it with all that has come out about it over the past year or so.)
With the more energizing anti-depressants, I can become too agitated.
I am, however, giving low-dose Wellbutrin another try at this time. Carefully.
(I have an M.D. fairly experienced in using these types of meds in lower doses through "compounding" by a compounding pharmacist. We may go that route at some point.)
I have had good luck with low-dose Depakote, which is an anti-epileptic med, and a potent mood-stabilizer. It calms my brain so it's not as susceptible to overstimulation and evens out mood changes. I had needed Depakote immediately after my injuries, for the same reasons and for impulse control. Depakote can also help with headaches. It's been over two years now and I still need Depakote, I have tried tapering and discontinuing and find myself desperate. I am a mess without it.
We are each different. While a lot of information will state people with PCS primarily suffer from depression, I have found my own experience to be very mixed (more like Bipolar 2). I have to be very careful of the same meds as a person with bipolar 2. This may be the degree of PTSD involved for me. Not sure.
Caution and due diligence, as well as informed consent, are important with every medication. Consider both short-term and long-term potential effects.
Do the potential benefits outweigh the potential drawbacks?
To Our Healing,
DejaVu