Quote:
Originally Posted by RisuNeko
I thought the St Johns wort thing was to do with serotonin because it can cause serotonin syndrome.
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Yes, I was making an analogy there. Dopamine overload can be risky, just like serotonin overload. (In fact it's unlikely there's any neurotransmitter you can't have too much of.)
(*note: I need to properly confirm this but according to Wikipedia, Wellbutrin/bupropion has more effect on dopamine than norepinephrine, despite being called an SNRI)
Quote:
Originally Posted by robcalher
I have tapered from 450 Welbutrin to 300. Next will be to 150. Then onto a different antidepressant as I believe Welbutrin and caffeine do contribute to my anxiety, as I stated in another thread. Welbutrin is an SNRI and it is it's effect on norepinephrine that gives it it's stimulant effect. It says on antidepressant labels not to take an SSRI or SNRI with John's wort, which is a natural mood enhancer, because basically you won't need it if taking SNRI or SSRI. Together can cause serotonin syndrome because they both do the same thing. I have not had a psychiatrist for a few months because I moved to a different state that does not have medicaid so I haven't been able to find one with no insurance. I finally found a free therapist and started seeing her last week. So my whole support team from Colorado is finished since April a nd Florida healthcare sucks. So with this going on my environmental factors are overwhelming and very disappointing. Very stressful. I am trying to cut down on clonazepam because I may not be able to get it much longer due to strict laws in Florida. Same with the vyvanse. So my whole mental health regimen and meds may change. I hate this place. The main question I was trying to ask is, aren't stimulants supposed to calm ADHDers down. Are there others who sometimes get anxiety from caffeine or vyvanse. And why the inconsistencies. Like I said sometimes they calm me down sometimes they don't. So could the anxiety just be situational and from my GAD and not the meds?
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I'm sorry you're having such a hard time with the agencies you're dealing with. Must be exasperating, if not overwhelming. Hopefully the new therapist can help! As for the stimulants question, they don't all work the same for everyone, and the "calming" thing is not meant in the sense of "calming down" from being emotionally upset. Different people will have different responses to each prescription. (That's why some people choose to go with non-stimulant ADHD drugs, for example.)
But again, you should be sure you have your self-care and environmental/situational factors sorted to the best of your ability, and then discuss it with your prescribing doctor and therapist if you still think your meds are involved.