That's why I would not have done what I did the last 2 weeks anywhere but the hospital---I had a lot of meds at my discretion in whatever dose I needed that particular moment and more meds were available if it got worse. I was physically sick for a day or so and then it got worse mentally but I was given meds that let me sleep through most of it. If I had tried at home I would have wound up IP (which was what my pdoc and I discussed; trying it at home and risking hospitalization or doing it faster and with meds to help a nursing station away; we decided to just do it IP b/c I wasn't going to make it through the lengthy withdrawl OP.)

I don't think you could get an AD to work fast enough to help much at this point. I'm also curious; if it is the coming off the stimulants that is the problem why an AD? It seems like you'd want something calming. I've had great experiences with using gabapentin and hydroxyzine PRN through my changes. Gabapentin works on the same receptors as klonopin without the addictive potential and when we got the dose right it has really made a huge difference in what I've experienced, what I was able to sleep through and how I feel now (and still am taking a bunch at night and PRN in the day but so far I've been too exhausted to need it then.)

I know the hospital sucks but it might suck less with the ability to give you meds that help without raising further issues and with the ability to raise/lower doses rapidly.