Posted by fachad on May 1, 2002, at 11:03:05
In reply to Celexa, ADD and Motivation, posted by XaosSurfer on April 30, 2002, at 20:18:46
That response is a very common long-term side effect of SSRIs.
The depression is lifted, but the apathy, lethargy, and anhedonia become overwhelming.
The Journal of Clinical Psychiatry just did a study on treating this condition, which they call Antidepressant Apathy Syndrome, with Zyprexa, see my post below:
http://www.dr-bob.org/babble/20020425/msgs/104624.html
I believe that stimulants are usually the best treatment for AAD. Ritalin worked for me - take a look at this thread:
http://www.dr-bob.org/babble/20020307/msgs/97043.html
and my response:
http://www.dr-bob.org/babble/20020307/msgs/97130.html
Take comfort that you are not at all alone in this, but I think you and I are in the most difficult to treat group, because we took SSRIs after already taking stimulants.
> I have been on 60mg of Celexa for almost 4 months. The Celexa very much lifted my depression. I am also ADD. The Celexa seems to have aggrevated some of my ADD symptoms. My motivation is low. I have a terrible time getting started on tasks. I am tired and apathetic. I take Dexedrine spansules (15mg) for ADD. The DEX was quite effective before taking Celexa. It is much less effective now. Even at higher doses.
>
> Does anybody have this kind of experience?
>
> I am considering talking to my doctor and switching medications. I live in Canada so I do not have access to Adderall and I cannot tolerate Ritalin. If I increase the Dexedrine dose I will need to add something powerful for sleep. I am also thinking of trying Manerix (Moclobomide). Does anyone with ADD have experience with Manerix? Can it be combined with stimulants.
>
> Thanks,
> Xaos
poster:fachad
thread:104577
URL: http://www.dr-bob.org/babble/20020425/msgs/104626.html