Excitotoxicity becomes particularly acute after 24hrs without sleep, especially if you've forgotten to eat. At this point I believe that I can actually feel some aspects of the excitoxicity taking placing, and it is at times like these when I can feel the effects (or lack thereof) of a particular neuroprotectant: the acute sensations of the excitotoxic storm dissipate, as does the associated "brain fog." Previously, I'd felt the strongest neuroprotective responses from:
BioPQQ
GreenSelect Green Tea Phytosome
Meriva Turmeric Phytosome
Astaxanthin
NADH (sublingual)
Sam-e
P5P + Methyl B12 (sublingual)
Fish Oil + Acetyl L-Carnitine (low dose of ALCAR seems to synergize with the Adderall, while anything >300mg seems to compete with it.
Magnesium Orotate
N-Acetyl Cystine + mineral ascorbate (for glutathione production) is also extremely effective for neuroprotection, but at the price of effectively knocking out the effects of the Adderall and causing its own short-lived variety of brainfog.
Excellent post J.Galt! I like how you mentioned all the draw backs, past experiances, combinations, and consulted a MD for this. I must say that this was worth the wait haha
I'm not sure if you read the pubmed link on lithium's actions on VMAT2, but its very interesting to think that there may be a way to deal with one of the biggest problems with amphetamine's pharmacology. There may be some other actions which do play a role in this response, but just looking at the risk:benefit ratio you report with these dosages is incredible. It also shows some potential for directly preventing neurotoxicity by blocking several pro-apoptosis functions in mitochondria, but I'm not sure of the doses required.
That said, your reasoning is based on the questionable premise that you can accurately somehow "feel" neuroprotective/excitotoxic effects of quite low doses of these substances. I'm far from convinced that's the case in this context. Good to see that you've found things you feel are helpful though.
While it may be dubious as to whether someone can feel brain damage in anything but a stroke type scenario, if it improves cognition and side effects its still worth considering.
Lithium seems to have markedly different actions at therapeutic dosages depending on the duration and dosage of the treatment, resulting in really freaking hard to interpret studies. But, it does exhibit glutamate transporter inhibition and then massive upregulation on
time scales that could be less than a week. However,
this study found it to inhibit glutamate release acutely in rats.
It is possible that at very low doses it affects the NMDAR/NO pathway, which has a MASSIVE number of things affected by it (including blood pressure), and may still activate/inhibit some of the host of other proteins it interacts with at therapeutic dosages. A good review of the topic can be found here:
The NMDA receptor/nitric oxide pathway: a target for the therapeutic and toxic effects of lithium
Mehdi Ghasemi1, 2, E-mail The Corresponding Author and Ahmad Reza Dehpour2, E-mail The Corresponding Author
1 Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
2 Department of Pharmacology, School of Medicine, Tehran University of Medical Sciences, P.O. Box 13145-784, Tehran, Iran
Unfortunately lithium is one of the biggest mysteries of pharmacology so I can't really go that far into detail on it, but suffice to say very low dose lithium has been show to have beneficial effects even in large populations (as evidenced by the studies of Li+ in water vs suicides) among other things.
I'd like to get some more data-points on this stuff if anyone's interested. As long as the dosage is low its a very safe compound with known benefits.
I'll stop this post now before it becomes a more disjointed dumping ground for pharmacological studies, and get back to studying for my final tomorrow haha.