Wow thabks for this long post !
1)So if id go the dopamin route, lets say i forget about venlaflaxine and i only take wellbutrin.. Would that be alright?? Ssri plus dopaminergic antidepressant is a no go??
2)But i cannot get completely healthy only through taking caffeine and theanine! :( .. I have more negative symptoms: no libido, emotional blunted, lethargic, skin picking, no sadness just blunted everything but extremely., compulsive thjnking, bodydysmorphic disorder, ...Definitely more to add...
3)Is there a chance that an snri or srri bring me back to my old state?
Emotional blunting i had before taking the first time srris ..
4)So memantine is not good then?
5) theanine cannot be the only solution :-/ ...what do u think .else? - NAC helped me a lot to get my anedhonia away but was still emotional blunted for the rest of emotions... But the effect of nac is gone since stopping cigarettes or ending the hypomanic phase of taking nac for the first time because it weakend after 2 months taking... I dont know which caused it..
6) ahh and the day of heavy drinking i feel really released in my body .. Feeel emotional energy and everything .. - what do u think about this?
7) also to add.. I had ebv with 16, my doctor dont take my cortisol level seriously which would mean adrenal fatique imo and others.. , leaky gut and so on which my doctor is taking care about ..
I was totally addressing Kurko, looking back. My mind must have been moving too fast to notice who signed it and latched on to who it was addressed to. Sorry about the references to weed - they are probably not applicable to you.
Anyway, what I meant by taking an SSRI and dopaminergics was just to be careful during the initial phases of an SSRI, because your 5-HT receptors and 5-HT production haven't adjusted and found homeostasis. You could be over stimulating certain systems. Practically speaking with Welbutrin as an example, you could take the Venflaxine in the afternoon on a Friday and Saturday, then Welbutrin for the first time on Sunday morning. That way, you have two days to get used to it and the dose is spaced 8 hrs apart. Eventually, you can take them at the same time. My concern is mostly with the overuse of dopaminergics - like with drugs of recreational value (i.e., weed) and less to do with controlled doses of pharmaceuticals. An example would be serotonin toxicity from amphetamine use while on an SSRI. Amphetamine doesn't directly contribute to serotonin activity, but indirectly it does. If you glance at the 5-HT receptor wiki page for a minute, you'll see that serotonin is capable of as much stimulating as it is inhibiting neurons.
Again, I was addressing Kurko in that recommendation, as Kurko was needing what seemed to be more of a dopamine boost with an anxiolytic touch. Although contraindicated in libido enhancement, getting sounder rest on an SSRI or similar will help with the rest of the disorder. Maca is a pretty good libido enhancer... A little too good sometimes...
Never chase an old state. I don't care who you are or where you come from, life moves on, your body changes, and nothing is the same ever. Focus on an emotion you want, not a state, and then think how can I achieve that emotion? Do I need to now or can I plan for it? Can I use my imagination and concentration or do I need a snack or a nap? I'm sure you do that already. All I'm warning about is that you can't let a past experience be the standard for your future state. Optimal mood and cognition don't need to fit into a box - you need to measure by the lifestyle that best fits you or change your lifestyle. Pep talk over. Why do you want to feel emotionally blunted?
Memantine isn't good or bad - it is just hit or miss. For me it caused emotional blunting in some areas and heightened emotions in others. I got more enjoyment out of work, was more detail oriented, was braver, but I also was later to work and lost a bit of that chaotic youthful energy that's just a tad bit annoying. Very strange combo that worked well for my lifestyle, but as the company changed, their requirements of me changed, and I had to switch medication.
I don't understand your story of cigarettes and NAC. Are you saying that you took NAC for hypomania or to get hypomanic? I took it, and all it did was make my urine yellow and full of creatinine. ECigarettes brought me up when I was down and down when I was up, so in that case, theanine and caffeine is a pretty good solution. Noopept is pretty stabilizing like nicotine. Tastes like detergent, but for 10 minutes at 60mg, it is a golden way to calm down and wake up.
As far as drinking goes, the first few sips act on releasing sodium. Maybe your salt levels are screwed up? The heavy drinking part is GABA related. If you want to know if that's where your happy place is - in GABA land, you can take some valerian root and see where your happy place is at what dose. Direct agonism is a dangerous path a lot of people don't come back from, but increasing GABA production is less of an issue. Another way of increasing GABA while still promoting wakefulness is Ashwagandha... which most people don't take nearly as much as they should (2-6x the label in many cases).
Edited by devinthayer, 06 August 2016 - 03:05 PM.