by billoddie » Wed Jan 06, 2010 3:11 pm
Jj85...your right. My case sounds very similar to yours. A few years ago, I had about a week where life was perfect. No stress. ALL my symptoms vanished. Stress returned...so did cfs. This brought home to me the stress connection. Exercise was the same. If I felt good enough to do any, i would pay a huge price and be back in bed. Just couldnt seem to maintain any low stress space. LIFE was stress!! Thats where Gupta came in. In the beginning, I made progress. I had a little space. But my depression/anxiety was going nuts. (anxiety increase is normal, as the amygdala "fights" at being reset) I had some ritalin in the cupboard that I had been prescribed about 2 years earlier but had stopped taking because I couldn't tolerate the side effects. A thought came just to try a small dose, because I had read that sometimes ritalin would help depression. I only took half a tab...and was transformed. Amazing!! After doing some research, I decided that dexamphetamine (adderal) would be a better choice, and so had some prescribed. It was more effective and the side effects were tolerable. (initial insomnia and weight loss/loss of appetite) Through trial and error, i settled on 2 doses a day of 10mg each. This is considered quite a low dose. Have a look at a website called "ask a patient". Absolutely brilliant. Here, there are 1000's of actual patient reviews of vast amounts of medication. Dex/adderal is considered positive by a good percentage of users. It satisfaction rating is far above things like ssri's, ssrni's, tricyclics, etc. The one recurrent worry/side effect is addiction. Long term (over 3 yrs) most acknowledge at least some level of addiction. Those hopelessly addicted, generally acknowledge some form of abuse, or are taking high doses. Those who kept to the MINIMUM THERAPEUTIC LEVEL, experience the least addiction. And this is the key. You need to TITRATE your dose. That is; start with the minimum, then as your body develops inevitable tolerance, slowly increase until you find your body's set operating level. How do you know this level? Ok...when you first start with stimulants, there is a certain high or euphoria that comes with them. This soon fades. DO NOT chase the high. Rather, accept this as normal, but assess for yourself if the medication remains largely effective. If so, leave it at that. More likely, you will just feel as if you need to increase the dose a little. Keep doing this (titrating), until you have the feeling that even though the high isnt there, the EFFECTIVENESS of the medication remains. If you just continue to chase the high, you will need massive doses just to get out of bed in the morning!! Thats not fun! For me, I started on 5mg in the morning (about 6.30 am), and then another 5mg at lunch. I then went to 10 mg morn, and 5 mg lunch. I am at 10 mg morn and lunch now. This level continues to work for me. There is no high, but it remains effective. This is the key...the MINIMUM THERAPEUTIC DOSE. I am still a little concerned about addiction long term though. I mean, i gotta say, I like this stuff. I look forward to my medication. I come from a background of drug addiction (one of the factors in my cfs, I ate about 400 pounds of dope leaf in cake over 8 yrs) and so i know what it means and feels like to CRAVE a drug. I dont crave dex, but look forward to its smoothing effects. But yes, addiction is a possibility. Before taking this drug, I VERY carefully considered this outcome. On balance I decided to take it. In hindsight, perhaps i should have stuck exclusively with Gupta. I was diagnosed with A.A.D.D (adult attention deficit disorder) anyway, and it has helped me immensely in this way. I dont know if the A.A.D.D is legit, or just part of my cfs. As you know, with this illness, there is just so much more than "being tired". (God if only it was just tiredness)I am getting close to the point where I am enjoying life. The dex on its own is not responsible for this. Gupta has been the key. Without doing the process, the dex is pulverized by a rapid increase in my cfs symptoms. This is how i know gupta works. The dex has been a valuable adjunct only, but I am very grateful for it.