On Tuesday my psychiatrist and I decided to up my Nuvigil dose from 150mg to 200mg. Also, I am tapering off of Seroquel since my clinical psychological evaluation diagnosed me with treatment resistant depression, Dysthymia and ADHD – ruling out my bipolar diagnoses.
The main symptom of my depression is apathy. Desire, no. Interest, no. Motivation, no. We are hoping that tapering off Seroquel will give me more energy throughout the day. I’m now using Trazadone 50mg as a sleep aide.
I am more and more aware of how my ADHD contributes to my depression. Nuvigil definitely helps, it is also much much smoother of a release than Vyvanse. However, Nuvigil does start strong and dip during the day for me, and during that dip I become unengaged, bored. It is these periods where my mind wonders into the depressive thoughts. If I not being aided with a stimulant my mind always wanders to the negative.
Stimulants impact dopamine, maybe my depression is caused by low dopamine levels. It would make so much sense. Stimulant based medications work to combat my depression in a way that nothing else has come close.
Of course, I am writing this blog on a day I took more than my prescribed amount of Nuvigil. I cut my last 150mg pill in half and took half on top of my 200mg pill. More is always better. I’m so weak. My psychiatrist even commented that I will likely be asking for an increased dose of Nuvigil in two weeks. That I tend to seek the maximum dose. I concurred. But I seek the maximum because more helps more.
Although, maybe I am just trying to justify past abuse of stimulants and current prescription for Nuvigil. I don’t know. I never know.
Current Medication: Nuvigil 200mg, Lamictal 200mg, Pristiq 100mg, Seroquel XR 100mg, Trazadone 50mg, Strattera 80mg