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Extremely tired - mentally exhausted - what medication might help?

exhaustion tired depression adderall ritalin adhd autism motivation

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#1 headintheclouds

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Posted 13 May 2020 - 09:36 AM


I'm currently experiencing (and have experienced this often throughout life), extreme exhaustion, mostly mentally, it doesn't really feel like my actual physical body is tired, but I can't find motivation nor energy to move or actually do something. I've been sleeping for very long hours every day, the last few weeks, and I'm not sure what the reason is.

 

I'm depressed for sure, but I didn't experience any exhaustion with that. However I have felt this kind of exhaustion throughout my life. Moments that I just have to drop everything that I'm doing because I have no energy left. I was taking Cymbalta for the last few weeks and it seemed to work, but now things have shifted and I'm just exhausted.

 

The medications I'm currently taking are:

- Dextroamphetamine

- Cymbalta

- Abilify (very low dose)

- LDN (low dose Naltrexone, for my immunity system)

 

Otherwise, I take many supplements:

- An antioxidant multi supplement

- Nootropic mix supplement

- Probiotic mix supplement

- Multi vitamin mix supplement

- Vitamin B & D & ZMT supplements

 

Supplements I've always taken.

I would like to take more activating motivational medication, I'm a highly functioning autist (I have multiple diagnosis that are all different, but most common is adhd with many autistic traits) , and perhaps also sluggish cognitive tempo (I discovered that on this forum, don't know much else about it, not many academic studies on that online), 

In the past I've tried:

 

- Guafacine (worked slightly, but exhausted me)

- Modafinil (had some positive effects, but didn't do enough, also not good in combination with other stuff)

- Ritalin (gave me suicidal feelings)

- LSD (microdosing)

- Higher doses of Dextroamphetamine (but this causes me to crash)

- Strattera (helped me, but at the same time it made me lethargic, more depressed, and motivation-less)

- Wellbutrin (worked a little, but made many symptoms worse)

- Brintellix (somehow ameliorated my memory, but didn't do any good for my other symptoms, and my memory is fine, so nice side effect, but it didn't actually do anything to my depression.)

- Effexor (didn't work)

- Lexapro (didn't work)

- And many other things that I'm forgetting about now..

 

 

Should I try Reboxetine instead of Strattera? Someone wrote on this forum, it might have the benefits of Strattera without the negatives?

 

And what about Amantadine and Memantine?

 

Secondly I would like to try an alternative for Dextroamphetamine, it works great, but it has been bad for my health, my bloodpressure and heart rate are constantly to high because of it. If I don't take it, my bp and heartrate are perfect, with it, they both go way up.

Does Ritalin have less effect on bp and heart rate? I'm thinking of taking the risk of trying it again instead of dextroamphetamine.

 

Also food wise and sport wise, I'm very healthy and conscious in what I eat, and I exercise at least half an hour a day, even tho I never have the energy to exercise.. I try to do it anyway. Sometimes it's just a long walk tho, if I'm feeling very exhausted again.

 

 

Any medications you can recommend? That provide energy and mental energy, and motivational energy. And perhaps something like Cymbalta but that is more powerful?

 

Also I have no idea why I'm taking Abilify, my psychiatrist kept recommending it for years now, and I finally tried it, and it does seem to have a positive effect, when I don't take it, i feel my adhd/autistic negative traits more, and when I take the abilify I feel more present, more in the moment. Which is important for me, I think many people with adhd/autism traits have time management and time consciousness problems. Time seems to fly away.. Abilify certainly doesn't solve that, but at least solves it a little. If someone knows a better version of Abilify also interested. And I have no problem dropping abilify for something else, it really doesn't help all that much tbh.

 

Thanks for any input!! If anyone ever finds a way to actually help me, i'll pay you handsomely, I swear to god lol, I'm like a trust fund baby that keeps wasting his money, I want to live life, I was given anything I wanted in life, and I've not been able to do anything with it. I keep wasting opportunity after opportunity because I'm just not 'there'. 

 

Hence my nickname..

 

Thanks again for any input!! Greatly appreciated.

 

 



#2 rodentman

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Posted 14 May 2020 - 05:13 AM

Have you done a sleep study?  Have you tried to 'rule out' certain conditions?  (like anemia, hepatitis, thyroid issues, auto-immune conditions, pathogen testing, etc)

 

I've had a little success with vyvanse, but like everything else, tolerance will build up.  So taking frequent breaks, and/or taking it only on certain days can keep this from happening.

 

 


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#3 jaybird10 2

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Posted 15 May 2020 - 05:18 PM

I would concentrate on improving sleep and optimizing diet. Your goal should be 7-8 hours of uninterrupted deep sleep every night . This is when the body heals and rejuvenates. I would also check out this website.  www.meatrx.com. Its free to browse the site

 

and to read up on how people have successfully optimized their health and healed many ailments  using a Keto/Carnivore diet. For a fee you can also find a coach onsite that can help you get started. Look for a coach that overcame  many of the same symptoms as you have and he/she

 

can walk you through it. There are many success stories and a wide range of coaches to choose from.  Good Luck

 

 


Edited by jaybird10 2, 15 May 2020 - 05:19 PM.

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