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Old 05-08-2018, 08:29 AM
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Grand Poohbah
 
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Grand Poohbah
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Member Since: Oct 2016
Location: United States of America
Posts: 1,587

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Default Re: Caffeine for depression..

i don't know your insurance situation, but if caffeine helps, a doctor might be willing to try provigil or nuvigil. they're very similar drugs, and both very expensive (that's why the insurance situation might be the deciding factor on if you can try it or not...). Most stimulants are in Schedule II of the DEA Schedule, which means that they're considered highly addictive, etc., plus each prescription requires a new, written prescription (in my state, anyway).

Both Provigil and NuVigil are in Schedule IV, which is where the benzodiazepines live, too. If your shrink went for it, you could possibly get refills, have prescriptions called in, etc. Makes life much, much easier. Both Provigil and NuVigil are FDA-approved for narcolepsy and some other sleep disorders, but they're basically 21st century stimulants...less addictive than amphetamines or Ritalin, less euphoria, less risk of agitation, psychosis, etc.

The other (old school) option would be a traditional upper. Ritalin used to be the go-to drug when stimulants were used in depression. Amphetamines are far more popular now, overall. I personally did better on Ritalin than amphetamines, at least w/ other psych drugs on board.

Other than that...I don't have much advice. Wellbutrin could be an option, depending on your history and the other drugs you're prescribed. Now and then, Mirapex is used in some forms of depression.

Sorry you're going thru this. As much as most shrinks seem to hate prescribing both uppers and downers at the same time, that combination -does- help some people with some forms of depression. My depressive episodes are now far easier to deal with than in years past, but...ritalin+a benzodiazepine+a tranquilizer/antipsychotic (low-to-mid dose) got me up out of the pits in years past.

good luck.
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