i know this is probably disorganized, my apologies. i am inattentive.
doom3q:
QUOTE
MPH works great for leveling my mood but it definitely kills the joy from most activities.
I wonder how we would go about preventing this -- without sacrificing the focus.
The line right now is that methylphenidate (more zombifying than amphetamine for most?) tends to be a less effective treatment for the inattentives than amphetamine.
Is the stimulation of prefrontal focus, in some ways, in opposition to limbic creativity and joy? Clearly an oversimplification, but perhaps there is something there.
If anyone sees this post, I'd be interested in knowing what might have worked for them.
Frangible talks about the early limbic effects and mood-boost from amphetamine, which rapidly develops tolerance. He opposes this to his consideration of the therapeutic focusing action, which can last much longer and sensitize.
It's a weird thing. For me, I almost feel as if these early effects are more therapeutic. My focus seems to be less of a problem then my lack of motivation, joie de vivre. My zombie state. Those first few days are like an expansion of my whole being. Colors richer. It's not a straight mood lift, in the sense that sadness too becomes richer. Stronger emotions. A fuller life.
In my normal state, it's just blankness. And with methylphenidate, and eventually amphetamine in time, this problem remains, or may even be worsened. I can focus, but I also don't really give a shit. Creativity gone.
Depression, one might say, but the current lineup of antidepressants doesn't seem to work too well, for one reason or another.
Here again I get theoretical, but an issue that has been raised is the difference between those with hyperactive attention problems, and the inattentives. There's the British study which notes that hyperactivity may resolve with time, even aided by the stimulants, and this is seen in plastic changes to the brain. Those with hyperactivity may eventually develop the skills required to focus. Could we say that the deficit with hyperactives is prefrontal?
If we did, we might say that inattentives face a more troublesome problem. Their underdeveloped/understimulated structures, dopaminergic tone in deficit, may be more global. They lack limbic dopamine (I say dopamine, although it is more complex) as well as prefrontal dopamine. If hyperactives can train their focus, inattentives might have a harder time doing this, because there's still this problem of ... emptiness.
Right now on a few forums there's a revival of the discussion of the prevention of amphetamine tolerance via NMDA antagonists, like memantine. We have one guy who couldn't take amphetamine for more than two days without "poop-out", but has now taken it for many years with 30mg of nightly memantine (a dose that I would expect produced cognitive impairment, but it doesn't seem to be the case for him.)
I assume that what they're really referring to is the early mood-lift. Does memantine prevent tolerance to this effect? Some people are pointing to a relationship between glutamate overactivity and desensitization of dopamine receptors in the ventral tegmental area, a piece of the limbic system.
Again, I'm sorry if this doesn't make any sense, or is just completely stupid. I'm true that I'm in kind of a bad mood. I'm just fishing for thoughts and leads. I'm just a nerd dissatisfied with my condition, and complaining. Thoughts?
