Suggest Dosage For Adderall And Cymbalta
Upshot is that I'm getting increasingly ANXIOUS that, now with age becoming a factor, I may never be able to exercise at a decent level and rely on my brain and body as I did before ME/CFS, or ever beating this disease. People can see a broken leg so understand the temporary handicap, but CFS doesn't show, and you are expected to get better. I most enjoy helping others which is discouraging. Now I have to be satisfied with getting thru the day and maybe accomplishing one other tiny thing. At least the Adderall riddled me of the "foggy thinking".
Am on 60 mg Cymbalta and 30 mg Adderall. Started out w/ 30 and 15 mg (neurologist). Really helped me focus, but cog therapist MD increased it to 30, which helped me focus even more. What do you suggest that I do to increase the probability of getting well enough to count on my body to even go out for an evening, let alone exercise? Am still working (at home) and have far more responsibility than I can handle effectively. Any suggestions on changing my attitude? Mild exercise can set me back because I love to exercise and can end up doing too much; meditation works to calm me. I don't like being such a drag...we have missed out on so many lthings due to my not being up to any > 2 or 3 hrs of interaction. Then I'm laid out the next day. This year seems far worse than last year.
need to stick to medicines and health care provider. ( infectious disease )
Detailed Answer:
Welcome. At HCM
I have gone through your query and being your physician I appreciate your health concerns...
The most important thing in management of CFS is patient education. It really needs multimodal approach including physician psychiatrist and physiotherapist. As the trigger in CFS is mostly viral so definitive treatment plan get difficult to be devised. As it has got remission and relapses so prognosis usually varies from patient to patient. One can't be sure about exact outcome.
Stay in touch to your physician and psychiatrist for better management of CFS.
As far as doses of adderal and Cymbalta are concerned , it don't think it needs to be changed. As your focus had improved further increasing dose may cause mental fatigue and drowsiness. Just stick to your prescribed dose.
There is one possibility if you haven't tried. You should meet infectious disease specialist for CFS management. It will help you in improving the quality of your life.
Meanwhile stay calm and you will be back to life just with strong Will power. Be brave and don't get depress. You will be fine.
Hope it helps
If you still have any query feel free to ask any time.
Regards
Dr XXXXXXX Sultan