I have an appointment with a psychiatrist that is probably going to suggest me to try a SRRI meds for seasonal depression and I’m a bit apprehensive to try it because I’m already on adderall for adhd. Does anyone have experience with this combination? I’ve read so far that it’s possible but that the breakdown rate is lower so I’d need to be on smaller dosage.

I will obviously talk with my psychiatrist about my worries but I’d just like to be prepared a bit because my experience with psychiatrists is that they’re really eager to get you on meds but don’t really give a lot of info on them.

I am open to try it because my seasonal depression is debilitating and I feel like I’ve exhausted all other options in trying to ease it without satisfying results (except moving but that’s not possible currently)

I’ve thought about the possibility of just not using the adderall in the winter while I take the ssri because maybe the ssri would alleviate some of the adhd symptoms.

Any insights would be greatly appreciated.

  • Lenins_Cat_Reincarnated [he/him]
    ·
    3 days ago

    I feel like garbage too when I miss my aderall dose so it might be the vyvanse for you as well. But the feeling disappears after a few days in my case. You’re probably right in that the combination will probably help me much more than just one of the two. I just wasn’t sure if this is a common combination but it seems like it works for some people here which is really reassuring. Thanks for sharing!

    • MeowZedong@lemmygrad.ml
      ·
      3 days ago

      Edit: I missed that you mentioned this in your original post. Nevermind!

      Big drug mixture warning: be careful mixing Vyvanse/Adderall and fluoxitine/Prozac. Fluoxitine can end up making the effects of amphetamines stronger than normal, even for Vyvanse.

      Normally, because Vyvanse is a pro-drug that requires enzymatic degradation to become active, the only effect a higher dose will have is a longer effect. Fluoxitine affects interactions with the active drug and how long it is in your system, overriding the pro-drug effect. This can lead to (likely minor) overdose effects. You'll be able to tell if this is happening because you'll get similar side effects as are often experienced with Adderall that you normally don't experience on Vyvanse. Think of the ones normally associated with Adderall IR.

      This doesn't mean they can't be mixed, just that you should watch how you react to the doses of each when mixing. You may find that you need to reduce your dose of Vyvanse if you go to a high enough dose of fluoxitine.