Our expert says:
If you have a significant and medically recognized problem, eg with the MS related fatigue, a properly selected and professionally prescribed medication is ALWAYS preferable to ANYTHING available over the counter. ANd yes, of course, it would be necessary to stop taking the other stimulants, as the combination would be both over-stimulating and unpredictable.
As I said before, absolutely refusing to consider hospital admission, even when at times one might benefit from it, isn't wise, but as you saw, it wasn't considered essetnail and wasn't forced on you. The withdrawal from the benzo's to which you are effectively adicted would be ecven easier and safer if done in hospital, but I'm sure your prof and new GP doc can help plan a way for you to do it at home.
Maybe geting rid of the Urbanol safely and at the advised careful speed, and switching to the Ritalin should come first, as its possible you might then not need an increase in the antidepressant. Where possible, I like to avoid making too maky major changes at the same time. One reason is that if things go well ( or if they go badly ) its much harder to be sure which of the several things one was doing simultaneously, was responsible for what. Its like trying to juggle three oranges while riding a bicycle and whistling Sarie Marais - if you fall off, its not clear which element was just a bit too much !
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