It appears I may actually be mostly off adderall's effects. It's taken a full week to move from 15 mg a day to zero. During the week, a couple of times I needed a 5 mg “booster” to stay awake. Without it, I'd collapse in the early afternoon for up to eight hours. I still get tired in the afternoon, but it's not overwhelming. Just wanted you to know in case you ever wind up on this drug…
The latest cocktail finally seems to be kicking in and I'm feeling a little better. I'm hopeful this will continue to improve. So far the effects I experienced before from this cocktail haven't reappeared, namely nausea and unconscious jaw clenching. I'm at a lower dose, so that's not a huge surprise. The question right now is if the lower dose will be enough. If not, and the higher dose does produce a recurrence of said side effects, the doc thinks Phenergan or Zofran may remove the side effects.
In parallel with this path, I'm also looking into transcranial magnetic stimulation (TMS). My current understanding is fairly limited, but it appears to work about 50% of the time with minimal downside and no long term side effects – except on the wallet. It's rarely covered by insurance in the US. If it works to the fullest, I'll be off all antidepressants. If it works partially, the dose I need and hence side effects would be reduced.
Today (Monday) or tomorrow I plan to connect with a researcher who does TMS. I have a bunch of questions about the procedure. Will let you know what I find out. The week after that I see a psychiatrist who offers TMS as part of his practice. I plan to ask the same set of questions, perhaps updated, to get his perspective. Then it will be decision time. I'm not positive, but I think the treatments run more than two weeks and need to be done consecutively. If that's the case, I probably couldn't start until next year, given all the travel and holidays coming up.