I'm a 27 yr old married Male Med Student. 235 lbs 6'3 with fatigue that effects my productivity. hx: adhd dx in early childhood, taken stimulants since then. I take 60mg xr a day in morning sometimes at 3pm, Lisinopril 40, Zoloft 150. In the last month Clonazepam 0.5mg (at night only), L-tyrosine 500mg, and Magnesium 400mg. Fx hx HTN. I have BP 125/80 usually. Tachycardia @ 120bpm sitting at desk. No exercise. Normal ekg, sleep study, blood labs, sleep (unrestful). I suffer fatigue, severe premature ejaculation (<30 sec). No PE 6 years ago, fatigue since high school. I make cannot remember if any symptoms started as a result of taking a drug. Though I started Zoloft after depression spell about 6 years ago, been taking since. Fatigue worstened around that time as well that persisted past depression. I remember bad side effects as child from adderall and I believe i was taking fairly large doses, atleast 40-50mg. I predict that I have ADD sluggish cognitive type, but dont know. Im still fatigued after 1 month rest from adderall. Im sluggish around 40mg. PE not affected by topical OTC desensitizers. Prim care doc suggests adding propanolol to bring down rate and maybe effect PE, but might exacerbate fatigue; suggests switching SSRI's for PE. Im curious about the effects on dopamine and thats why I started l-tyrosine. Recently starting 75mg Adderall 1 week ago has helped the fatigue a tremendous amount.

If you have any questions, please ask I can help you narrow down your thoughts any way I can.