Posted by saintjames on September 5, 1999, at 14:39:09
In reply to ADD, Adderal, Effexor and some weird things, posted by julep on September 4, 1999, at 13:13:12
> Hi again - I've been on Adderal for about 3 months now and feel like a totally different person.
> Just a couple of things that are happening that I'd like some feedback on.
> My Dr. put me on Remeron, but I started with a bit of weight gain, which made me irritable, so I'm now on Effexor ER, it's working fairly well. The only problem is that I also take Talacen at bedtime for chronic pain due to bulging disc at L5 - S1, when I take the Talacen, I'm so wired that I don't fall asleep until 3 or 4 am(I work 7am-3pm and usually get up around 5am).
> I don't know if this is from the Adderal or the Effexor - maybe it's because I've finally gotten the ADD under control and the Talacen is now working the opposite from the way it's supposed to ARRGH!!!!!!
> Any ideas???????????
James here....Effexor is rather stimulating, so don't take it at bedtime. As you are on the XR (extended release) changing the dosing schedule may not be enough. perhaps a sedating AD at night might help, along with the Effexor. I take Remeron, 15 mg at nite for sleep and have no weight gain problems ( I take effexor, 300mgs at the same time) If a small dose of Remeron still causes weight gain, perhaps Trazodone or another sedating AD would work. (Keep in mind you are going to still be on Effexor, just taking a small dose of an AD to sleep) If you take 1 dose of ADderal, take it as early as possible, if you take a PM dose, too, take it as early as possible in the PM.
Were you ever on Talacen w/o the other meds ? Could you sleep ? If Talacen caused this problems
b4 the other meds were added then clearly it is the problem. Can you take it earlier in the day.If a sedating AD does not do the trick then try a benzo like Restoril (Temazapam). It is clear in cronic pain that good sleep means less pain, so it would justified to use a benzo. If it were me, I would try the sedating AD's and possible dosing
time changes first. You will not get tolerence to the sedating AD's as you might with the benzo.Ask that your cronic pain doc and pdoc talk to each other about this problem and run my ideas by them. There is an answer somewhere.
Also you might try a different pain med to see if
it does not cause the wired problem.james
poster:saintjames
thread:10999
URL: http://www.dr-bob.org/babble/19990829/msgs/11050.html