Posted by AdamCanada2 on February 10, 2009, at 16:11:04
In reply to Re: Adam: a suggestion similar to Ambien for Canada, posted by West on February 10, 2009, at 13:52:51
thx for your suggestions. the seroquel recommendation makes me put another star beside it on my list of things that can help augment.
the other meds u mentioned i tried all except for that newer version of celexa which i would be scared of because celexa would make my depression and pain worse. TCA's I only tried Desipramine.
> It sounds like you're going through a punishing stretch of sleep deprivation. I am no stranger to this myself, and as with most insomniacs antidepressants exacerbate the issue.
>
> What I would say is pay a visit to your doc and let him know on no uncertain terms how sh*t you're feeling. If the day is too much of a struggle book the last appointment you can.
>
> I would fare terribly on tranylcyromine given the common insomnia side effect. If you want to give it a proper go, see if adding a low dose antipsychotic (seroquel 25-50mg) or trazadone (50mg) lets you fall asleep. Both are safe. The seroquel will in theory disable monoamine activity and allow for REM sleep while its 5HT-2a antagonism should allow you feel sleepy. Trazadone just does the latter.
>
> If after time neither strategy works get off the parnate and switch to venlafaxine, escitalopram, sertraline, mirtazapine or bupropion or a tricyclic either alone or in any combination (minus ssri-ssri). They have advantages over the MAOIs regarding tolerabilty and have well established efficacy.
>
> West
poster:AdamCanada2
thread:879251
URL: http://www.dr-bob.org/babble/20090203/msgs/879282.html