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Re: Med washout to focus on sleep

Posted by linkadge on August 14, 2017, at 17:07:04

In reply to Re: Med washout to focus on sleep, posted by Lamdage22 on August 14, 2017, at 11:00:28

When my sleep starts to get messed up, the meds just don't work anyway.

So far, so good. I got 3 great nights of sleep (with just melatonin, cyproheptadine and lorazepam only). It also broke the cycle of staying up later and later and short sleep duration. On day 3 though, symptoms of depression are slowly returning (mainly anxiety and anhedonia).

I'm starting a low dose of Effexor again, and perhaps remeron. I am seeing the doctor next week. We switched from remeron to amitriptyline (mainly because the remeron was causing too much daytime sedation). It seems to be better (for me) for sleep than amitriptyline, but I don't like the way I feel the next day.


Suprisingly, the amitriptyline is causing little sedation and is significantly more activating than remeron. One possibility is that I have some degree of bipolarity and that amitriptyline is pushing me too far.

I have noticed in the past that amitriptyline is a much stronger antidepressant than remeron. Remeron felt more like a mood stabilizer / antipsychotic than antidepressant.

Linkadge


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URL: http://www.dr-bob.org/babble/20161215/msgs/1094427.html