Posted by zzzz7 on June 22, 2009, at 5:58:19
In reply to d/r + experts - desperate for help w/my meds, posted by Amelia_in_StPaul on April 21, 2009, at 13:12:24
Some thoughts without reading other people's posts.
1) Are you sure you're not withdrawing from the Prozac and/or lorazepam? Why not take as much lorazepam as you need to alleviate your anxiety? That may help with sleep, too.
2) Maybe a small dose (3.75mg--get a pill cutter if you don't have one) of Remeron at bedtime for AD effects and sleep. I suggest this because of the response to Trazodone.
3) How quickly have you gone on meds? Titrate super-slowly.
4) Get empty gelatin capsules for taking small does of drugs.
5) Try adding modafinil 100mg in the morning. It will help to keep the Prozac from pooping out, and it will help to wake you up.
6) The best AD we have is clomipramine. Try adding 25mg to your Prozac regimen. Do that slowly (you may have to dump the power out and put it in a gelatin capsule).
So, overall thought:
Remeron 3.5mg for sleep.
As much Ativan as you need to feel less anxious. Don't underdo it.
Prozac 20mg, slowly titrating.
Clomipramine 25mg, slowly titrating (will help with sleep, too).
Modafinil 100mg in morning. Start at 25mg or so. Take the minimum you need to wake up.
I'll be away for the next few days, probably, but send me a Babblemail if you'd like.
Good luck.
z
poster:zzzz7
thread:891937
URL: http://www.dr-bob.org/babble/neuro/20090129/msgs/902583.html