Posted by Bob on January 13, 2001, at 15:32:17
In reply to Re: How long do the side effects of Reboxetine last?, posted by JohnL on January 13, 2001, at 5:13:04
> I must admit I am disgusted with the way your doctor is handling this. I mean, how is anybody supposed to get well if they can't get sleep? You could take even a normal person and deprive them of sleep for six days and you'll definitely see a dramatic destruction of both their physical and mental state. They'll completely unravel and turn into nut cases. Why doesn't this doctor try going six days without sleep himself and see how HE feels? Hhmmm? Geez. Sleep is crucial to physical and mental wellbeing.
>
> I think at the very least he should be giving you a sleep-aid. Preferably one with antidepressant qualities. Remeron would be a top pick. Another would be Zyprexa. Both also happen to work very well on depression when combined with antidepressants. At a bare minimum, he should be giving you Xanax or Ambien for sleep. But to give you nothing at all is pure cruelty and ignorance as I see it, and is also extremely counterproductive to getting well. It defeats the whole goal. Now instead of trying to climb up from the bottom of a hill, you're looking at climbing up a cliff instead.
>
> Quite frankly I must admit also that there are few people here who have tried Reboxetine that ended up liking it. In most cases it actually made people worse than they were to begin with, or gave them nasty side effects. The literature promotes this drug as being very effective and without the common side effects of antidepressants. I have found that to be totally false. In many cases it is much worse than other antidepressants in a lot of ways.
>
> I would think if your doctor wanted to try other classes of antidepressants with you, it would have made a lot more sense to go with Nortriptyline, or Imipramine, or Amitriptyline. These time-tested tricyclics, as old as they are, still offer many benefits that newer antidepressants just don't have. Primarly, they not only target other chemistries than just serotonin, but they also help you sleep.
>
> Remeron would also have been a better pick, in my opinion. Or even better, Effexor+Remeron. Now that's a 'big gun' therapy (as stated in Dr Bob's Tips) with one added crucial benefit....the ability to sleep!
>
> Regardless of what drugs someone tries, good sleep is like a good foundation under a house. Without it, the house crumbles. No drug, no matter what it is, is going to be miraculous enough in any way to overcome such an obstacle.
>
> My personal opinion...stop the Reboxetine immediately, see the doctor immediately, switch to a tricyclic, Remeron, Effexor, preferably a combination of any of these, and make sleep a top priority. Sleep should be at the top of the priority list. Right below it on the priority list would be curing the depression. I think your doctor has it all backwards. And though he may mean well, I think he is making your situation much worse.
>
> Just the fact that Reboxetine is making you so dizzy is a clear clue to me that it is the wrong med to begin with. I would ditch it immediately. You'll have to do what you think is best, but these are my thoughts, and I hope something here is helpful to you.
> JohnJohn:
Just a quick question here:
You mention the combination of Remeron and Effexor. Seems like quite a hard combo to tolerate. What I was wondering was what this combo brings to the party, that either Remeron or Effexor alone does not? I've actually seen this combo mentioned before on this list.
Bob
poster:Bob
thread:51585
URL: http://www.dr-bob.org/babble/20010111/msgs/51622.html