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Re: Lexapro/Seroquel: After 9 months » Wildman

Posted by Ritch on October 17, 2004, at 11:14:17

In reply to Lexapro/Seroquel: After 9 months, posted by Wildman on October 17, 2004, at 8:14:53

> I've been on a combo of 10mg Lex and 25mg Seroquel for the last 9 months now. My symptoms have gotten much better and my sleep is so much deeper. I don't have _that_ much to complain about.
>
> I have noticed, as we get into Fall here that I am starting to get so tired during the day usually around dinner time. This is the first Fall that I have been on this combo and have always been very sensitive to the amount of daylight (winter is hell for me).
>
> I am wondering if I may need a med change in that I am so tired by the end of the day that the Seroquel almost seems like overkill - I could fall asleep right after dinner and feel like I could sleep through the night.
>
> I'm wondering that as the days get shorter, if I should increase my Lexapro to say 20mg? I have always thought I suffered from seasonal affective disorder and was wondering if more Lex would help.
>
> What about Provigil? Any suggestions?
>
> Thanks in advance.
>
> Wildman

I have seasonal bipolar depressions (esp. winter) and I have to boost the noradrenergic system to keep my head above water and my energy level from falling to zero. I've never tried Provigil, but adding in some Wellbutrin (bupropion) might be a good low-cost add-on for winter. Nortiptyline might help, too. I've found Stratterra to help with this as well (and it curbs appetite really well, too). SSRI's haven't helped me much in the past for winter depression.


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URL: http://www.dr-bob.org/babble/20041012/msgs/404123.html