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appointment with pdoc tomorrow...ideas?

Posted by Crotale on June 18, 2008, at 18:46:18

Hi everyone. I'm seeing my pdoc tomorrow. I've been having ECT with some success, but my insomnia is still causing problems. Only thing that seems to work is Ambien (benzos, antihistamines, etc. stop working after a few days resulting in dosage creep).

I've had problems in the past with REM sleep behaviour disorder (that's physically acting out one's dreams; doesn't happen now b/c I'm on Parnate, and MAOIs suppress REM sleep almost completely).

Needless to say I've tried many things, but I haven't tried some of the newer ones (Mirapex, NMDA antagonists, etc.). I had a seizure (they think) on desipramine, which is too bad because it actually worked pretty well.

Anyway...anyone have any ideas? I've been considering asking for a higher dose of Ambien but I'm already taking 20mg which is higher than the recommended dose. Ambien is the only sleeping pill I've ever taken to which I don't become tolerant. It also seems to have some anti-anxiety effect (which I know it's not *supposed* to...)

Anyway...ideas for the treatment-resistant?

Thanks....


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poster:Crotale thread:835335
URL: http://www.dr-bob.org/babble/20080617/msgs/835335.html