Posted by Jay_Bravest_Face on July 23, 2008, at 22:50:17
In reply to depressed/irritable in the morning: any ideas plz?, posted by Marty on July 23, 2008, at 13:02:40
Hi Marty..
Well, I certainly can relate! Even with 7-8 hours of sleep, if I have to get up anytime before 8 am, I am just a wreck! Even then, mornings are not my thing. Meds may have helped a tiny bit. You questioned about Xanax and, personally, I think it is an excellent med that is prescribed in way too low doses. 1-2mgs 4x a day seems more what I would like to see be taken. I have been on 2 mg of clonazepam 4x a day for the past 12 years, and I lower my dose when I dont need it, and up when I do need it. I could easily go cold turkey with it, and actually have gone many weeks and even months without it.
I honestly think your Tianeptine may cause some morning problems. Since it dis-inhibits serotonin re-uptake, and serotonin being a part of melatonin, you may not be getting the melatonin you need to feel refreshed. Melatonin by itself is a relaxing chemical. Serotonin may have been overrated in the past few decades, but it is still an important neurochemical. Have you considered a trial of say nefazadone (aka generic Serzone..only available in the U.S. generically)? It does a great job at blocking those 5htp2a and sub receptors that cause many problems with SSRIs (I.E. sexual dysfunction, sleep, loss of affect.) I am a social worker in a program for autistic kids, and we are finding some amazing results with this med.
Also, Wellbutrin can easily cause irritability, especially if you are trying to disinhibit serotonin reuptake.
What other recent meds have you tried?
Thanks,
Jay
poster:Jay_Bravest_Face
thread:841610
URL: http://www.dr-bob.org/babble/20080718/msgs/841715.html