Posted by zatar on October 19, 2011, at 23:29:03
In reply to Re: Can't tolerate meds,TIRED all the time, + Deplin, posted by jono_in_adelaide on October 19, 2011, at 23:20:28
> The only sleep med that doesnt mess with sleep architecture is trimipramine (Surmontil)
>
> Might be worth tryig this, its an antidepressant as well as being a good sleep med, it might also help your FM symptoms.Now that's a good suggestion! Sometimes those old drugs work better for some folks that the newer, more receptor specific ones. As an aside, my daughter did terrible on Lexapro. It had more cognitive side effects than Prozac or Zoloft. So much for a "pure" SSRI.
There are actually some FMS patients who do well on MAOIs. I haven't tried that route yet, but at least my pdoc is not averse to talking about it. My only concern is that when I get flares, I can't even do decaf coffee or chocolate. So the NRI effect of an MAOI may exacerbate my muscle issues. I don't just have amplified pain, I also have myofascial issues with lots of muscle knots and referred pain from that. Can't mess with my muscles. My only relief is seeing a wonderful physical therapist who does manual therapy once a week. It prevents me from having major issues like severe back pain, headaches, etc.
Thank you for the suggestion. I'm going for a repeat sleep study and will bring up Surmontil. I've found that doctors in their 50's or older have used the old drugs and can compare them to the newer ones more and are not afraid to use them.
-Zatar
poster:zatar
thread:1000203
URL: http://www.dr-bob.org/babble/20111016/msgs/1000276.html