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Re: CBT vs Seroquel or Abilify or Latuda » legm82

Posted by SLS on June 10, 2015, at 21:02:11

In reply to Re: CBT vs Seroquel or Abilify or Latuda » SLS, posted by legm82 on June 10, 2015, at 16:18:20

> > Do you have trouble falling asleep? Do you have trouble staying asleep? What time of day is your depression at its worst?

> I have trouble falling sleep more than staying asleep. My depression is worst at morning.

In the past, it was believed that early morning awakenings and feeling worse in the morning indicated the use of tricyclics. Again, tricylics are thought to be more liable to trigger manias than most other drugs.

> Do you have suggestions for my sleep issue?

It might be worth exploring combining mirtazapine (Remeron) with venlafaxine (Effexor). Remeron is often given for sleep, and in combination Effexor, sometimes produces improvements in depression when other treatments have failed. Even though Remeron is very antihistaminic (like Seroquel), I couldn't find any reports of asthma on Medline. However, the manufacturer mentions it as an infrequent side effect.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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