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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by Tabßitha on October 14, 2002, at 3:35:05
Hi all,
I get insomnia from my celexa, both the can't get to sleep kind, plus the premature awakening kind. I've found that melatonin+B6 will get me to sleep most nights, unless I'm really wired from stress, then I take ambien. My 200mg Neurontin seems to be the key to staying asleep all night though. I tried cutting back to 100mg and started waking up before dawn again, even with melatonin and ambien. This went on for a week, then I went back to 200mg and started sleeping thru the night again. Ahh, sleep!Anway, my doc tends to give me low doses of sedating meds to offset the insomnia from the SSRIs. For a long time it was prozac+nortryptiline. The neurontin really isn't as sedating, but it seems to do the trick. I'd kind of like another option though, b/c the neurontin has other problems for me. Any ideas?
I'm also just curious, does anybody else do this kind of combo for SSRI insomnia?
Posted by joy on October 14, 2002, at 9:35:37
In reply to Med combining for SSRI induced insomnia., posted by Tabßitha on October 14, 2002, at 3:35:05
After many years, I have found .5 Xanax before bedtime gives me an all night sleep with no hangover effect. BTW how was Prozac with Nortriptyline for you? I just started Nortriptyline for headaches, and used to be on Prozac. I was wondering about the two together.
Try the Xanax; it was much better for me than Ambien.
Joy
Posted by MJC on October 14, 2002, at 15:19:09
In reply to Med combining for SSRI induced insomnia., posted by Tabßitha on October 14, 2002, at 3:35:05
Hey, I find that either Trazadone 50mg OR Clonazepam .5-1mg helps me fight off the insomnia. I've been suffering from insomnia for nearly 10 years pretty much constantly. The Trazadone worked great at first but then it started to cause problems with the other SSRI I'm taking (Effexor) so I switched over to Clonazepam (Klonopin) before bed. I sleep like the dead every night now for almost 8 hours then a coffee when I get up in the morning and I'm fine.
Posted by Tabßitha on October 15, 2002, at 1:32:31
In reply to Re: Med combining for SSRI induced insomnia., posted by joy on October 14, 2002, at 9:35:37
I've wondered about benzos for this. My pdoc never suggested it, but maybe I could ask. My insurance plan just cut Ambien anyway, so now it's $75 cash per refill, ouch!
The prozac+nortyptiline was a long time ago. Prozac was just too activating for me, plus a total libido-killer, so I eventually switched to Serzone. I don't think I was on a therapeutic dose of the nortryp, since it was just an add-on. I do remember it allowed me to sleep thru the night, but it dried out my mouth even at the small dose. I was worried that over time I'd get dental problems from having no spit all night. That combo was great for depression though, I don't think any AD since has been as good as prozac. I had the most awful dreams though, like body parts falling off, and vivid vomiting and even grosser stuff, eewww! Plus just lots of dreams where I'd be sleeping in my bed, and my body would start flinging itself around with this crazy energy, and I'd be thinking gosh I'm so tired I just want to sleep, why can't I stop flinging around like this. I took it as a literal message from my body to me, saying PLEEEZE STOP THE PROZAC!! IT'S TOO MUCH FOR ME!
This is the end of the thread.
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