![[dr. bob]](/dr-bob-sm.gif)
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 lexman on February 18, 2004, at 16:44:44
I have been extremely tired during the day.I take 10mg of lexapro in the morning.I have been taking it since august.i drank alot the past weekend.it is now wednesday, could it be the lexapro is building back up into my blood?Thats why i feel so tired?
Posted by MB on February 18, 2004, at 19:01:53
In reply to lexapro/feeling extremely tired during the day, posted by lexman on February 18, 2004, at 16:44:44
> I have been extremely tired during the day.I take 10mg of lexapro in the morning.I have been taking it since august.i drank alot the past weekend.it is now wednesday, could it be the lexapro is building back up into my blood?Thats why i feel so tired?
Yeah, I think the levels build for a few days and then you reach what they call a "steady state" where the blood levels still fluctuate somewhat but stay within a therapeutic window."With once daily dosing, steady state plasma concentrations are achieved within approximately one week," http://www.rxlist.com/cgi/generic/lexapro_cp.htm
But you've been taking it since August. I think that if it's been more than a week since your last dose increase, your blood levels should be steady. What did you mean by levels "building *back* up"? Had you quit taking it for a while, or were you thinking that the booze lowered your blood levels and that they were now going back up? I'm not sure what booze does to SSRI blood levels, but I do know that I've had some bizzare hangovers on SSRIs. Hangovers that I didn't think I was going to live through. I just felt *SO* sick.
MB
Posted by MB on February 18, 2004, at 19:07:39
In reply to lexapro/feeling extremely tired during the day, posted by lexman on February 18, 2004, at 16:44:44
Oh yeah, another thing I forgot to mention is that I've experienced severe lethargy and apathy on all SSRIs but those side effects didn't show up for me until I had been on the medication for a while...not until I had been on them roughly four months or something like that. Unfortunately, unlike the startup side effects, these late-onset side effects of lethargy and apathy never went away for me...not until I got off the drug. It was also usually around the same time that the lethargy hit that the weight started piling on. I hate SSRIs, but better to feel sick and tired than to shoot myself, I guess.
MB
Posted by lexman on February 20, 2004, at 14:33:56
In reply to Re: lexapro/feeling extremely tired during the day » lexman, posted by MB on February 18, 2004, at 19:01:53
> > I have been extremely tired during the day.I take 10mg of lexapro in the morning.I have been taking it since august.i drank alot the past weekend.it is now wednesday, could it be the lexapro is building back up into my blood?Thats why i feel so tired?
>
>
> Yeah, I think the levels build for a few days and then you reach what they call a "steady state" where the blood levels still fluctuate somewhat but stay within a therapeutic window.
>
> "With once daily dosing, steady state plasma concentrations are achieved within approximately one week," http://www.rxlist.com/cgi/generic/lexapro_cp.htm
>
> But you've been taking it since August. I think that if it's been more than a week since your last dose increase, your blood levels should be steady. What did you mean by levels "building *back* up"? Had you quit taking it for a while, or were you thinking that the booze lowered your blood levels and that they were now going back up? I'm not sure what booze does to SSRI blood levels, but I do know that I've had some bizzare hangovers on SSRIs. Hangovers that I didn't think I was going to live through. I just felt *SO* sick.
>
> MB
>
I was meaning the booze.Does it decrease the blood levels? I still feel depressed but not anxious, should i increase the does to 20 mg?lexman
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.