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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by dave1 on March 14, 2004, at 17:06:46
Hi,
I have been getting excessive dreaming from my Prozac (I think), and it is disturbing, and it wakes me up alot. Doe's anybody else have this problem? Is there anything I can do about it? How about taking all my med in the morning or at nite? Or, taking a long acting BZ before I go to bed to suppress my dreaming? Or, taking a low dose of TCA to suppress my dreaming? Or anything else?
Thanks,
Dave
Posted by zeugma on March 14, 2004, at 17:35:40
In reply to Prozac and dreaming, posted by dave1 on March 14, 2004, at 17:06:46
> Hi,
>
> I have been getting excessive dreaming from my Prozac (I think), and it is disturbing, and it wakes me up alot. Doe's anybody else have this problem? Is there anything I can do about it? How about taking all my med in the morning or at nite? Or, taking a long acting BZ before I go to bed to suppress my dreaming? Or, taking a low dose of TCA to suppress my dreaming? Or anything else?
>
> Thanks,
>
> Dave
>
>
The excessive dreaming is probably a consequence of REM suppression combined with increased time in stage 1 sleep, which then 'takes over' the role of REM. A 5HT-2 antagonist would be the first thing to try to mitigate this effect, as it is probably mediated by excessive stimulation of 5HT-2 receptors.5HT-2 antagonists: trazodone, nefazodone, Periactin, Remeron, many atypical AP's. Low dose TCA's might do the trick as well if you can tolerate the side effects.
Posted by dave1 on March 14, 2004, at 21:13:02
In reply to Re: Prozac and dreaming, posted by zeugma on March 14, 2004, at 17:35:40
Do you think the dreaming will go away once my system gets used to the SSRI. HappyGirl (above) said that's what happens with Wellbutrin.
Thanks,
Dave
> > Hi,
> >
> > I have been getting excessive dreaming from my Prozac (I think), and it is disturbing, and it wakes me up alot. Doe's anybody else have this problem? Is there anything I can do about it? How about taking all my med in the morning or at nite? Or, taking a long acting BZ before I go to bed to suppress my dreaming? Or, taking a low dose of TCA to suppress my dreaming? Or anything else?
> >
> > Thanks,
> >
> > Dave
> >
> >
>
>
> The excessive dreaming is probably a consequence of REM suppression combined with increased time in stage 1 sleep, which then 'takes over' the role of REM. A 5HT-2 antagonist would be the first thing to try to mitigate this effect, as it is probably mediated by excessive stimulation of 5HT-2 receptors.
>
> 5HT-2 antagonists: trazodone, nefazodone, Periactin, Remeron, many atypical AP's. Low dose TCA's might do the trick as well if you can tolerate the side effects.
>
Posted by Sad Panda on March 15, 2004, at 0:42:01
In reply to Re: Prozac and dreaming, posted by zeugma on March 14, 2004, at 17:35:40
> > Hi,
> >
> > I have been getting excessive dreaming from my Prozac (I think), and it is disturbing, and it wakes me up alot. Doe's anybody else have this problem? Is there anything I can do about it? How about taking all my med in the morning or at nite? Or, taking a long acting BZ before I go to bed to suppress my dreaming? Or, taking a low dose of TCA to suppress my dreaming? Or anything else?
> >
> > Thanks,
> >
> > Dave
> >
> >
>
>
> The excessive dreaming is probably a consequence of REM suppression combined with increased time in stage 1 sleep, which then 'takes over' the role of REM. A 5HT-2 antagonist would be the first thing to try to mitigate this effect, as it is probably mediated by excessive stimulation of 5HT-2 receptors.
>
> 5HT-2 antagonists: trazodone, nefazodone, Periactin, Remeron, many atypical AP's. Low dose TCA's might do the trick as well if you can tolerate the side effects.
>
>
>Prozac is a very mild 5-HT2A blocker, hence the excess dreaming. When I was on Prozac it gave me nightmares & dreams of killing. That + daytime agitation caused be to drop Prozac ASAP. Next I tried Effexor which is heaps better but I had trouble sleeping, got the doc to give me Remeron & I've been having sweet dreams ever since. They are still vivid, but pleasant. Remeron's primary action is major H1 blockade which causes sedation & a calming affect. Remeron also blocks 5-HT2A, 5-HT2C, 5-HT3 & Alpha-2 NE receptors.
Cheers,
Panda.
Posted by dave1 on March 15, 2004, at 17:24:59
In reply to Re: Prozac and dreaming, posted by Sad Panda on March 15, 2004, at 0:42:01
Hi,
I need to take an SSRI for my OCD. Someone on my OCD chat room said that they had much less dreaming when on Lexapro, as compared to Prozac. What do think of this ?
Thanks,
Dave
> > > Hi,
> > >
> > > I have been getting excessive dreaming from my Prozac (I think), and it is disturbing, and it wakes me up alot. Doe's anybody else have this problem? Is there anything I can do about it? How about taking all my med in the morning or at nite? Or, taking a long acting BZ before I go to bed to suppress my dreaming? Or, taking a low dose of TCA to suppress my dreaming? Or anything else?
> > >
> > > Thanks,
> > >
> > > Dave
> > >
> > >
> >
> >
> > The excessive dreaming is probably a consequence of REM suppression combined with increased time in stage 1 sleep, which then 'takes over' the role of REM. A 5HT-2 antagonist would be the first thing to try to mitigate this effect, as it is probably mediated by excessive stimulation of 5HT-2 receptors.
> >
> > 5HT-2 antagonists: trazodone, nefazodone, Periactin, Remeron, many atypical AP's. Low dose TCA's might do the trick as well if you can tolerate the side effects.
> >
> >
> >
>
> Prozac is a very mild 5-HT2A blocker, hence the excess dreaming. When I was on Prozac it gave me nightmares & dreams of killing. That + daytime agitation caused be to drop Prozac ASAP. Next I tried Effexor which is heaps better but I had trouble sleeping, got the doc to give me Remeron & I've been having sweet dreams ever since. They are still vivid, but pleasant. Remeron's primary action is major H1 blockade which causes sedation & a calming affect. Remeron also blocks 5-HT2A, 5-HT2C, 5-HT3 & Alpha-2 NE receptors.
>
> Cheers,
> Panda.
>
>
Posted by zeugma on March 15, 2004, at 20:00:02
In reply to Prozac and dreaming, posted by dave1 on March 14, 2004, at 17:06:46
From what I've read, SSRI's at first diminish, then increase dreaming, to the point where it seems continuous. It's a function of how long someone has been on the drug. I think this effect is common to all SSRI's. The antidote should be 5-HT 2A blockers (aren't they the antidotes to all SSRI side effects?) because they promote slow-wave sleep.
Posted by Sad Panda on March 16, 2004, at 8:10:45
In reply to Re: Prozac and dreaming » dave1, posted by zeugma on March 15, 2004, at 20:00:02
> From what I've read, SSRI's at first diminish, then increase dreaming, to the point where it seems continuous. It's a function of how long someone has been on the drug. I think this effect is common to all SSRI's. The antidote should be 5-HT 2A blockers (aren't they the antidotes to all SSRI side effects?) because they promote slow-wave sleep.
>
>5-HT3 blockade for SSRI nausea.
Cheers,
Panda.
Posted by dave1 on March 16, 2004, at 8:25:39
In reply to Re: Prozac and dreaming » dave1, posted by zeugma on March 15, 2004, at 20:00:02
Hi,
Thanks for the responses. I'm trying some Abilify to see if that will help.
Bye,
Dave
Posted by KXo on March 16, 2004, at 19:46:09
In reply to Prozac and dreaming, posted by dave1 on March 14, 2004, at 17:06:46
My sister has been on Prozac for more than 1 year. She recently told me about their dreams. She has them everyday... These dreams look like real things, but she knows she is dreaming and she doesn't wake up because of this. Could it cause any problem for her?
KXo
Posted by KXo on March 16, 2004, at 19:59:10
In reply to Re: Prozac and dreaming, posted by KXo on March 16, 2004, at 19:46:09
She also told me that sometimes she mixes the dreams with reality when she is awake. This is some scary for me, even not being nightmares.
This is the end of the thread.
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