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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by Prefect on November 10, 2016, at 20:55:44
My latest bout with increased anxiety and derealization I KNOW mostly has to do with disrupted sleep I have when I have my 2 year old. He only wakes up in the middle of the night once in a while, but the anticipation of this happening gives me insomnia EVERY NIGHT that I have him, throughout the night. I'm considering taking a mild sedative that wouldn't knock me out too bad, considering I'm still looking after my 2 year old, but also would help me get some good sleep. I take 100 mg of Luvox a night, so this should also be worked into the equation. I'm also open to natural products (camomile?) if you think it'll work. Thanks.
Posted by rjlockhart37 on November 11, 2016, at 15:59:51
In reply to A sleep aid that plays well with Luvox?, posted by Prefect on November 10, 2016, at 20:55:44
valerian (health food stores)
phenibut (online - ebay)
over the counter antihistamines for sleep,
kava kava root (online, and some stores)
Posted by baseball55 on November 11, 2016, at 18:35:14
In reply to Re: A sleep aid that plays well with Luvox?, posted by rjlockhart37 on November 11, 2016, at 15:59:51
Melatonin works for a lot of people. Also trazadone. Neither would make you unable to wake up and care for your child.
Posted by Christ_empowered on November 11, 2016, at 20:53:54
In reply to A sleep aid that plays well with Luvox?, posted by Prefect on November 10, 2016, at 20:55:44
maybe high dose niacin or niacinamide, taurine (empty stomach), kava kava (not if you have any liver problems), passion flower...
Some people take premade blends of different things put together. Some people mix their own supplements until they get the desired effect.
I hope you find something you can tolerate that works well.
Posted by linkadge on November 12, 2016, at 19:50:49
In reply to Re: A sleep aid that plays well with Luvox?, posted by baseball55 on November 11, 2016, at 18:35:14
I would personally not combine melatonin with luvox since luvox inhibits CYP1A2 which can significantly reduce melatonin metabolism. Also, I have found that SSRIs + melatonin just don't mix too well (reduce SSRI effectiveness and just feel yucky)
You might consider low dose mirtazapine, or (if you're in Canada) cyproheptadine. Both are antihistamines and 5-ht2a blockers which can enhance sleep and reduce anticipatory anxiety. I have used both these meds with luvox. Another option might be low dose amitriptyline or trimipramine. If you do add another antidepressant, you may need (or decide to) to reduce the dose of luvox.
If the insomnia is periodic, you could try a benzodiazepine such as lorazepam.
Reducing the dose of luvox (75mg?) may help too as SSRIs can sometimes disrupt sleep on their own.
As for alternatives, magnesium may help. Start with 50 - 100 mg.
Linkadge
This is the end of the thread.
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