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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by bonesintoronto on April 19, 2019, at 10:21:51
Hello again.
I have been struggling with major depressive disorder for the past seven years. I have gone through a long list of SSRI's. I did have some relief for three years with a combo of AD and Pregablin. It worked wonderfully for me, and helped both with social anxiety and insomnia. Pregablin has now pooped out. Insomnia started with perimenopause. Not sleeping is horrible for most people but I also have OCD which is triggered by lack of sleep. Doc has just started me on Effexor XR. (From Prozac) It has been a month and I continue having terrible sleep. Last two nights barely a wink of sleep. Do you think that this will resolve over time? It also makes me feel tremulous which doesn't help with social anxiety. My mood has improved, but only if I have a good night's sleep. I am having trouble getting a pdoc and my MD has me in and out of her office in three minutes flat!! What do you think my psychobabble peers. Should I continue on Effexor XR. I am taking 150 mg. Will it continue to cause severe insomnia. I thought at a month the side effects would have resolved. (At baseline I have trouble sleeping.) Or should I go back to an SSRI - Citalopram and request mood stabalizer like Lamictal? Will Lamictal cause insomnia?
Posted by Lamdage22 on April 19, 2019, at 11:09:19
In reply to Effexor XR and Insomnia, posted by bonesintoronto on April 19, 2019, at 10:21:51
I doubt that Lamictal could cause insomnia. Be careful there. I once didn't sleep on a combination of Effexor and Wellbutrin and after two weeks I had a psychotic break. What does your doctor suggest? Does he know?
Posted by linkadge on April 19, 2019, at 11:27:44
In reply to Effexor XR and Insomnia, posted by bonesintoronto on April 19, 2019, at 10:21:51
What dose of Effexor are you on?
I take Effexor, lithium and mirtazapine. Mirtazapine counteracts the insomnia I would otherwise get from Effexor.
The insomnia from Effexor could improve over time, but for me did not go away completely. You might talk to your doctor about adding a low dose of mirtazapine, amitriptyline, trazodone or doxepin as these can help counteract the insomnia.
Linkadge
This is the end of the thread.
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