Posted by Ritch on May 10, 2002, at 9:32:42
In reply to Vicious Circle - Klonopin and Effexor- Help!, posted by AnneL on May 9, 2002, at 0:03:04
> Hi,
> I'll try to keep this short and to the point. I have been on Klonopin 1 mg. at bedtime for sleep and Effexor XR 225 mg. in the morning for depression for over one year. I suffer from morning hangover and daytime fatigue most likely from a combination of the long half-life of Klon and possibly from the Effexor as well. Pdoc had me taper 1/4 tab each week off of the Klono and had me try Trazadone 50 to 150 mg. at bedtime. I got to 1/4 of a tab of Klon and 50 mg. of Traz and could not sleep and started getting anxiety. Plus, I felt like a nimwit on Traz. Bad for my cognition.
>
> So back on Klon 1 mg. and Effexor. So tired during the day. Either I am getting depressed or the fatigue is depressing. I sleep well on the Klon.
> Coffee is not even helping much anymore. Any ideas? Thanks, AnneL
Hi Anne,I remember when I was taking Prozac years ago and had insomnia and was given trazodone-it didn't work very well. You shouldn't be feeling Klon. sedation very much the next day-esp. in the afternoons/evenings. I wouldn't be surprised if it is the Effexor. Do you take all 225mg in the AM? What would happen if you took 75mg 3x daily? (as an experiment). Also, one thing people experience on SSRI's/Effexor is sleep that is too light, which makes them groggy and fatigued the next day. I found Effexor caused a lot of super vivid dreaming. If I dream excessively that usually means I am not sleeping soundly enough-otherwise I wouldn't be remembering all of the dreaming! Just some thoughts, maybe you ought to drop the Effexor from 225>150mg??
Mitch
poster:Ritch
thread:105683
URL: http://www.dr-bob.org/babble/20020510/msgs/105870.html