Posted by yxibow on January 8, 2006, at 23:36:00
In reply to Treatment-resistant insomnia and I'm sick of it!, posted by vbAgent on January 8, 2006, at 1:37:03
> Well, it's safe to say that Lunesta 2mg has completely lost it's sleep-promoting effect. I'm totally sick of it. Insomnia sucks. I just don't know what to do...I've gone from Lunesta to Ambien CR back to Lunesta, and now I'm immune to thier hypnotic effect.
Just a question, how much of Ambien CR (did you try regular Ambien ?) did you take. Some people are stubborn to its effects -- I take 20mg, well I used to take 20mg of Ambien, I currently take 15mg. Its well tolerated at 20mg (I would not go above, I've never heard of usage above).
There's also Rozerem, although it is melatonin related so hormonally could interfere with depression though that isn't your DX. Lunesta did not have a lot of effect on me until I got to 3mg.
And then there's the weaker Sonata, which I dont know if you've tried, you could also dose that to whatever stratosphere psychiatrists are comfortable with these days. As mentioned before, there is chloral hydrate, though it is somewhat dangerous and is basically the component of a "mickey finn."
If you can tolerate the weight gain possibility, there is Remeron though with the amount of amphetamine in your system I would think would partially counteract that.
>
> Any good psychiatrist would probably correctly suspect that insomnia isn't my primary disorder; I also have adult ADD for which I now take 15mg/day of Adderall.Its a pretty powerful drug, its legal methamphetamines basically and is triplicate so its no wonder that you're kept awake. I assume you've been through trials with Strattera, Provigil and Wellbutrin instead.
>Seroquel was very helpful but I'm extremely uncomfortable taking such a powerful drug solely for treating insomnia.
I agree that antipsychotics shouldn't be the first resort to insomnia, but sometimes a small dose does help. 25 to 50mg is way below the "clinical" dose for Seroquel.
>I just want a regular sleep schedule!!!
me too! And that's also part of good sleep hygiene, whether you're capable of actually going to sleep at that point or not, consistently going to bed at the same time each day helps. Resisting the urge to take daytime naps also helps -- I'm not always successful with that I must admit. Finally, some excercise somewhat before bedtime also helps to improve sleep.
-- tidings
poster:yxibow
thread:596465
URL: http://www.dr-bob.org/babble/20060108/msgs/596945.html