Posted by vbAgent on January 9, 2006, at 0:21:55
In reply to Re: Treatment-resistant insomnia and I'm sick of i » vbAgent, posted by yxibow on January 8, 2006, at 23:36:00
> 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).
Well, I took 6.25mg to 12.5mg of Ambien CR at bedtime when the pdoc switched me back to Lunesta 2mg (I don't know why she did).
> 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.
We tried Rozerem but it didn't have an effect.
> Its a pretty powerful drug, its legal methamphetamines basically and is triplicate so its no wonder that you're kept awake.
Right, it is a potent drug! It blows my mind that some people can take such high dosages, like 60mg to up to 120mg, and also take an antidepressant. To avoid interfering with sleep I don't take Adderall any later than 5-6pm. Sometimes I'll take just 10mg/day instead of the regular 15mg/day. The pdoc has prescribed 10mg to be taken 3x/day (30mg/day), but this amount gives too much CNS stimulation. My pdoc knows I take less than the prescribed amount.
> I assume you've been through trials with Strattera, Provigil and Wellbutrin instead.
Strattera didn't work well and I experienced some dizziness and nausea from it. This could be due to the affect it had on my liver.
Wellbutrin just made me feel weird, but I think that was because we didn't start out on a low dose; this was many years ago and not with my current pdoc.
Never tried Provigil.
> 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.
I never take daytime naps. Waking up early, like at 8am, is very hard if I don't have morning obligations. So I guess the answer is to give myself more morning obligations. In addition to what I've already decided to do, proper sleep hygiene is something I need to work on. I live in a very small, single bedroom apartment. So, objects associated with wakefullness and stimulation (like TV or the computer) are literally an arm's length away.
I'm a Gold's Gym member, but sadly I've been so busy and preoccupied that I have missed too many workouts for my liking. I am going to work very hard at working out in the morning since my work schedule doesn't allow me to hit the gym after work.
Thanks for giving me something to think about & work on. Great reply. Take care...
poster:vbAgent
thread:596465
URL: http://www.dr-bob.org/babble/20060108/msgs/596955.html