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Dr. Bob is Robert Hsiung, MD,
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Posted by cactus on October 27, 2009, at 1:51:38
In reply to Re: Sleep suggestions please, posted by maxime on October 27, 2009, at 0:11:30
> No sleep tonight. I took 8 mg of Ativian at 10 pm and it's not 1:15 pm. Shite.
Ativan does nothing for me either, I'd take 3 or 4, 2.5mg tabs and nothing, whereas my sister would be out cold from 1 of them, same with temazepam and serax/serapax. They just don't work on me at all. Hang in there, it will be OK! I know how horrible and scary it is when you're on the edge from sleep deprivation. You'll get through this. Peace C
Posted by Sunbath on October 27, 2009, at 4:43:27
In reply to Re: Sleep suggestions please » maxime, posted by cactus on October 27, 2009, at 1:51:38
Hi Maxime,
I really feel with you, that's so terrible :(
You gotta get something now.
Ativan is not especially known for its sedating qualities.. it's one of the least sedating benzos I believe.
I might be wrong, but when Scott suggested halcion + ativan, I think he considered Ativan more as an augmentor for the hypnotic (Halcion)?Doxepine was in phase 3 trials as "silenor" for use as a sleep aid (promoted as nearly "side effect free".. which was no wonder at the doses used) where they used only 1-7mg when I remember correctly. I don't know what happened to Silenor and whether it got an approval or not.
I once tried 25mg and it knocked me out, but was also foggy the next day (that may have passed) which I didn't like.
25mg to me, which doesn't mean much ;) , sounds like a good dose to start when you are so "treatment resistent".Maybe a synergistic combination would do it?
Do antihistamines make you tired at all?
Did you ever try a "pure" one maybe as an otc sleep aid and did it help? I just wonder because you said amitriptyline wasn't sedating you at all and I think ami's sedating properties mostly come from its H1 antagonistic properties.. Anyway it's also a potent nri so that could have countered the sedation in your case? I don't know..
Did you once take mirtazapine or did you avoid it from the beginning because of the weight gain issue?If you tried it: did it make you tired back then?
If it was, maybe a combination of an antihistamine + trazodone (which is very weak as an antihistamine) or another sedating AD would do it?
Since trazodone was helping you in the past, did you try taking it with the benzo? Although there are no interactions it might add to the sleep promoting effect?BTW: It's probably b*llsh*t and just a crazy idea, but I just got it and wanted to share, maybe someone more experienced could tell what she/he thinks:
I once tried baclofen a GABA-B agonist. It made me really REALLY tired and ready for sleep. Just like a benzo it relaxed muscles and made me extremely drowsy and sleepy.
Maybe it's a stupid idea and I don't really know if it was even harmful.
But I'd really wonder if there wasn't some kind of synergism when combining that with a benzo (gaba-a agent + gaba-b agonist?).
However maybe a sedating antidepressant + an antihistamine + maybe trazodone (for synergism) would be much better than just benzos.
Doxepine, as you probably know anyway, is also a big weight gainer :( There is no sedating antidepressant that doesn't "officially" cause weight gain, except trazodone I believe. But maybe it wouldn't cause weight gain in YOU, especially not when only on a low dose? I really don't know.I really hope you get in touch with your doc today and that he'll know what to do!
Try not to feel too sad and hopeless about your insomnia. There are so many options left you can try. You will find something that works, I'm sure!!Keeping my fingers crossed for you!The best of luck!
Posted by Maxime on October 27, 2009, at 16:20:32
In reply to Re: Sleep suggestions please, posted by Sunbath on October 27, 2009, at 4:43:27
I am going to try Mogadon and/or Dalmane. I wasn't sure from my doctor email if I would be on them both.
Hopefully I will be able get them tomorrow.
I'm a mess.
Posted by Maxime on October 27, 2009, at 17:04:07
In reply to Re: Sleep suggestions please, posted by Maxime on October 27, 2009, at 16:20:32
I don't need to go to the hospital. But I about 15 2 mg of Ativan last to end the pain of not being able to sleep. Results were that I woke up at 3:30 pm with my mum yelling at me. If she hadn't been yelling I probably would still be asleep.
Sleep meds are so dangerous. I just wanted to relief. I didn't want to die but if I had it would have been nice.
Just be careful out there with those meds.
Posted by cactus on October 27, 2009, at 17:33:51
In reply to Confession to make ... I OD'd, posted by Maxime on October 27, 2009, at 17:04:07
maybe you should go to the hospital to get checked out right now. Concerned C
Posted by Maxime on October 27, 2009, at 17:43:15
In reply to Re: Confession to make ... I OD'd » Maxime, posted by cactus on October 27, 2009, at 17:33:51
No, I am alert now. Getting ready to go and walk the dog. There is only so much they can do after a number of hours have past and this was at 12:30 am. I am going to get more careful tonight. I was just feeling so desperate and I was hearing voices. I don't hear the voices any more. My pdoc is supposed to phone in a prescription for Modogon. He said he uses it often. Last of sleep is nothing to play with. Thanks for caring.
Posted by cactus on October 27, 2009, at 18:56:55
In reply to Re: Confession to make ... I OD'd » cactus, posted by Maxime on October 27, 2009, at 17:43:15
I can't believe he uses it and has never offered it to you, especially when he knows how much trouble you're having sleeping. Enjoy your walk, peace C
Posted by Phillipa on October 27, 2009, at 18:59:06
In reply to Re: Confession to make ... I OD'd » cactus, posted by Maxime on October 27, 2009, at 17:43:15
Reminds me of that strange time when the pdoc here wanted a base line on me was only on 50mg of luvox stopped it gave me long acting xanax 6mg which didn't let me sleep then up to 8mg ativan which didn't take. Didn't sleep for two weeks went to ER and the doc was scratching his head said he'd consulted with the big hospital uptown that has the pdocs and couldn't figure it out. Said obviously luvox is doing something so go back of valium and luvox. did and slept. At the time didn't even think that luvox that low could cause withdrawal???? Phillipa so assuming you have the med for tonight?
Posted by Maxime on October 27, 2009, at 22:02:40
In reply to Re: Sleep » Maxime, posted by cactus on October 27, 2009, at 18:56:55
He called in the med too late so I can't get it tonight but I will pick it up tomorrow. My pdoc is 87 years old and the most obvious thoughts aren't that obvious anymore. :)
Posted by floatingbridge on October 27, 2009, at 22:16:54
In reply to Confession to make ... I OD'd, posted by Maxime on October 27, 2009, at 17:04:07
Maxine,
I am so glad you're alright! Jeez, I'm worried, too. So you get your new med tomorrow? What are you doing tonight?
hugs!
fb
Posted by Maxime on October 28, 2009, at 15:22:59
In reply to Re: Confession to make ... I OD'd » Maxime, posted by floatingbridge on October 27, 2009, at 22:16:54
I didn't take anything last night but it didn't matter because I hadn't taken the Parnate since I woke up at 3:30 pm. So tonight I am taking Mogadon as suggested by Cactus and approved by my pdoc. My pdoc said he uses it a lot.
Posted by Maxime on October 28, 2009, at 16:57:06
In reply to Re: Confession to make ... I OD'd » floatingbridge, posted by Maxime on October 28, 2009, at 15:22:59
I passed out today while walking. I have a black eye. I don't know if it is from lack of sleep or hypotension from the Parnate. Either way it hurts like a bitch and is ugly
Posted by floatingbridge on October 28, 2009, at 17:39:20
In reply to I fainted today, posted by Maxime on October 28, 2009, at 16:57:06
Maxine,
Oh you dear woman. I hope you weren't alone. Fainting is frightening, and I'm sorry about your eye--eyouch! I've heard on board here that parnate can do that to people. I forget, but a recent thread, and SLS commented on how to avoid the effects of walking up stairs (or something like that--sorry Scott!).
Do you have any alt remedies on hand? Arnica gels keep blood from stagnating and speed along bruise healing.
Oh sweetie, kudos to you for hiking, though.
Hugs & an ice pack,
fb
Posted by cactus on October 28, 2009, at 18:01:09
In reply to Re: I fainted today » Maxime, posted by floatingbridge on October 28, 2009, at 17:39:20
oh you are having a really bad run Maxime, take care, hugs, C.
Arnica is amazing as FB suggested. Do you think it could be from missing a dose of Parnate the other day?PS did you get your script yet?
Posted by cactus on October 28, 2009, at 18:58:56
In reply to I fainted today, posted by Maxime on October 28, 2009, at 16:57:06
h you are having a really bad run Maxime, take care, hugs, C.
Arnica is amazing as FB suggested. Do you think it could be from missing a dose of Parnate the other day?PS did you get your script yet?
Posted by Maxime on October 28, 2009, at 21:22:25
In reply to Re: I fainted today » floatingbridge, posted by cactus on October 28, 2009, at 18:01:09
> oh you are having a really bad run Maxime, take care, hugs, C.
> Arnica is amazing as FB suggested. Do you think it could be from missing a dose of Parnate the other day?
>
> PS did you get your script yet?I think it's from the anorexia and the lack of sleep. Yes, I got my script and I am using it tonight!!!
Posted by Maxime on October 28, 2009, at 21:23:46
In reply to Re: I fainted today » Maxime, posted by floatingbridge on October 28, 2009, at 17:39:20
And I fainted on an escalator no less! My knees are a mess. People kept wanting to help me up but I just wanted to stay put. It was so embarrassing.
Posted by floatingbridge on October 28, 2009, at 21:29:23
In reply to Re: I fainted today » floatingbridge, posted by Maxime on October 28, 2009, at 21:23:46
I can imagine. I'm sorry. I also am sorry I misread your post--I thought you were hiking! Well, embarrassed or not, I'm glad there were helpful people about. Nothing to be ashamed about fainting. Really.
chicken broth & hugs,
fb
Posted by Phillipa on October 28, 2009, at 22:34:51
In reply to I fainted today, posted by Maxime on October 28, 2009, at 16:57:06
Maxie no not the not eating again too. You must eat no restricting calories. Love Phillipa
Posted by zzzz7 on October 29, 2009, at 0:31:50
In reply to I fainted today, posted by Maxime on October 28, 2009, at 16:57:06
I'm sorry to hear that Maxime.
Posted by Maxime on October 29, 2009, at 3:07:32
In reply to Re: I fainted today, posted by zzzz7 on October 29, 2009, at 0:31:50
It's 4 am and the new med didn't work. Do you think Haldol would do the trick. I am really to poke my eyes out with knitting needles.
Posted by Phidippus on October 29, 2009, at 3:20:30
In reply to How about Haldol?, posted by Maxime on October 29, 2009, at 3:07:32
What was the new med?
Haldol is actually activating. You want Thorazine. Did you get my list of sleep aids? There was some strong stuff on the list.
P
Posted by Maxime on October 29, 2009, at 3:30:02
In reply to Re: How about Haldol?, posted by Phidippus on October 29, 2009, at 3:20:30
I will have to revisit the list. Thorazine doesn't make me tired anymore.
Posted by Phidippus on October 29, 2009, at 4:41:57
In reply to Re: How about Haldol? » Phidippus, posted by Maxime on October 29, 2009, at 3:30:02
Of course, you could always just stop worrying about sleeping. Just let come as it may.
P
Posted by Maxime on October 29, 2009, at 15:29:03
In reply to Re: How about Haldol?, posted by Phidippus on October 29, 2009, at 4:41:57
I'm hallucinating, I think the time to start worrying about sleeping has come.
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