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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by wsj on November 28, 2003, at 0:08:51
day 17 - 2003.11.27 - 70mg - fell asleep @1:15pm on 10mg ambien > slept restlessly till 7:00am - ate breakfast then napped in den chair 2.5hrs - feel ok today but parnate doses are hitting hard today s/e wise > tight head along a couple of lightheadedness episodes > near fainting once? - seems the more i sleep the less parnate i should take - long uncomfortable comedown in evening after last dose @ 5:30pm - disappointed - thought these days were behind me! still have not worked out > feeling to lazy > even though i know it would help sleepwise
day 16 - 2003.11.26 - 70mg - fell asleep @ 1:00am on 10mg ambien > slept restlessly until 6:00am - went to work at 9:00am > stayed till 4:30pm - tired all afternoon took last dose at 5:00pm - s/e from w/d is just feeling tired and lazy in evening - good mood until late evening
day 15 - 2003.11.25 - 70mg - fell asleep @3:15am on 20mg ambien > slept very restlessly until 8:00am - felt lazy all morning - had doc appt (ent) at 2:30pm so didn’t go into work until after > stayed till 5:45pm - completed tasks well - concentration is good - keeping up w/ work even w/ reduced work schedule - mood was good all day > especially since sleep is so bad! doc said i could start working out again (after sleep apnea surgery) - gotten out of the habit and feel so lazy from the parnate plus the cold weather > maybe ill start tomorrow
day 14 - 2003.11.24 - 70mg - fell asleep @ 3:00am on 20mg ambien > woke 8:30am - good energy all day - taking 60mg dose parnate but feel like I would do better on higher dose > only side effects I have are when a dose wears off - went to work at noon and stayed till 6:00pm > was able to complete a lot of work - feel pretty good mood wise > feel impatient at times
day 13 - 2003.11.23 - 60mg - fell asleep about 1:30am on 20mg ambien > woke 7:00am - most normal night of sleep since going off klonopin - had energy and felt pretty good > until 6:30pm when I felt like I needed a nap - got 2cnd wind though - still having fairly hard come down in evenings - but i feel a lot better than yesterday
day 12 - 2003.11.22 - 60mg - fell asleep about 3:30am on 10mg ambien - woke 8:00am > made myself stay in bed and sleep off and on till 10:30am - missed work - tired & unmotivated all day - disappointed - thought after getting some sleep I would feel pretty good > but instead having worst day in last 6
day 11 - 2003.11.21 - 60mg - didn’t fall asleep till about 2:30am last night even though I took 20mg ambien - woke 7:30am > at work by 8:30am - felt good even though I was tired > went thru parnate quick and ran out of gas by noon > stayed till 4:30pm - took 10mg when i got home for 60mg total - each day w/o klonopin is feeling better - i think once im thru w/ klonopin w/d and start to get some sleep i am going to feel good
day 10 - 2003.11.20 - 50mg - didn’t fall asleep until 3:00am last night even though I took 20mg ambien - woke 7:00am - I think this is mostly due to klonopin w/d and not parnate - felt better than yesterday but due to lack of sleep not great - made it to work by 10:30am but ran out of gas at 3:00pm > stayed till 5:00pm
day 09 - 2003.11.19 - 50mg - dropped klonopin completely last night - had to take 20mg ambien again to sleep - unmotivated - getting tired late in day > feeling just like coming off dexedrine in evening w/ blurry eyesight - emailed pdoc > he says im going up to fast > but upped my next script to 60mg/ day per my request - not feeling quite as good today only b/c lack of motivation is begining to get old - i have got a lot of work to do and just don't feel like working > im writing this at 4:15pm and havent gone into work yet
day 08 - 2003.11.18 - 50mg - dropped to .25 klonopin last night - had to take 20mg ambien to get to sleep - felt the need to take 50mg parnate today - not very motivated today but feeling fine - didn't get to work unitl 3:00pm but stayed till 7:30pm
day 07 - 2003.11.17 - 40mg - made it back to work today - had good energy until 5:00pm > ran completely out of gas - felt like I needed to take 50mg - still feeling as good as I ever did on lexapro
day 06 - 2003.11.16 - 40mg - no tired spells at all today - already feeling as good as I ever did on lexapro - thinking about dropping the .5 klonopin for sleep and go to 10mg ambien - sleeping restlessly
day 05 - 2003.11.15 - 30mg - not nearly as tired today - dropped from .75mg to .5mg klonopin last night - mood up again slightly
day 04 - 2003.11.14 - 20mg - less tired each passing day - still unmotivated - missed work - slight increase in mood
day 03 - 2003.11.13 - 18mg - woke 8:30am - tired but not as tired as yesterday - I think tiredness due to w/d from dexedrine and not parnate - mood not improved - missed work - totally unmotivated - at end of day slight mood increase
day 02 - 2003.11.12 - 17mg - woke 10am - been tired all day - mood not improved - missed work - totally unmotivated
day 01 - 2003.11.11 - 15mg - to start today - took @ 15mg - just a feeling of tightness in brain - but did not miss dexedrine
Posted by SLS on November 28, 2003, at 15:57:17
In reply to * * p a r n a t e * * d a y * s e v e n t e e n *, posted by wsj on November 28, 2003, at 0:08:51
Hi.
Thanks for the updates.
Why have you raised the dosage beyond 60mg, which is normally considered to be the top of the dosage range?
- Scott
Posted by wsj on November 28, 2003, at 22:57:50
In reply to Re: * * p a r n a t e * * d a y * s e v e n t e e n *, posted by SLS on November 28, 2003, at 15:57:17
i know i'm going to high to fast - i'm sick of feeling depressed and decided to be aggressive and go as fast as i can take > i do feel right now i should have stayed at 60mg longer.
wsj
Posted by SLS on November 29, 2003, at 8:11:12
In reply to * * p a r n a t e * * d a y * s e v e n t e e n * » SLS, posted by wsj on November 28, 2003, at 22:57:50
> i know i'm going to high to fast - i'm sick of feeling depressed and decided to be aggressive and go as fast as i can take > i do feel right now i should have stayed at 60mg longer.
>
> wsj
I can identify with your impatience. I don't think there is anything wrong with 70mg. For severe depression, I think the dosage range should be 40 - 80mg. The dizziness and light-headedness may get worse before it gets better. I think blood pressure is at its lowest in late afternoon - 4:00pm or so. Sometimes drinking a little coffee at that time can reduce the dizziness.
- Scott
Posted by wsj on November 29, 2003, at 10:55:51
In reply to Re: * * p a r n a t e * * d a y * s e v e n t e e n *, posted by SLS on November 29, 2003, at 8:11:12
This is the end of the thread.
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