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Dr. Bob is Robert Hsiung, MD,
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Posted by Helen Ball on August 18, 2020, at 8:40:07
Hello Everyone
I know there are a number of contributors who have a lot of knowledge about medications. I wonder if you would comment on my regime of pharmaceuticals. I feel as if I am being over medicated. I'm a generally healthy and active 61 year old woman.
I have recently had a nasty exacerbation of my OCD after twenty years of relatively manageable symptoms. I was very anxious and not sleeping. My primary fear generating my OCD is a fear of not sleeping. My psych doc has me currently on:
Paxil 40 mg in a.m.
Pregablin 100 mg @ a.m., 4 p.m. and nighttime. (I am trying to stay away from benzos as recommended by therapist.)
zopiclone 7.5 mg and trazadone 50 mg (along with my Gabapentin at night).I was dx with a UTI a week ago and Macrobid added (1 more day left). I feel worse after started Macrobid. I usually start feeling spaced out and not myself around 2 p.m. or 3 p.m. I get pressure in my ears and it feels like I'm talking through a tube - that's the only way to describe it, and I feel a degree of derealization.I start feeling more myself around 5 p.m. I have (since starting psychotropic meds a month and half ago (have been on Paxil 20 mg prior), symptoms of terrible memory (can't remember putting kettle on, can't remember if I fed cat, took my meds, etc.), I'm wobbly on my feet and lose my balance occasionally, spaced out and just don't feel like me. I can't see any drug interactions when I search on web. Does anyone have any pharmaceutical knowledge/insight and comments to make? I don't speak to my psychiatrist for another two weeks. I am going to slowly lower the pregablin,(Maximum dose), and see if that makes a difference. I will have to remove one of the sleep meds eventually - as how can I face my fear of not sleeping and do my exposure response therapy if I'm knocked out every night?
Thank you everyone in this support community.
Helen
Posted by Christ_empowered on August 18, 2020, at 10:09:59
In reply to Medication Consult Feeling Oversedated, posted by Helen Ball on August 18, 2020, at 8:40:07
Hi. Sorry about the situation. Could you ask about 1 sedative at night, instead of 2? I hate trazodone, so my personal approach would be to see about an increase in the z hypnotic.
Posted by undopaminergic on August 18, 2020, at 10:21:53
In reply to Medication Consult Feeling Oversedated, posted by Helen Ball on August 18, 2020, at 8:40:07
> Hello Everyone
Hello.
> I have recently had a nasty exacerbation of my OCD after twenty years of relatively manageable symptoms. I was very anxious and not sleeping. My primary fear generating my OCD is a fear of not sleeping. My psych doc has me currently on:
>
> Paxil 40 mg in a.m.That is a fairly high dose, 10 mg short of the maximum recommended 50 mg.
I know from my own experience that paroxetine (Seroxat (in my case), Paxil) has the potential to induce prominent sedation, or alternatively severe apathy. I experienced that, and I believe I was taking just 20 mg.
> Pregablin 100 mg @ a.m., 4 p.m. and nighttime. (I am trying to stay away from benzos as recommended by therapist.)
>According to Wikipedia: https://en.wikipedia.org/wiki/Pregabalin
over 10% of users experience drowsiness. Only dizziness is as common.> zopiclone 7.5 mg and trazadone 50 mg (along with my Gabapentin at night).
>I suppose you mean pregabalin and not gabapentin?
In summary, it is very possible, if not likely, that it's the medications making you feel oversedated.
-undopaminergic
Posted by Lamdage22 on August 18, 2020, at 11:54:30
In reply to Medication Consult Feeling Oversedated, posted by Helen Ball on August 18, 2020, at 8:40:07
I felt really bad on an antibiotic, as well. It subsided and it may subside in your case, too. We live in symbiosis with many beneficial bacteria. Unfortunately, antibiotics often don't just kill the bad guys but also the good ones.
This is the end of the thread.
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