Posted by Mark H. on November 22, 2000, at 19:50:37
In reply to Extreme sleepiness - any solution? Help!!!, posted by Erinn on November 20, 2000, at 19:29:34
Hi Erinn,
Taking methylphenidate (generic Ritalin) during the day might help you stay awake and functional while also increasing the anti-depressant effects of Effexor. Your physician will generally want to make sure you are getting sufficient sleep at night, etc. before prescribing stimulants. Ask your doctor if she/he thinks it would be appropriate for you to try Ritalin or another stimulant in combination with what you are already taking.
If a stimulant is prescribed, my totally unqualified but experiential advice is to start with one-quarter of the initial amount until you know how it will affect you, and gradually build up to the amount you actually need.
For some of us who need to use daytime methylphenidate, there seems to be a threshold amount over which it stops acting as a stimulant and makes us sleepy instead. This amount varies by individual; hence, my suggestion to start out low and find your own best level. This is also a good incentive to keep your dose as low as practicable -- that is, not trying to stay up late or get more work done by taking additional stimulants.
Good luck. Please let us know how things work out for you.
Best wishes,
Mark H.
poster:Mark H.
thread:49148
URL: http://www.dr-bob.org/babble/20001115/msgs/49266.html