Posted by Ritch on August 20, 2002, at 23:06:55
In reply to Weakness from Laughter » Ritch, posted by IsoM on August 20, 2002, at 14:32:11
> Mitch, just a small note about laughter & how it affects you. Check over http://www.sleepdisorderchannel.net/narcolepsy/symptom.shtml especially the cataplexy part. Note that it may not be obvious to others & the fact it happens during intense emotional states. Mine occured with laughter coupled with previous stress or exhaustion.
>
> You may have mild narcolepsy & not be aware of it. It's not nearly as uncommon as many think.
Thanks IsoM,You have some very good points. The last couple of pdoc appts. I have been discussing this type of issue. My bipolar depressions are marked by difficulty concentrating, sleep disruption (at nite), and being sleepy and drowsy all day. When I tried Adderall a couple of years ago (for a wintertime bipolar depression), it was completely wiped out with just a single 5mg tab in the morning (and I slept a solid 7hrs a nite every nite). Unfortunately, I started to develop panic symptoms. But, I had dropped an SSRI to take the Adderall, so I may need to continue to take a low-dose SSRI to prevent the panic, regardless of what other meds I take. But, if I do get a little tired or exhausted due to lack of sleep (i.e.), and there is something that happens that is funny or threatening during the day I *do* get dizziness from it. If I can take something to keep me AWAKE during these depressions, I am NOT depressed. There is no doubt about that correlation. High doses of SSRI or tricyclics by themselves have never worked. The closest thing has been a low-dose combo of Zoloft + nortriptyline or Celexa + nortripytline + Wellbutrin. But, the bottom line is that I have to have something noradrenergic (esp.) to work. Even plain Dexedrine didn't work that well.
Mitch
poster:Ritch
thread:117101
URL: http://www.dr-bob.org/babble/20020814/msgs/117196.html