Posted by not exactly on February 18, 2003, at 0:14:32
In reply to Re: TCAs » not exactly, posted by zeugma on February 15, 2003, at 7:05:04
> I found myself feeling a little less awful in the morning... made sleep a little more restful or something. I guess I have classic melancholic depression, and TCA"s *ARE* the preferred treatment for that.
> I have been consistently going to sleep before midnight for about a month now- I am someone who suffered from insomnia since early childhood, so I am VERY happy about that. Are your symptoms at all similar?Some of our symptoms are similar, but other aspects are quite opposite. For example, the only times I've ever had insomnia were when I've taken too high a dose of a stimulant. When unmedicated, I have no trouble falling asleep and tend towards hypersomnia. If I don't have any specific need to get out of bed (since I'm currently unemployed and live alone, this is often the case), I can easily sleep for 12 hours at a time. My main problem is anhedonia, which is often so severe that most things don't seem rewarding enough to be worth expending any effort on. Externally, it looks like depression, lack of motivation, lethargy, or ADD, but mostly it's the old WHY BOTHER syndrome. Stimulating meds help me the most.
> I was also told to try Strattera by my pdoc before it came out. But I would try desipramine first, because it seems like I would have the same problem with Strattera that I did with Prozac and Cylert- worsened sleep and appetite problems.
If that's how your neurochemistry works, you may find desipramine to be too stimulating for you. But it's definitely cheaper to try than Strattera. I recommend you start with a very small dose and take it in the morning.
- Bob
poster:not exactly
thread:137341
URL: http://www.dr-bob.org/babble/20030214/msgs/201347.html