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Re: most troublesome SSRI side effect » Larry Hoover

Posted by johnj on May 17, 2003, at 11:56:08

In reply to Re: most troublesome SSRI side effect, posted by Larry Hoover on May 17, 2003, at 10:40:47

Hi Larry,

Hope things are going well. How is the Endad/TMG going?

I have a situation I would like to run by you in regards to sleep. I have had major stress at work due to an unforgiving manager and right now the upper management is trying to change things. My manager is bright but has run out many engineers over the years and now this has become unacceptable since the cat has been let out of the bag. I have always had motivation and like to be part of a group that stimulates each other and works as a team. Currently, everybody in our department lives in fear of our managers wrath and does not play nice in a group. Quitting is not an option right now either. Sorry for the extraneous background info.

I have realized I don't handle or don't have the ability right now to deal with this situation. I take work seriously and it is hard to just leave things at the office and sometimes I wonder what I contributed to after the day is done. My depression/anxiety has always been related to events and this is the only thing that has been extremely trying.

Two weeks ago I had a good week taking 50 mg Mg, and 75 mg or so of Ca. Last Sunday sleep was terrible. Not much anxiety, just could not fall asleep and woke early, about 5. So Maybe about 5 hrs of sleep, but not restful sleep. Monday night I was so tired I slept ok and functioned well, but things went bad on Tues, Wed, Thurs. We had a big meeting about training, since my boss has never figured out how to train people so upper management is making him(us) work with a consultant on getting a training course set up. I can only theorize that the meeting was causing me to not sleep well. I am tired of the BS. So, last night I took 30 mg of remeron since I needed something to knock me out. I tried benadrly the night before with little success(50 mg). My biggest question for you how do you maintain a good sleep regime? For example, what meds? I think some type of counseling is necessary, but wonder if my habits can be changed? I think I will try benadryl tonight and if I can't sleep I will alternate with remeron. I don't know if this is wise but I need sleep to function. The one thing that would help me coper better, and that is sleep, is what evades me. My doc just says insomnia is a symptom of anxiety or depression. In all honesty I didn't feel more anxiety or depression after three days of horrid sleep, just exhausted from lack of sleep and had a very heavy brain.

Two other things: I have had a spaced out feeling after eating. Not sleepy, just spaced out with my balance being out of whack. Any idea on what could cause this? I am not sure what type of doctor to see. My pdoc dismisses this or just writes in down and my family doc just gives me some blood tests and sends the results. I am totally frustrated right now. Since I am on tranzene, lithium, and nortryptline I think somehow this combo is messing me up. Chalk it up to age I guess. I have the need to pee at night much more than usual and I have limited my liquids after 5 pm and still have the problem(lithium?).
Larry, I am sorry to throw so much at you, but you seem to have a good grasp of things much more than myself. Any help or suggestions would be greatly appreciated as always. One thing I did do was add niacinamide and it calmed me, but I wonder if it could be somewhat activating since it is a B vitamin. I take no Mg, and miss it's affect to help sleep greatly, well as far as quality goes that is. Even on Mg I would just fall asleep quick without the usual yawing etc., a little unnatural for me, but it did work for awhile.
Have you ever tried therapy and did it work? I wonder if TMG or Enada would help any spaciness. I just wish I knew what type or could find a doc that knows meds and supplements. Thanks Larry. I hope my questions are not too vauge and you have some theories. I have realized that some supplements are just as powerful as some meds. Take care and drive safe. Maybe between all our troubles we can learn enough to help each other.

johnj


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