Posted by zenhussy on June 4, 2003, at 11:02:08
In reply to rebound insomnia, posted by Larry Hoover on June 4, 2003, at 10:41:48
> Restorative sleep has got to be one of the core elements of my increase in functionality over time. Despite my (unfortunately) significant experience with insomnia, the recent turn of events has still somewhat blind-sided me.
>
> My shrink was giving me temazepam for sleep, for years. It gave me restorative sleep, and I started to recover. For some reason, this winter he suggests that we try using mirtazapine (Remeron) instead. Now, I don't usually meddle with something that's working, but there's sort of a duress situation involved.....I need to be in treatment to maintain my disability status....it's complicated. So, anyway, I go on 30 mg mirtazapine. Immediately, I don't need the temazepam any more. I'm sleeping 9-12 hours a night (I never sleep that much).
>
> In general, however, I'm underwhelmed by Remeron. So, we up the dose to 45 mg. Bang! I'm back to being insomnic, back using temazepam, and I'm impotent as well.
>
> Back to 30 mg Remeron. The sleep doesn't come back (without temazepam). Nor does my potency.
>
> So, a couple weeks ago, we drop the Remeron, and I'm just taking the temazepam. It doesn't work well any more! Or, yet. I hope it's yet.
>
> There are too many confounding variables (like using the highly stimulating NADH and TMG), but I'm certain this is rebound insomnia from discontinuing the Remeron. It mucked me up, good.
>
> I'm not getting restorative sleep right now. I'm grumpy, tired, and my memory sucks. I just wish we'd left well-enough alone.
>
> Lar
Damn Larry,Sorry to hear it. Temazepam was drug of choice of pdocs for years in my life. I didn't need it nightly nor monthly but when insomnia struck temazepam was the one to knock it out. I had to discontinue it due to waking overly grogged and ill physically. Bummer since I haven't found anything quite as effective (I think because temazepam doesn't tweak with REM sleep if I recall) and I've run through a bunch.
Hang in there Lar. I will light a candle for sleep for you. Chant? Whatever it takes consider it done.
zenhussy
poster:zenhussy
thread:231352
URL: http://www.dr-bob.org/babble/20030604/msgs/231356.html