Posted by zeugma on May 3, 2004, at 16:36:11
In reply to Re: which plan sounds more reasonable, posted by zeugma on May 3, 2004, at 16:14:23
i also have narcoleptic-like symptoms, and atomoxetine does a better job than nortriptyline of keeping these under control. The kind of insomnia I have is related to going into REM while still partially awake, then suddenly waking fully less than a minute later. These symptoms are actuallyblocked by NE reuptake inhibitors, and atomoxetine is much more powerful than nartriptyline in this regard. So if I took 80 mg in the morning (as I do now) and 40 mg at night, it might solve my insomnia problem combined with the quasi-sedative buspirone (very short-acting, has a sedating effect maybe 20 minutes in duration which is sufficient to get me asleep, since i usually have no problems staying asleep if I can get past the first couple of minutes of sleep. Weird, I know, but it's been like that for me since I was in my early 20's.) Lex and Strattera and much cleaner drugs than nortriptyline or clomipramine, so maybe my pdoc would like the idea more, although I would be going way over the recommended 1.2-1.8 mg/kg guideline for Strattera. I have the feeling, though, that this regimen would leave me with much less fatigue than my current one.
poster:zeugma
thread:341936
URL: http://www.dr-bob.org/babble/20040429/msgs/342937.html