Posted by SLS on February 24, 2005, at 20:51:53
In reply to no caffeine day » SLS, posted by zeugma on February 24, 2005, at 15:46:55
Hi Zeugma.
I'm very happy that you have been able to optimize your dosing of Provigil to make it unnecessary use caffeine.
> It sounds like the Abilify is worth the s/e then.
Gosh. We are asked to make so many compromises with these illnesses and the medications we take to treat them. It seems like it never ends.
Have you experienced similar benefit from any other atypical AP?
Zyprexa treats me pretty well when things get bad. I am prone to weight gain, though, so I am happy to be on Abilify, although I am having trouble taking off the weight that Zyprexa and imipramine put on.
It seems that Seroquel is considered least likely to cause sexual s/e:
Hmmm. I didn't know that. I tried Seroquel once about 5 years ago. I didn't have a problem with sedation. However, I felt irritable and a bit dysphoric on it, so I didn't go beyond 2 weeks with it. Thanks for the link.
> Any discernible effect from memantine yet?
Nothing positive. I have been feeling fatigued and a bit spacey. I didn't experience that the first time I was on it. I attribute that to titrating up too rapidly. I started right at the therapeutic dosage of 20mg. Over the summer, I used the starter pack, which offered a gradual titration. I might back off on the dosage for a few days until the side effects resolve before moving back up to 20mg. The first time I tried it, I gleaned an antidepressant response in the third week that lasted episodically for about a week. I don't feel anything that remotely resembles that right now.
On another note... What happens to your REM sleep when you take an antimuscarinic? I don't recall your history, but Parnate and Nardil totally suppressed dreaming for me. They are more powerful in this regard than the TCAs. If these MAOIs cause insomnia, you just treat the insomnia aggressively. Many people describe a period of tiredness, fatigue, or somnolence in the afternoon with Parnate. You could continue to take Provigil to help counteract this. Just a few rambling thoughts.
- Scott
poster:SLS
thread:446337
URL: http://www.dr-bob.org/babble/20050222/msgs/462950.html