Posted by Cairo on June 18, 2006, at 11:51:56
In reply to Drug Combo for Depression and Fibromyalgia?, posted by TiredMommy on June 13, 2006, at 0:39:11
> I'm taking Wellbutrin (300mg) and Nortriptalyne (60mg). Because of my anxiety issues, pdoc didn't think Wellbutrin would help. It does, but not enough. I'm trying to get an appointment to see if I can increase to 450.
>
> But it seems if I take over 60 of Nortriptalyne I have more anxiety. Does it cause the anxiety or does it just counteract the Wellbutrin. (It does help with pain though.)
>I would suggest that you have a sleep study done. The Rheumatologist I use who is great for Fibromyalgia says that many, many of her patients with FMS have sleep apnea.
I also had problems with anxiety on Wellbutrin or any of the SSRIs. Nortriptyline didn't help with sleep as much as amitriptyline. I now use Desyrel and Lyrica. My most recent sleep study showed that I sleep great on this combo, so my daytime sleepiness is "idiopathic" according to the sleep specialist. I personally believe it is caused by inflammatory factors which are part and parcel of FMS. In any case, Provigil was prescribed for the daytime sleepiness. It works only OK, but I haven't taken a full dose due to fear of anxiety as a side effect. Aerobic exercise is beneficial.
Get the sleep study done. You might benefit from a CPAP if you have apnea.
Cairo
poster:Cairo
thread:656307
URL: http://www.dr-bob.org/babble/20060617/msgs/658308.html