Posted by yxibow on November 29, 2006, at 17:43:11
In reply to My day 4 not so good, posted by want2breal on November 27, 2006, at 17:00:46
> Glad you are doing so well, Stargazer.
> I am on day 4 of EMSAM, and I'm not feeling too well.
> I posted today, but can't find it anywhere on the board.
> I am on Emsam 6 mg. patch, and take Ambien 10 mg......last night I did not sleep AT ALL!!!!It's possible to take Ambien up to 20mg for sleep. This is obviously up to your doctor and health plan but its now known that it can be taken long term. I've switched back to Lunesta to try it again at 4mg but Lunesta still is somewhat weaker at keeping one asleep than Ambien, for me anyhow.
Otherwise, there are all the usual offlabel antidepressants but I don't particularly favour those concepts, especially Trazodone. Remeron is allright but one would really need to monitor weight.
There's Restoril, but I believe it is more habituating than the pseudobenzodiazepines (Ambien, Lunesta, etc.)
Some also believe in a 25-50mg dose of Seroquel -- the risk of TD is probably in the extreme noise level. I don't know if it would be my first choice before upping the dose of Ambien but you'll have to discuss these choices with your doctor.
> Seriously, I will not be able to stay on this if I can't sleep. This is starting to feel like Concerta and the diet pill I was once on. I had 3 good days, and then by day 4 couldn't sleep, got sick, and then got off!
> Don't know if I can cut this thing in half or what.
> If I have another bad night I will call my dr. tomorrow.
> Take care!
>
poster:yxibow
thread:703921
URL: http://www.dr-bob.org/babble/20061129/msgs/708698.html