Posted by torachan on May 31, 2008, at 17:31:29
In reply to Re: The best Tricyclic for anxiety.... » torachan, posted by johnj on May 31, 2008, at 10:37:12
Yeah, sleep, what's that? Had a horrible night last night and I'm suspecting the culprit is the combination of Effexor and Seroquel. I also have Remeron, along with my mainstay Klonopin, which did seem to definitely help me sleep. To be honest, I've tried several medications including several sleeping pills--somewhat useless for me--and Remeron I found to be the only drug so far that was able to induce sleep rather forcefully, especially the first few nights. Its effects do seem to wane over time though.
I'm thinking I may be using a bad combo of Effexor at 75mgs, Seroquel at 25mgs, and Remeron at 15mgs. When I tried just Effexor and Remeron there were no problems, but I heeded the advice of Linkadge in which he suggested Effexor/Remeron is not a good combo for anxiety, and introduced the Seroquel but didn't drop the Remeron. Possible a bad mix I guess. But this goes back to my first lengthy experience with Effexor. The stuff just lightly covers up and maintains the existing underlying tension while glossing over the surface anxiety if that makes sense. I don't hold it in high regard, to be honest. There are days where I'm fine with it and many when I'm not.
I think I'll just try Effexor at 37.5mg and Remeron at 15mgs and drop the AP. Continue with the benzo of course, and discuss with the doctor what other options are available. But I don't think there are many left. Perhaps wait for the newer meds to come along. Valdoxan perhaps.
Regards, john
poster:torachan
thread:831465
URL: http://www.dr-bob.org/babble/20080528/msgs/832240.html