Posted by desolationrower on December 13, 2008, at 15:16:31
In reply to Re: SSRI insomnia, restlessness, poor concentration, posted by crittercuddler on December 13, 2008, at 7:59:23
Hi, welcome here. Do you think that your disease is interfering with your perception of the medication's effect upon you? I wonder if that is happening, it would be very catch-22. Have you discussed this with your therapist? Unfortunatly benzos are the usual way to get through the sri startup period, and so getting on one will be harder for you. The other commonly prescribed drug is antipyshcotics but they usually worsen ocd if not taken with an sri. Perhaps you would be helped by one of the antiglutamtergic drugs. Opioids are an other option.
I'd also be a bit concerned with the seroquel, as it might be worsening things, taken without an sri. Have you tried trazodone for sleep?I suppose you could try starting with buspirone, which could possibly be helpful, but mostly as something to take before starting ssri and might help you get onto an ssri. You might have some slight benefit to your depression from an nri like desipramine. Nortriptaline with an sri (either citalopram or clomipramine) showed more rapid and greater OCD effectiveness than sri alone. that might be worth trying instead of a long slow titration up.
-d/r
poster:desolationrower
thread:868434
URL: http://www.dr-bob.org/babble/20081204/msgs/868548.html