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Re: SSRI insomnia, restlessness, poor concentration

Posted by crittercuddler on December 15, 2008, at 22:07:30

In reply to Re: SSRI insomnia, restlessness, poor concentration, posted by desolationrower on December 14, 2008, at 19:18:44

d/r - Thank you so much for your wonderfully detailed and thoughtful posts. You are giving me so much help! Thank you so much!!! :-)

"you said you took it before, what symptoms did it make you feel more deprssed?"

>I have come to believe that me feeling more depressed and odd while on nortriptyline the time I tried it was because I was also taking Remeron with it... which I think I have discovered I don't tolerate well. It was comforting to read about other people who had the same experience with Remeron.

"Pfizer put a patent on reboxetine+pindolol treatment for OCD. I suppose that have some chance of working."

>I live in the United States and Reboxetine is not available here. I read that the reason for that is that there was conflicting evidence as to its efficacy compared to more established treatments.

"Don't know why you doctors didn't add that."

>The doctor that I had back when I was still on medicine was incompetent. I wish I would have had a good doctor that kept up with her research. Perhaps I could have been augmented properly and avoided these last three years of misery. Even the doctor I have now, while much better, admits that he doesn't have time to keep up with research. It is so frustrating that while being so sick I have to take up the slack for my doctor... doing my own research. It makes me so angry. =( I mean, I get it... they are human and after a long day of seeing patients the last thing they want to do is go home and do research. BUT, I think that is something you have to be prepared for if you are going to be a competent doctor. You are going to have to make that sacrifice. Is is the nature of the job. Right? It is just crazy how these doctors don't know what I can go look up so easy in a book- and this information is critical to my care- it is not like it is some random fact. Ugh. I am going to go to the doctor tomorrow and talk to him about 5HT2A antagonists. All this time I have been expressing how I don't understand this mystery of me being intolerant to SSRIs and that might help me. I don't know why he didn't mention it. Also, we talked about how I can tolerate Seroquel, which works on Serotonin, and his answer for that was that Seroquel just hits Serotonin the least of the atypicals. He didn't even mention that the reason I was likely to tolerate it was because of 5HT2A antagonism. Ugh!!!

"have you talked to your pdoc about bipolar?"

>It had been postulated by my last doctor that I might be biploar 2, but it was more like a soft bipolar. My reaction to SSRIs is physical, not mental. I don't get mania or hypomania in a mental sense. It seems like a purely physical thing. I don't have insomnia because my mind is racing... you know? My current doctor does not think I am bipolar... but of course he is not going to rule it out 100%.

"what sleep drugs did you try when on an ssri?"

>I tried a low dose Trazadone for one dose while in the hosptial. At a low dose it didn't help me sleep. Seroquel does help me sleep when on an SSRI, but at the 25mg I have used for that purpose it doesn't help with the other symptoms. I haven't desired to be on Seroquel more than a PRN basis.


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Psycho-Babble Medication | Framed

poster:crittercuddler thread:868434
URL: http://www.dr-bob.org/babble/20081214/msgs/869019.html