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Re: SSRI insomnia, restlessness, poor concentration

Posted by crittercuddler on December 18, 2008, at 1:21:53

In reply to Re: SSRI insomnia, restlessness, poor concentration, posted by desolationrower on December 16, 2008, at 22:26:07

"That sounds like its working well. Sometimes i'm not sure how much to talk about drug actions with my pdocs, i'm not sure if i need to explain why something might work/how it works, or if they know already. I like my current one but it is weird he knows i'm taking memantine but not what it is for. It sounds like you're well organized. I just show up, I actually don't really talk about gsk-3 or whatever with my doc."

> I like to go to my appointments with a bulleted outline of what I want to talk about, although I don't have the motivation very often to make one. This time I had so much I wanted to talk about that I felt it was definitely necessary to organize my thoughts and give us any chance of getting through it all. Also, if I make one it helps me worry less that I will forget to mention something important. I am not shy about bringing things up with my doctor. I figure it won't hurt if he does know. I think he knows that I am bringing it up in order to explain my reasoning and not challenging his authority or expertise as a doctor. I am glad I have a doctor that I can do that with. It is important that I feel like we are collaborating... a meeting of the minds if you will. A few times I have told him stuff he didn't know about. After reading my paper he got out his drug book and said he wanted to "look up some things". I don't know whether to be happy or concerned about that.... He looked up stuff for quite a bit.

"i'm taking memantine"
> Namenda, right? So do you have OCD too? What are you taking it for?

"Hopefully it will be helpful. Low dose risperidone is a pretty clean medication. I noticed a decrease in pressure of self-harming thoughts and better sleep."

> The first night I took it, and tonight, it kicked in and I started to feel sleepy. Not as sleepy as Seroquel, but still it was pronounced. When I tried to sleep though, both nights, I haven't been able to. It kind of feels like it is activating me and making me drowsy at the same time. It is an uncomfortable feeling. :-( Very uncomfortable. I hope it does help with the suicidal thoughts, because I still have them very often. I am having them bad tonight.

"Did you include the OTC options?"

> I told him I was taking NAC now. It didn't seem like he had heard of it. He asked me what supplements I took. I told him fish oil and my multi-vitamin. He suggested that I try inositol. I was pleased that he brought that up himself. He said he had always wanted to suggest it, but the opportunity hadn't presented itself. I ordered some of it and will get it in a few days. Should I split it up in two doses?

"it is a GABA-B agonist (benzos affect GABA-A). So it is similar but not exactly the same. Perhaps it is too close."

> Yeah, too close for comfort.

I am worried about the Risperdal making my OCD worse using it alone. My OCD is already incredibly bad so I can't risk that. I popped a fluvoxamine 50mg tonight because I am worried. I also took it because of the suicidal thoughts.

You said nortriptyline was shown to help an SSRI work faster for OCD. Can you send me links to the studies? I wanted to send them to my doctor.

Well, bye for now.

-michelle


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Psycho-Babble Medication | Framed

poster:crittercuddler thread:868434
URL: http://www.dr-bob.org/babble/20081214/msgs/869366.html