Posted by Amelia_in_StPaul on June 2, 2009, at 1:09:36
Hi everyone, long time no post. Well, I've been doing my usual depression-anxiety two-step dance. Some days really, truly crappy, other days, right as rain.
Anyway, I just wanted to quickly report on something my new pdoc told me. This one actually listens (*gasp*) to what I want and need (now if I could get better at articulating it). Eventually, we are going to try Lamictal, but to stabilize me, she is continuing the fluoxetine for awhile. As for fatigue, she told me that fluoxetine can have two "cycles": one that is sedating, the other that is activating. She suggested--and I'm not sure why no one else has before--that I take the fluoxetine late in the day so that I sleep during the fatiguing parts. After experimenting with the time of day to take it, I now take it at 8:00 pm. And guess what? I am not nearly as tired/sleepy as I was before. With Trazodone, I sleep through the night despite the fluoxetine, and I wake up with less grogginess than before. I cannot believe what a difference that made. What idiots was I seeing before that didn't think to suggest this little thing? *eyeroll*
At least I have the info now. If anyone is taking an SSRI and experiencing a lot of sleepiness, ask your pdoc about this.
Amelia
poster:Amelia_in_StPaul
thread:898970
URL: http://www.dr-bob.org/babble/20090531/msgs/898970.html