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prozac - augmentation options

Posted by g_g_g_unit on March 10, 2010, at 21:52:47

hey,

so far prozac (20mg) seems to be doing an okay job of keeping the worst of my depression symptoms at bay ..

unfortunately, i'm left with two residual (and sorta intertwined) side-effects ...

1) insomnia .. with melatonin, i will awaken too early .. without it, i don't fall asleep until 4am, leaving me pretty much incapacitated the next day (and cancelling out any AD benefit). even with melatonin i am too tired and scatterbrained for anything requiring higher functioning/an attention span

2) restless legs & myoclonic jerks that are almost painful because the muscles are so taut

my guess is that changing to another SSRI won't help with the insomnia, since they all affect sleep?

amitriptyline helps the insomnia, but worsens restless leg ..

i'm seeing a neurologist tomorrow about the restless legs, since it's become such a long-standing problem

i thought about Prozac +low dose Requip + low-dose Remeron possibly. i'd rather not get stuck on a sleep med long-term (Remeron's side-effects are also a pain in the butt), but don't really know what options i have now

 

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