Posted by tonyz on April 27, 2010, at 14:11:43
I was taking various amounts of seroquel, nortriptyline, fluvoxamine (just recently), lithium, remeron, restoril, and clonazepam since mid January and have been having a tough time.
Current meds are fluvoxamine (50mg), nortriptyline 50mg, Lithium 600mg, seroquel 50mg, restoril and clonazepam as needed which seems to work out to 30mg of restoril and 1-1.5mg of clonazepam. I've had some pretty severe insomnia.
Doc gave me a choice of cymbalta and possibly remeron and benzos for sleep
or
Amitriptyline and clonazepam and restoril as needed.
He wants me to stop the seroquel and fluvoxamine and continue with the Lithium for now. Seroquel had been at 50mg for past 5 days on a taper
I opted for the amitriptyline. It should help with sleep and has worked for me before. The side effects are difficult to deal with, but I don't see it as a permanent solution.
Cymbalta could have been a good choice except for the fact that 11% of the people have problems with insomnia and that is a drug that I have not taken before.
He said just to take the clonazepam and restoril as needed. I'm going to try and cut back on these as the Amitriptyline level builds up. I think the clonazepam is making me fuzzy.
I've been on the clonazepam since February so I know I have somewhat of an addiction now. Doctors always seem to trivialize how easy it is to get off of these drugs.
So I guess my questions are
1) ok to stop the seroquel?
2) Given the length of time on the clonazepam since February - think it's ok to try and taper by 1/8 mg every 3-4 days.
poster:tonyz
thread:945286
URL: http://www.dr-bob.org/babble/20100425/msgs/945286.html