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Re: Sleep Problems » Ron Hill

Posted by Larry Hoover on December 13, 2003, at 14:25:10

In reply to Re: Sleep Problems » Larry Hoover, posted by Ron Hill on December 13, 2003, at 12:29:37

> Larry Hoover,
>
> > When I don't get restorative sleep, I decline in global function (not surprisingly), ...
>
> Yes, I hear you Lar. Very sorry that you are currently struggling. You're smart and I'm believing that you and your pdoc will find an answer.

I really hope so.

> > Currently, temazepam, 30 mg at bedtime, and olanzapine 2.5 mg at bedtime. The temazepam effectiveness has diminished over time, so the shrink wants me off it. We're adding in the other meds to see if something will: a) get me back to restorative sleep; b) do so sufficiently well to permit withdrawal of the temazepam (which will very likely cause severe rebound insomnia).
>
> Just a couple of thoughts that I feel sure you have already considered. What about replacing the temazpam with a different benzo, say Klonopin?

He wants me off benzos, period. Can you say benzophobe? I've probably asked to try clonazepam 15 different times over the last six years.

> Also, have you ever tried Sonata or Ambien?

They're not covered under my drug benefits, and I'm loathe to pay market price from my meager resources, on a treatment that may not work. I think only one of the two is even available in Canada...

> > > Also, I self-medicated (unknowingly) with rigorous exercise most of my adult years prior to getting derailed with Ritalin and Paxil. I’m currently in the process of ramping up my exercise program to therapeutic levels.
>
> > That's a good strategy....I'm pretty much so fatigued that I can't get going on exercise....I'm just going to have to will myself to do so....at the risk of triggering further decline through over-exertion....I walk more than one tightrope.
>
> Yes, I know you do, Lar. You and johnj.
>
> -- Ron

So, given the restraints I've outlined, I don't have too many options, eh?

I've just ordered some horse feed. Maybe that will help.

Lar

 

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poster:Larry Hoover thread:286464
URL: http://www.dr-bob.org/babble/alter/20031204/msgs/289408.html