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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by julep on September 4, 1999, at 13:13:12
Hi again - I've been on Adderal for about 3 months now and feel like a totally different person.
Just a couple of things that are happening that I'd like some feedback on.
My Dr. put me on Remeron, but I started with a bit of weight gain, which made me irritable, so I'm now on Effexor ER, it's working fairly well. The only problem is that I also take Talacen at bedtime for chronic pain due to bulging disc at L5 - S1, when I take the Talacen, I'm so wired that I don't fall asleep until 3 or 4 am(I work 7am-3pm and usually get up around 5am).
I don't know if this is from the Adderal or the Effexor - maybe it's because I've finally gotten the ADD under control and the Talacen is now working the opposite from the way it's supposed to ARRGH!!!!!!
Any ideas???????????
Posted by saintjames on September 5, 1999, at 14:39:09
In reply to ADD, Adderal, Effexor and some weird things, posted by julep on September 4, 1999, at 13:13:12
> Hi again - I've been on Adderal for about 3 months now and feel like a totally different person.
> Just a couple of things that are happening that I'd like some feedback on.
> My Dr. put me on Remeron, but I started with a bit of weight gain, which made me irritable, so I'm now on Effexor ER, it's working fairly well. The only problem is that I also take Talacen at bedtime for chronic pain due to bulging disc at L5 - S1, when I take the Talacen, I'm so wired that I don't fall asleep until 3 or 4 am(I work 7am-3pm and usually get up around 5am).
> I don't know if this is from the Adderal or the Effexor - maybe it's because I've finally gotten the ADD under control and the Talacen is now working the opposite from the way it's supposed to ARRGH!!!!!!
> Any ideas???????????
James here....Effexor is rather stimulating, so don't take it at bedtime. As you are on the XR (extended release) changing the dosing schedule may not be enough. perhaps a sedating AD at night might help, along with the Effexor. I take Remeron, 15 mg at nite for sleep and have no weight gain problems ( I take effexor, 300mgs at the same time) If a small dose of Remeron still causes weight gain, perhaps Trazodone or another sedating AD would work. (Keep in mind you are going to still be on Effexor, just taking a small dose of an AD to sleep) If you take 1 dose of ADderal, take it as early as possible, if you take a PM dose, too, take it as early as possible in the PM.
Were you ever on Talacen w/o the other meds ? Could you sleep ? If Talacen caused this problems
b4 the other meds were added then clearly it is the problem. Can you take it earlier in the day.If a sedating AD does not do the trick then try a benzo like Restoril (Temazapam). It is clear in cronic pain that good sleep means less pain, so it would justified to use a benzo. If it were me, I would try the sedating AD's and possible dosing
time changes first. You will not get tolerence to the sedating AD's as you might with the benzo.Ask that your cronic pain doc and pdoc talk to each other about this problem and run my ideas by them. There is an answer somewhere.
Also you might try a different pain med to see if
it does not cause the wired problem.james
Posted by julep on September 7, 1999, at 18:08:49
In reply to Re: ADD, Adderal, Effexor and some weird things, posted by saintjames on September 5, 1999, at 14:39:09
James-
I took the Talacen when I was on the other ADs(Paxil, Celexa) and didn't have a problem(but I wasn't taking 25mg of Adderal three times/day).
The doc who finally got me lined out with the chronic pain problem(I was injured when I caught a patient who was falling, using proper body mechanics, otherwise I would have sustained more severe injuries) moved out of state. He had me on the Talacen, 1 or 2, three times daily as needed, along with Soma three times daily, as needed. We had gotten down to Talacen 1 and Soma 1 at bedtime most of the time and then Talacen 2 and Soma 1 when I had a particularly bad day, like when we were short staffed and I had to assist in moving and repositioning patients. Anyway, when my doc moved, another doc took over his practise. The new doc doesn't like Soma, so took me off of it.
It looks like I'm going to have to find another doc to manage the chronic pain(I've had epidurals, trigger point injections and all the other things that people have tried for pain control, and the Soma/Talacen combo is about the only thing that has worked without either knocking me out or making me loopy).
I'm not ready to consider surgery yet(and I've not seen many cases where it made a whole lot of difference) and don't really want to go to sleeping meds.
I have been taking the Remeron(15mg) the last couple of nights, but it still doesn't do the trick.
I do try to take my third Adderal dose early, and may have to talk to my psych doc about eliminating the third dose altogether.
What irony, for years I worked the evening shift, and finally got day shift(which was going well until all this no sleeping business) and may have to go back to a later shift :-(
This is the end of the thread.
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