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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by SalArmy4me on September 1, 2001, at 1:28:01
Moclobemide makes me tired, usually. {I'm gonna try to remedy that with Adrafinil}. But with that tiredness also comes oddly enough, insomnia, when I need to go to sleep late at night. This doesn't respond to benzos, trazodone (dangerous), or seemingly, anything else. What's the most powerful sedative out there?-- cause I'm gonna need it.
Otherwise, Moclobemide is a dream. It works very well for me.
Posted by JohnL on September 1, 2001, at 6:27:40
In reply to Sleep on Moclobemide, posted by SalArmy4me on September 1, 2001, at 1:28:01
> Moclobemide makes me tired, usually. {I'm gonna try to remedy that with Adrafinil}. But with that tiredness also comes oddly enough, insomnia, when I need to go to sleep late at night. This doesn't respond to benzos, trazodone (dangerous), or seemingly, anything else. What's the most powerful sedative out there?-- cause I'm gonna need it.
>
> Otherwise, Moclobemide is a dream. It works very well for me.Sal,
I was trying to come up with some ideas to consider. But to do that I need to know what you are currently taking. From other threads I gather you are taking L-Tryptophan and Moclobemide. Anything else?You may have already tried Zyprexa. Regardless, I must say it is the best med I have ever tried for good sleep. I've tried them all--benzos, Ambien, Sonata, OTC sleeping pills, Remeron, Trazodone, Serzone, tricyclics, on and on. Zyprexa blows them all in the weeds. Zyprexa does not knock me out quickly like other meds did, but once I am asleep it is a very good quality type of sleep.
But to get a clearer picture of the situation, could you please tell me everything you are currently taking?
Thank you,
John
Posted by SalArmy4me on September 1, 2001, at 6:35:04
In reply to Re: Sleep on Moclobemide, Sal, posted by JohnL on September 1, 2001, at 6:27:40
Thank you for your reply. I tried Zyprexa, along with Seroquel, Risperdal, Geodon, and Amisulpride. Neither has the power to rid me of insomnia. This is pretty hopeless. You name it, I've tried it.
Posted by JohnL on September 1, 2001, at 7:08:46
In reply to Re: Sleep on Moclobemide, Sal » JohnL, posted by SalArmy4me on September 1, 2001, at 6:35:04
Yikes Sal, it sounds like tough one.
You have likely tried these, but just in case...
Remeron? Remeron will knock you out fast, like within half an hour or an hour from dosing. Small amounts like 7.5mg work much better than higher doses. Of all the things I've tried (which is everything), 7.5mg Remeron was by far the most sedating. I even found tiny amounts such as 2.5mg or 5mg to be intensely sedating. At 15mg it lost the sedation and instead turned into a more activating type drug. Remeron on super low doses could do the trick. I was always amazed how such a little piece of crumb from the pill could be so powerful, and how the smaller the dose the higher the sedation. Weird.
Elavil, or other very sedating tricyclic? I don't like the side effects, but you seemed to do fine with Clomipramine, so maybe you can tolerate the side effects better than me.
Tiny dose Remeron is what I would try though, if you haven't already. Small doses are totally unlike regular doses.
John
> Thank you for your reply. I tried Zyprexa, along with Seroquel, Risperdal, Geodon, and Amisulpride. Neither has the power to rid me of insomnia. This is pretty hopeless. You name it, I've tried it.
Posted by SLS on September 1, 2001, at 9:05:23
In reply to Sleep on Moclobemide, posted by SalArmy4me on September 1, 2001, at 1:28:01
> Moclobemide makes me tired, usually. {I'm gonna try to remedy that with Adrafinil}. But with that tiredness also comes oddly enough, insomnia, when I need to go to sleep late at night. This doesn't respond to benzos, trazodone (dangerous), or seemingly, anything else. What's the most powerful sedative out there?-- cause I'm gonna need it.
>
> Otherwise, Moclobemide is a dream. It works very well for me.
Too well?Sal.
I think you should consider very carefully the possibility that you are now experiencing hypomania, possibly of a mixed type.
Once the fire is lit, its hard to predict how far it will go. If you know for sure you are are bipolar II, it might not progress any further. Either way, it is to your advantage to address it as soon as possible.
I asked you in another thread how much sleep you were getting. You didn't answer me there, but you have here reinforced my concerns. I really think you ought to go to a doctor for a change and get yourself thoroughly evaluated. I am tempted to here recommend a strategy to treat mania and put you to sleep, but I don't want to diagnose you or make it too easy for you not to make a doctor's appointment. I hope my concerns are unfounded. I doubt you or I are qualified to come to a conclusion. However, I have noted that in the last 1 1/2 to 2 weeks, you have evidenced things that, in my experience, are consistent with mania - certainly enough to cause me concern. Most hypomanics are absolutely sure that they are not - and they can prove it.
Almost nothing can put a manic to sleep. Think about it.
Sincerely,
Scott
Posted by sl on September 1, 2001, at 9:08:13
In reply to Re: Sleep on Moclobemide, Sal » JohnL, posted by SalArmy4me on September 1, 2001, at 6:35:04
Um. Not to beat a dead horse, but have you tired Zyprexa SINCE you went on Moclobemide?
I'm sure I don't have to point out that combos can do very different things. :)sl
PS Benadryl works great for me. :)
> Thank you for your reply. I tried Zyprexa, along with Seroquel, Risperdal, Geodon, and Amisulpride. Neither has the power to rid me of insomnia. This is pretty hopeless. You name it, I've tried it.
Posted by Zo on September 1, 2001, at 17:32:11
In reply to Sleep on Moclobemide, posted by SalArmy4me on September 1, 2001, at 1:28:01
> What's the most powerful sedative out there?-- cause >I'm gonna need it.
Sal,
Bend over. So I can kick your butt. This is the dumbest post I ever saw, especially coming from *you.*
Right now you're being a really crummy Christian, you know that?
Towards others, yes . . .but even more importantly, toward yourself. This is no example to set, this is not exactly manifesting the Christ Spirit. Go to the damn doctor, Jason.
Let us know what s/he says.
Take good care,
Zo
Posted by Lorraine on September 3, 2001, at 22:45:32
In reply to Sleep on Moclob - I'd like to hear your reaction. » SalArmy4me, posted by SLS on September 1, 2001, at 9:05:23
> > Moclobemide makes me tired, usually. {I'm gonna try to remedy that with Adrafinil}. But with that tiredness also comes oddly enough, insomnia, when I need to go to sleep late at night. This doesn't respond to benzos, trazodone (dangerous), or seemingly, anything else. What's the most powerful sedative out there?-- cause I'm gonna need it.
> >
> > Otherwise, Moclobemide is a dream. It works very well for me.
>
>
> Too well?
>
> Sal.
>
> I think you should consider very carefully the possibility that you are now experiencing hypomania, possibly of a mixed type.
>
> Once the fire is lit, its hard to predict how far it will go. If you know for sure you are are bipolar II, it might not progress any further. Either way, it is to your advantage to address it as soon as possible.
>
> I asked you in another thread how much sleep you were getting. You didn't answer me there, but you have here reinforced my concerns. I really think you ought to go to a doctor for a change and get yourself thoroughly evaluated. I am tempted to here recommend a strategy to treat mania and put you to sleep, but I don't want to diagnose you or make it too easy for you not to make a doctor's appointment. I hope my concerns are unfounded. I doubt you or I are qualified to come to a conclusion. However, I have noted that in the last 1 1/2 to 2 weeks, you have evidenced things that, in my experience, are consistent with mania - certainly enough to cause me concern. Most hypomanics are absolutely sure that they are not - and they can prove it.
>
> Almost nothing can put a manic to sleep. Think about it.
>
>
> Sincerely,
> Scott
This is the end of the thread.
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