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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by turalizz on June 10, 2002, at 6:50:44
Hi,
I am experienceing insomnia because of moclobemide and selegiline. Even though the last time, I took 5 mg selegiline on Friday, its effect is still here (not surprising with an irreversible MAOI), and I don't want to (can't) stop moclobemide. As the insomnia I am experiencing is supposedly because of excess dopamine, it makes sense to try an antipsychotic instead of trazodone or a benzodiazepine.
Could anyone suggest a short acting, short half-life antipsychotic (and the dose I should take) for me to use at least these a few days? I have an exam on Friday, and I need to study!
thanks,
cem
Posted by pandabomb on June 10, 2002, at 9:04:07
In reply to antipsychotic advice needed! (urgent!!), posted by turalizz on June 10, 2002, at 6:50:44
i was presribed seroquel i started at 50mg a night for a week and a 100mg a night after that it helps me sleep much better than ambien or trazadone ever did
hope that helps
Posted by Ritch on June 10, 2002, at 10:08:42
In reply to antipsychotic advice needed! (urgent!!), posted by turalizz on June 10, 2002, at 6:50:44
> Hi,
>
> I am experienceing insomnia because of moclobemide and selegiline. Even though the last time, I took 5 mg selegiline on Friday, its effect is still here (not surprising with an irreversible MAOI), and I don't want to (can't) stop moclobemide. As the insomnia I am experiencing is supposedly because of excess dopamine, it makes sense to try an antipsychotic instead of trazodone or a benzodiazepine.
>
> Could anyone suggest a short acting, short half-life antipsychotic (and the dose I should take) for me to use at least these a few days? I have an exam on Friday, and I need to study!
>
> thanks,
>
> cem
I would go with the benzo idea (not trazodone either). Adding an antipsychotic to MAOI's is risky because of the possibility of getting Neuroleptic Malignant Syndrome (NMS). I know the MAOI's you are taking are less likely to cause that problem than the older ones like Parnate/Nardil. I would play it safe-benzos are cheap and work well. Maybe it would be easier to just reduce the dose of selegiline or moclobemide?Mitch
Posted by Coyote on June 10, 2002, at 10:18:06
In reply to Re: antipsychotic advice needed! (urgent!!) » turalizz, posted by Ritch on June 10, 2002, at 10:08:42
You really really need to talk to your doctor about this problem and not try to self medicate. Call and explain the problem and maybe he/she can phone something in.
Posted by JonW on June 10, 2002, at 12:27:05
In reply to antipsychotic advice needed! (urgent!!), posted by turalizz on June 10, 2002, at 6:50:44
I think seroquel or risperdal would be good. Personally, I like risperdal better but seroquel may be a bit more sedating. I know insomnia is a common side-effect of moclobemide alone so you may want to try reducing the dose if you can. Xanax would work well if you go with a benzo. I agree with Coyote, you should find a doctor who understands your situation and prescribes these meds but don't self-medicate. Working with an experienced psydoc greatly improves your odds, and self-medicating is likely to only be a delay in the whole process.
Jon
Posted by beardedlady on June 10, 2002, at 13:32:42
In reply to antipsychotic advice needed! (urgent!!), posted by turalizz on June 10, 2002, at 6:50:44
I agree with Coyote and John. When something is urgent, why not make the call to your pdoc, who probably knows more about it than all of us and will keep you from making a life-threatening mistake?
beardy
Posted by judy1 on June 10, 2002, at 14:02:42
In reply to antipsychotic advice needed! (urgent!!), posted by turalizz on June 10, 2002, at 6:50:44
If you are not psychotic, please don't take an AP. Try a benzo- judy
Posted by Emme on June 10, 2002, at 14:29:00
In reply to antipsychotic advice needed! (urgent!!), posted by turalizz on June 10, 2002, at 6:50:44
I like a really low dose of Seroquel to help me sleep when needed. It has a little more punch than a benzo, but if the dose is low enough I'm not a zombie the next day. As the others note, talk to your pdoc, who will be able to advise you on what's the best option given your other meds.
Emme
> Hi,
>
> I am experienceing insomnia because of moclobemide and selegiline. Even though the last time, I took 5 mg selegiline on Friday, its effect is still here (not surprising with an irreversible MAOI), and I don't want to (can't) stop moclobemide. As the insomnia I am experiencing is supposedly because of excess dopamine, it makes sense to try an antipsychotic instead of trazodone or a benzodiazepine.
>
> Could anyone suggest a short acting, short half-life antipsychotic (and the dose I should take) for me to use at least these a few days? I have an exam on Friday, and I need to study!
>
> thanks,
>
> cem
Posted by turalizz on June 10, 2002, at 20:13:04
In reply to antipsychotic advice needed! (urgent!!), posted by turalizz on June 10, 2002, at 6:50:44
Thanks to all of you for your precious comments,
I took a small dose (25mg) seroquel, but it didn't work! I will stop moclobemide right away, and go to a doctor tomorrow.
take care,
cem
Posted by JonW on June 10, 2002, at 21:06:39
In reply to Re: antipsychotic advice needed! (urgent!!), posted by turalizz on June 10, 2002, at 20:13:04
The thing that is cool about moclobemide is that it doesn't seem to be associated with any withdrawal, however, you still might want to take the dose down in steps so you don't experience any dangerous impact on your mood.
Jon
This is the end of the thread.
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