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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 18 of 18. This is the beginning of the thread.
Posted by Janelle on April 17, 2003, at 17:58:13
I need some help figuring out why I feel tired (my eyes feel heavy like they want to close, they almost burn, I want to sleep) all the time --
Is it the Celexa (which I hear can make a person feel tired) that I take (with some other meds) in the morning .... OR
Is it that I'm currently (but will not be much longer, according to pdoc!) taking quite a few sedating meds either am and/or pm, like Klonopin, Buspar, Depakote (I think that one's sedating; not sure), Seroquel.
I would switch the Celexa to pm, BUT I take all my *heavy*/sedating meds in pm and don't want to add yet another which will hangover and leave me me feeling tired the next day?
Ack. This is bugging me. I will ask pdoc at next appointment, but would appreciate feedback from people here. Thanks.
Posted by McPac on April 17, 2003, at 23:59:42
In reply to WHY AM I TIRED ALL THE TIME (re MEDS)?, posted by Janelle on April 17, 2003, at 17:58:13
Sounds like it could easily be due to the meds Janelle.
Posted by Snoozy on April 18, 2003, at 0:08:03
In reply to WHY AM I TIRED ALL THE TIME (re MEDS)?, posted by Janelle on April 17, 2003, at 17:58:13
You have my sympathies - I can relate to how miserable it is to be so tired. Do you sleep normally but still feel tired? Or do you sleep excessively and still feel tired?
Depakote can be sedating. All of the others - Celexa, Buspar, Seroquel, Klonopin can all cause drowsiness. The Klonopin is very long-acting, so it could be making you drowsy during the day even if you take it at night.
When you're taking several medications that can cause drowsiness, the combined impact can pack quite a punch. I think it will help if your dr takes you off some of them. I don't know what the life is of Celexa in the body, but it may be worth asking about taking it later in the day, and just taking all of your sedating meds later in the day, and putting up with really groggy nights in hopes of having a more alert day. I don't know if this would work, but you may want to ask about it if it doesn't sound horrible to you.
Alternatively, what I have done sometimes when I'm taking a medicine that is doing something for me, but makes me really tired, is try to add a medication with an activating side effect. Or if an activating medication is helping but I'm too wired, I'll add something sedating. Unfortunately there are a lot more drugs that are sedating.
Hopefully others here will have ideas for you. Good luck to you.
> I need some help figuring out why I feel tired (my eyes feel heavy like they want to close, they almost burn, I want to sleep) all the time --
>
> Is it the Celexa (which I hear can make a person feel tired) that I take (with some other meds) in the morning .... OR
>
> Is it that I'm currently (but will not be much longer, according to pdoc!) taking quite a few sedating meds either am and/or pm, like Klonopin, Buspar, Depakote (I think that one's sedating; not sure), Seroquel.
>
> I would switch the Celexa to pm, BUT I take all my *heavy*/sedating meds in pm and don't want to add yet another which will hangover and leave me me feeling tired the next day?
>
> Ack. This is bugging me. I will ask pdoc at next appointment, but would appreciate feedback from people here. Thanks.
>
>
Posted by mags on April 18, 2003, at 14:19:28
In reply to WHY AM I TIRED ALL THE TIME (re MEDS)?, posted by Janelle on April 17, 2003, at 17:58:13
hi Janelle,
I understand completely how you feel as I was on both Depakote and Seroquel...
After constant compalints to doc about tiredness we are trying this...off the Depakote and added Ritalin..I also take the Seroquel 2-3 hours before bed. All of this has helped some but still tired, however it has only been about ten days since the change...
good luck and keep discussing your options with your doc.
Mags
Posted by Janelle on April 18, 2003, at 17:31:42
In reply to Re: WHY AM I TIRED ALL THE TIME (re MEDS)?, posted by Snoozy on April 18, 2003, at 0:08:03
First, thanks for your sympathies!
To address your question - I do sleep normally but still feel tired; I used to sleep excessively and still feel tired, but no more.
Also, I seem to need more than the *traditional* 8 hours/night of sleep - 10 is what I'd call ideal for me.
I'm on such a low dose (250mg/night) of Depakote I doubt it's the culprit, although I just now realized that this constant daytime tiredness has become more problematic ever since Depakote was added to the cocktail.
But it's a catch-22 situation because I was operating at minimal capacity until the Depakote was added! The changes/improvement (knock on wood) since the Depakote was added have been incredible! :-)
I used to just take 1 mg Klonopin/daytime but for some reason this pdoc has me on 1mg of it daytime and 1 mg night time.
I have an appointment with him very soon and he said he was going to start "streamlining" (his word) my meds, with the first thing being to go off the Buspar. I then hope to reduce the Klonopin and maybe switch the time I take the Celexa.
My problem has been groggy nights (not terribly so but definitely groggy) already and then a feeling that I can't wake up all day the next day.
I've thought about what you mentioned - taking an activating med to counteract these sedating ones, but I already feel like a human drug store as it is. I'm hoping that getting off and/or reducing the sedating meds will do the trick.
Posted by Snoozy on April 18, 2003, at 19:37:01
In reply to To answer your question... » Snoozy, posted by Janelle on April 18, 2003, at 17:31:42
There is variation in what people's natural need for sleep is (those folks who only "need" 5 or 6 hours love to tell you that!) Have you always needed a little extra, or is this just since you've been on medication?
Depakote - I've been on 250 and 500 mg. If it does cause me drowsiness, it's pretty subtle. If it's doing some good for you, that's great.
I'd like to know what others here think, but I would think that you would want to stay on the Buspar while coming off the Klonopin, and then stop the Buspar after that. Buspar is not supposed to cause drowsiness (I never noticed any myself). You can just stop taking Buspar without suffering any withdrawl symptoms, unlike Klonopin. The Buspar won't ease withdrawl from Klonopin, but if it is doing something for your anxiety, I would think that would help in getting off the Klonopin. Also, if anything is making you drowsy, it's probably the Klonopin, not the Buspar, so wouldn't you want to get off of Klonopin first? If you've been taking it for a while, I would highly recommend tapering off. (I'm sure your dr will set up a taper schedule for you).
And if worst comes to worst and you're totally desperate, there's always exercise ;)
> First, thanks for your sympathies!
>
> To address your question - I do sleep normally but still feel tired; I used to sleep excessively and still feel tired, but no more.
>
> Also, I seem to need more than the *traditional* 8 hours/night of sleep - 10 is what I'd call ideal for me.
>
> I'm on such a low dose (250mg/night) of Depakote I doubt it's the culprit, although I just now realized that this constant daytime tiredness has become more problematic ever since Depakote was added to the cocktail.
>
> But it's a catch-22 situation because I was operating at minimal capacity until the Depakote was added! The changes/improvement (knock on wood) since the Depakote was added have been incredible! :-)
>
> I used to just take 1 mg Klonopin/daytime but for some reason this pdoc has me on 1mg of it daytime and 1 mg night time.
>
> I have an appointment with him very soon and he said he was going to start "streamlining" (his word) my meds, with the first thing being to go off the Buspar. I then hope to reduce the Klonopin and maybe switch the time I take the Celexa.
>
> My problem has been groggy nights (not terribly so but definitely groggy) already and then a feeling that I can't wake up all day the next day.
>
> I've thought about what you mentioned - taking an activating med to counteract these sedating ones, but I already feel like a human drug store as it is. I'm hoping that getting off and/or reducing the sedating meds will do the trick.
Posted by Janelle on April 18, 2003, at 21:40:45
In reply to Re: To answer your question... » Janelle, posted by Snoozy on April 18, 2003, at 19:37:01
Hi Snoozy (great name, btw!)
Yeah, I know there is a variation in what people's natural need for sleep is (and yep, those folks who only "need" 5 or 6 hours sure do love to tell you that!) I'd say that yes, I have always needed a little extra, but when I was in better shape and could have a more regular schedule, I was able to get by on less sleep than my *ideal* amount, whereas now I am just pooped all the time on less sleep. I'm also considerably older now than I was then. LOL!
Ah, someone else who has been on *only* 250 mg. of Depakote! Guess what - I had once been up to 1000 and it made me virtually comatose! I've also tried 500 and it was too sedating.
Now here is my confusion and I will have to ask my pdoc about it because HE is the one who told me that he plans to take me off the BUSPAR first, then do something with the Klonopin.
I think that part of his plan is based on the fact that months ago when I was on a higher dose of Buspar, it was very clear that it was too sedating and he lowered it. Boom, the symptoms of drowsiness went away when it was lowered. Trust me, Buspar CAN cause drowsiness!
Additionally, I would often forget to take my noon time dose of Buspar and there was NO DIFFERENCE WHATSOEVER in my anxiety level up or down without that noontime dose. It was hours until my nighttime Klonopin and I felt no different on days without noontime Buspar than on days with it.
I myself have also heard that Buspar is very *weak*, almost like a placebo.
Furthermore, I do NOT think my pdoc will take me off Klonopin completely, probably just cut the morning one and leave the evening one.
Thank you for mentioning that one can just stop taking Buspar without suffering any withdrawl symptoms, unlike Klonopin.
What it's boiling down to is which of my two anti-anxiety meds (Buspar, Klonopin) is causing this dang drowsy/tired/sleepy feeling all day long?
Remember, I think I said I've been on Klonopin for like 10 years and NEVER had this drowsy stuff. Then again, I only took it once and in the morning no less!
Of course, my body chemistry is different now than it was, so who knows what's going on.
You make a VERY GOOD case for stopping the Klonopin before the Buspar; I'm now soooooooo confused. I'll have to run this by my pdoc. Thanks so much for your responses. I'm really in a quandry here (cuz remember there's also Celexa, Depakote, Seroquel to factor in - argh!)
Posted by Snoozy on April 18, 2003, at 22:43:35
In reply to Help! Now I'm confused ...! » Snoozy, posted by Janelle on April 18, 2003, at 21:40:45
Buspar, the little stinker! I looked it up in the "Essential Guide to Psychiatric Drugs" (you'd think!) and they say it doesn't make the patient sleepy. I just looked it up on medlineplus though, and it says drowsiness can be a side effect. And would it surprise you to know that the Buspar company booklet says it should not make you feel sedated? Were you on a really high dose - were you ever over 30mg? Or up to 60? It's not known as an especially effective drug for anxiety.
Do you think the Buspar is doing anything for your anxiety? If not, it's pretty easy to stop it. I think it would definitely help with the drowsiness to decrease the Klonopin. Cutting the morning dose sounds good - you don't get the full hit of the drowsiness during the day then, but you still have some left in your system from the nighttime dose.
I've been on Xanax for about 8 years. I have a friend who tried it recently and she asked me how I can stay awake on it (she was taking even less than me). I just figured - tolerance. But then I started paying closer attention, and I realized I do get some drowsiness from it. Nothing like what a newbie has though.
It sounds like the Depakote is really helping you, and at 250 it shouldn't be a huge factor in the sleepiness. Do you have a sense of whether the Celexa or Seroquel are helping? (I've never taken Seroquel and my experience with Celexa was very limited, so I don't have any personal experience with what the side effects are like). Maybe just cutting the daytime Klonopin dose would make a big difference.
It is sad but true that our bodies do change in their response to meds over time (not mine of course ;) I don't know if you use caffeine, but when I have some when I haven't had any in a long time, I feel so good. I wonder if this is what normal people feel like?
Are you seeing your dr soon? I'd like to hear how things go.
> Hi Snoozy (great name, btw!)
>
> Yeah, I know there is a variation in what people's natural need for sleep is (and yep, those folks who only "need" 5 or 6 hours sure do love to tell you that!) I'd say that yes, I have always needed a little extra, but when I was in better shape and could have a more regular schedule, I was able to get by on less sleep than my *ideal* amount, whereas now I am just pooped all the time on less sleep. I'm also considerably older now than I was then. LOL!
>
> Ah, someone else who has been on *only* 250 mg. of Depakote! Guess what - I had once been up to 1000 and it made me virtually comatose! I've also tried 500 and it was too sedating.
>
> Now here is my confusion and I will have to ask my pdoc about it because HE is the one who told me that he plans to take me off the BUSPAR first, then do something with the Klonopin.
>
> I think that part of his plan is based on the fact that months ago when I was on a higher dose of Buspar, it was very clear that it was too sedating and he lowered it. Boom, the symptoms of drowsiness went away when it was lowered. Trust me, Buspar CAN cause drowsiness!
>
> Additionally, I would often forget to take my noon time dose of Buspar and there was NO DIFFERENCE WHATSOEVER in my anxiety level up or down without that noontime dose. It was hours until my nighttime Klonopin and I felt no different on days without noontime Buspar than on days with it.
>
> I myself have also heard that Buspar is very *weak*, almost like a placebo.
>
> Furthermore, I do NOT think my pdoc will take me off Klonopin completely, probably just cut the morning one and leave the evening one.
>
> Thank you for mentioning that one can just stop taking Buspar without suffering any withdrawl symptoms, unlike Klonopin.
>
> What it's boiling down to is which of my two anti-anxiety meds (Buspar, Klonopin) is causing this dang drowsy/tired/sleepy feeling all day long?
>
> Remember, I think I said I've been on Klonopin for like 10 years and NEVER had this drowsy stuff. Then again, I only took it once and in the morning no less!
>
> Of course, my body chemistry is different now than it was, so who knows what's going on.
>
> You make a VERY GOOD case for stopping the Klonopin before the Buspar; I'm now soooooooo confused. I'll have to run this by my pdoc. Thanks so much for your responses. I'm really in a quandry here (cuz remember there's also Celexa, Depakote, Seroquel to factor in - argh!)
Posted by Janelle on April 19, 2003, at 0:48:52
In reply to Re: Help! Now I'm confused ...! » Janelle, posted by Snoozy on April 18, 2003, at 22:43:35
Hi Snoozy,
Wow, you went and did research on Buspar, "the little stinker(!)" for me - thanks ever so much.
Interesting that in the "Essential Guide to Psychiatric Drugs" they say it doesn't make the patient sleepy while on medlineplus it says drowsiness can be a side effect. And that is amazing and news to me that the Buspar company booklet says it should not make you feel sedated!
I WAS on a really high dose - definitely over 30 mg - I was on 60 at the highest, then down to 45, now at 30.
I do NOT think the Buspar is doing anything for my anxiety, based on when I was forgetting to take the noon dose and had no difference in how I felt vs. days when I did take the dose.
Interesting that you have been on Xanax for about 8 years because most people I know who have tried it have done so only short term. Then again, I know a few people who take it regularly for sleep!
I would agree with your assessment that the Depakote is really helping me because (I forgot to mention this!) it is augmenting a low dose of Lithium, which I have read is a good combo for treatment resistant mood swings.
I would say that yes, the Celexa is definitely helping and believe it or not I only take Seroquel as a sleep aid, not as an AP. And it helps big time.
I'm hoping that discontinuing the Buspar and reducing the Klonpin and then POSSIBLY shifting the Celexa to night time (but then it would be with all my "heavy" meds - Depakote, Lithium, Seroquel, Klonopin) will make the difference.
Funny you should mention caffeine, because I do use it, but not all day like you might think due to this persistent tiredness. I'm *good* about limiting it to 2 cups of coffee in the morning, which definitely helps and it makes me feel good too, so I know just what you mean. Sometimes I think caffeine (coffee) is like "nature's antidepressant" or something!
Fortunately, I'm seeing my pdoc this coming Tuesday and would be glad to let you know how things go, what is decided, etc. I already printed out what you wrote to me about the order of lowering Klonopin before discontinuing Buspar, which will be particularly relevant if the pdoc's plan is to also discontinue the Klonopin. It is only my impression based on what he said that he wants to discontinue the Buspar but just reduce the Klonopin.
And he is the *cautious* type - he only lets me make ONE change at a time so we will know directly what's causing what. For example, if I both stopped Buspar and lowered Klonopin and started getting more anxious we wouldn't know which one of those to attribute it to.
So, something tells me that this time around I will be stopping the Buspar.
He told me this process is going to take months, it's hard to be patient, but I'm doing my best.
Thanks so much for all your information and your interest!
Posted by Snoozy on April 19, 2003, at 14:41:17
In reply to Thanks, and here's more... » Snoozy, posted by Janelle on April 19, 2003, at 0:48:52
Hi Janelle -
you're welcome. From your past experiences, it sounds like you would know very quickly if the Buspar had been causing some of the drowsiness, and also if it was doing any good for you. I would be curious what the half-life of Seroquel is.
Sometimes I wish I had a clone that I could use as a control group in my medication experiments!
(I'm on a really low dose of Xanax, and it's been the same dose all along).
> Hi Snoozy,
>
> Wow, you went and did research on Buspar, "the little stinker(!)" for me - thanks ever so much.
>
> Interesting that in the "Essential Guide to Psychiatric Drugs" they say it doesn't make the patient sleepy while on medlineplus it says drowsiness can be a side effect. And that is amazing and news to me that the Buspar company booklet says it should not make you feel sedated!
>
> I WAS on a really high dose - definitely over 30 mg - I was on 60 at the highest, then down to 45, now at 30.
>
> I do NOT think the Buspar is doing anything for my anxiety, based on when I was forgetting to take the noon dose and had no difference in how I felt vs. days when I did take the dose.
>
> Interesting that you have been on Xanax for about 8 years because most people I know who have tried it have done so only short term. Then again, I know a few people who take it regularly for sleep!
>
> I would agree with your assessment that the Depakote is really helping me because (I forgot to mention this!) it is augmenting a low dose of Lithium, which I have read is a good combo for treatment resistant mood swings.
>
> I would say that yes, the Celexa is definitely helping and believe it or not I only take Seroquel as a sleep aid, not as an AP. And it helps big time.
>
> I'm hoping that discontinuing the Buspar and reducing the Klonpin and then POSSIBLY shifting the Celexa to night time (but then it would be with all my "heavy" meds - Depakote, Lithium, Seroquel, Klonopin) will make the difference.
>
> Funny you should mention caffeine, because I do use it, but not all day like you might think due to this persistent tiredness. I'm *good* about limiting it to 2 cups of coffee in the morning, which definitely helps and it makes me feel good too, so I know just what you mean. Sometimes I think caffeine (coffee) is like "nature's antidepressant" or something!
>
> Fortunately, I'm seeing my pdoc this coming Tuesday and would be glad to let you know how things go, what is decided, etc. I already printed out what you wrote to me about the order of lowering Klonopin before discontinuing Buspar, which will be particularly relevant if the pdoc's plan is to also discontinue the Klonopin. It is only my impression based on what he said that he wants to discontinue the Buspar but just reduce the Klonopin.
>
> And he is the *cautious* type - he only lets me make ONE change at a time so we will know directly what's causing what. For example, if I both stopped Buspar and lowered Klonopin and started getting more anxious we wouldn't know which one of those to attribute it to.
>
> So, something tells me that this time around I will be stopping the Buspar.
>
> He told me this process is going to take months, it's hard to be patient, but I'm doing my best.
>
> Thanks so much for all your information and your interest!
Posted by Dr. Bob on April 19, 2003, at 14:47:51
In reply to Re: Help! Now I'm confused ...! » Janelle, posted by Snoozy on April 18, 2003, at 22:43:35
> I looked it up in the "Essential Guide to Psychiatric Drugs"
I'd just like to plug the double double quotes feature at this site:
http://www.dr-bob.org/babble/faq.html#amazon
The first time anyone refers to a book without using this option, I post this to try to make sure he or she at least knows about it. It's just an option, though, and doesn't *have* to be used. If people *choose* not to use it, I'd be interested why not, but I'd like that redirected to Psycho-Babble Administration:
http://www.dr-bob.org/babble/admin/20020918/msgs/7717.html
Thanks!
Bob
Posted by Janelle on April 19, 2003, at 20:21:44
In reply to Re: Thanks, and here's more... » Janelle, posted by Snoozy on April 19, 2003, at 14:41:17
I hope you are right, Snoozy and from my past experiences, I would know very quickly if the Buspar had been causing some of the drowsiness, and also if it has been doing any good for me.
I tend to think that despite what seems to be the *consensus* of literature out there, Buspar CAN make a person drowsy at a high enough dose (and for me, even 30 mg, which is HALF of what I had been at very briefly!) is probably one factor. I am not ruling out the Klonopin, nor any possible synergy between the two, meaning one is augmenting the other in terms of drowsy-inducing.
I'm gonna do a quick and dirty Internet search on Seroquel's half-life. I suspect it is mid to long, but not short.
Oooh - your idea is great - having a clone that I could use as a control group in one's medication experiments!
Thanks again.
Posted by Janelle on April 19, 2003, at 20:45:41
In reply to I hope you are right !! » Snoozy, posted by Janelle on April 19, 2003, at 20:21:44
I did the quick 'n dirty Internet search to find out the half-life of Seroquel and guess where it led me to - I made a circle right back here to PB! I got a hit that made mention of a really good website that is a chart full of drug info, alphabetical by brand or generic name.
According to this site Seroquel has a half-life of 6 hours. Sounds kinda short? Another site said 7 hours.
I forget if half life depends on the dose level (I don't think it does) -- the chart says Seroquel typical dose is 300-500 mg. But I'm not taking it for the labeled reasons so that doesn't concern me.
If 6 hours is considered a short-half life, then it ain't the Seroquel that's keeping me drowsy all day!
FYI - the website with the great chart is:
http://sl.schofield3.home.att.net/medicine/psychiatric_drugs_chart.htm.
Posted by MattD on April 21, 2003, at 4:06:39
In reply to WHY AM I TIRED ALL THE TIME (re MEDS)?, posted by Janelle on April 17, 2003, at 17:58:13
While you're adjusting medication (or perhaps in lieu of it), you might add a stimulant--in particular ProVigil.
Good luck,
Matt
Posted by Ellen S. on April 21, 2003, at 22:13:21
In reply to re: sedation, posted by MattD on April 21, 2003, at 4:06:39
I believe that Seroquel is very sedating for many patients. My teenage son took it just once or twice before quitting it due to the severe sedation. The young daughter of a friend also had trouble with it.
Also, FWIW, when I asked my son's pdoc about Buspar for anxiety, he scowled and said it's useless. This from a doctor who believes in meds...
Posted by MattD on April 22, 2003, at 0:15:03
In reply to SNOOZY! You're not gonna believe THIS -- , posted by Janelle on April 19, 2003, at 20:45:41
It still could be the seroquel. It is sedating, for sure, even at 50mg. And it can last through the next day. It's not all about half-life; one also has to look at how protein-bound the drug is, as well as the active metabolites the drug has and their effects.
But with a large cocktail, it's often a combo of things.
As far as BuSpar goes, anecdotally it doesn't work all that well for anxiety. It does do well, often, in augmenting antidepressants, especially SSRIs.
Matt
> I did the quick 'n dirty Internet search to find out the half-life of Seroquel and guess where it led me to - I made a circle right back here to PB! I got a hit that made mention of a really good website that is a chart full of drug info, alphabetical by brand or generic name.
>
> According to this site Seroquel has a half-life of 6 hours. Sounds kinda short? Another site said 7 hours.
>
> I forget if half life depends on the dose level (I don't think it does) -- the chart says Seroquel typical dose is 300-500 mg. But I'm not taking it for the labeled reasons so that doesn't concern me.
>
> If 6 hours is considered a short-half life, then it ain't the Seroquel that's keeping me drowsy all day!
>
> FYI - the website with the great chart is:
>
> http://sl.schofield3.home.att.net/medicine/psychiatric_drugs_chart.htm.
Posted by Janelle on April 22, 2003, at 21:20:44
In reply to seroquel+sedation » Janelle, posted by MattD on April 22, 2003, at 0:15:03
Hi,
Interesting that BOTH of you have said exactly what I've heard previously about Buspar - that it is pretty much ineffective, weak, doesn't do much for anxiety, etc.!! Placebo-like I suppose.
As I think I mentioned in my original thread, when I would forget to take the noon dose of Buspar, I felt NO DIFFERENCE betwen those days and the days when I would remember to take the noon dose. I did not feel any more anxiety on the days I forgot the noon Buspar than on the days when I remembered it. My pdoc had me stop the noon dose.
I think that for a small segment of the population, Buspar may help either with anxiety or augmenting and A-D; however, I may not be in that small segment! Time will tell, as I had an appointment today and we are gradually going to discontinue the Buspar!
Posted by MattD on April 23, 2003, at 0:25:44
In reply to EllenS and MattD: re BUSPAR !!, posted by Janelle on April 22, 2003, at 21:20:44
The BuSpar may be useful as an augmenter, even at low doses (5-10mg). Its mechanism of action as such can be found many places; Steven Stahl's _Essential Psychopharmacology_ is one good one. In particular, it can help with SSRI poop-out.
Best,
Matt
> Hi,
>
> Interesting that BOTH of you have said exactly what I've heard previously about Buspar - that it is pretty much ineffective, weak, doesn't do much for anxiety, etc.!! Placebo-like I suppose.
>
> As I think I mentioned in my original thread, when I would forget to take the noon dose of Buspar, I felt NO DIFFERENCE betwen those days and the days when I would remember to take the noon dose. I did not feel any more anxiety on the days I forgot the noon Buspar than on the days when I remembered it. My pdoc had me stop the noon dose.
>
> I think that for a small segment of the population, Buspar may help either with anxiety or augmenting and A-D; however, I may not be in that small segment! Time will tell, as I had an appointment today and we are gradually going to discontinue the Buspar!
This is the end of the thread.
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