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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by wsj on December 1, 2003, at 0:51:41
day 20 - 2003.11.30 - 70mg - sleep 4:00am on 20mg ambien & .5mg klonopin >slept till 9:30 - could have slept more > made myself get up to have a chance to sleep earlier tonight - have not heard from pdoc on ambien replacement and I'm out > will have to take klonopin tonight - both ambien & klonopin missing pills in my own household! - fell asleep in den chair @10:30 -till 12:00 - after sleeping more again mood down and feel a little hyper - helped put christmas tree up then finally went for some exercise (walked 2.5 miles) - stomach cramps for 2cnd day in a row made it uncomfortable - barely made it back - feeling better mood and stomach wise in evening - took .5 klonopin @ 10:30 pm in hopes of falling to sleep by 2:00 am
day 19 - 2003.11.29 - 70mg - 2:00am just now starting to get tired! Emailed pdoc on sleep med advice - fell asleep @ 4:00am on 20mg ambien > slept soundly > woke at 9:15am - have taken 30mg parnate by 11:15am > still not totally awake - became more alert around noon - didn't get to work till 4:00pm (dead car battery) > stayed till 6:30pm - pretty good mood all day - no s/e problem except for evening come down > not quite as harsh as has been - still have not started to work out!
day 18 - 2003.11.28 - 70mg - 1:30am wide awake! fell asleep @ 3:30am on 20mg ambien > slept good until 10:30am - blew off 8:30am business meeting - feeling crappy and disgusted w/ myself this morning for sitting around all day yesterday > maybe if would have been more active and exercised i could have gotten to sleep earlier and made my morning meeting! now i will probably have problems sleeping tonight after sleeping so late this morning - the parnate is giving me tight head this morning - still feeling the more sleep deprived i am the less s/e i incur - have to make a ambien / klonopin decision > i guess i will email my pdoc and let him decide > continue on 20mg ambien or go back to klonopin hoping .5mg will get me some regular sleep! felt better later in the day > thinking about going back 60mg parnate - still did not work out!
day 17 - 2003.11.27 - 70mg - fell asleep @1:15pm on 10mg ambien > slept restlessly till 7:00am - ate breakfast then napped in den chair 2.5hrs - feel ok today but parnate doses are hitting hard today s/e wise > tight head along a couple of lightheadedness episodes near fainting once? - seems the more i sleep the less parnate i should take - long uncomfortable comedown in evening after last dose @ 5:30pm - disappointed - thought these days were behind me! still have not worked out > feeling to lazy > even though i know it would help sleep wise
day 16 - 2003.11.26 - 70mg - fell asleep @ 1:00am on 10mg ambien > slept restlessly until 6:00am - went to work at 9:00am > stayed till 4:30pm - tired all afternoon took last dose at 5:00pm - s/e from w/d is just feeling tired and lazy in evening - good mood until late evening
day 15 - 2003.11.25 - 70mg - fell asleep @3:15am on 20mg ambien > slept very restlessly until 8:00am - felt lazy all morning - had doc appt (ent) at 2:30pm so didn’t go into work until after > stayed till 5:45pm - completed tasks well - concentration is good - keeping up w/ work even w/ reduced work schedule - mood was good all day > especially since sleep is so bad! doc said i could start working out again (after sleep apnea surgery) - gotten out of the habit and feel so lazy from the parnate plus the cold weather > maybe ill start tomorrow
day 14 - 2003.11.24 - 70mg - fell asleep @ 3:00am on 20mg ambien > woke 8:30am - good energy all day - taking 60mg dose parnate but feel like I would do better on higher dose > only side effects I have are when a dose wears off - went to work at noon and stayed till 6:00pm > was able to complete a lot of work - feel pretty good mood wise > feel impatient at times
day 13 - 2003.11.23 - 60mg - fell asleep about 1:30am on 20mg ambien > woke 7:00am - most normal night of sleep since going off klonopin - had energy and felt pretty good > until 6:30pm when I felt like I needed a nap - got 2cnd wind though - still having fairly hard come down in evenings - but i feel a lot better than yesterday
day 12 - 2003.11.22 - 60mg - fell asleep about 3:30am on 10mg ambien - woke 8:00am > made myself stay in bed and sleep off and on till 10:30am - missed work - tired & unmotivated all day - disappointed - thought after getting some sleep I would feel pretty good > but instead having worst day in last 6
day 11 - 2003.11.21 - 60mg - didn’t fall asleep till about 2:30am last night even though I took 20mg ambien - woke 7:30am > at work by 8:30am - felt good even though I was tired > went thru parnate quick and ran out of gas by noon > stayed till 4:30pm - took 10mg when i got home for 60mg total - each day w/o klonopin is feeling better - i think once im thru w/ klonopin w/d and start to get some sleep i am going to feel good
day 10 - 2003.11.20 - 50mg - didn’t fall asleep until 3:00am last night even though I took 20mg ambien - woke 7:00am - I think this is mostly due to klonopin w/d and not parnate - felt better than yesterday but due to lack of sleep not great - made it to work by 10:30am but ran out of gas at 3:00pm > stayed till 5:00pm
day 09 - 2003.11.19 - 50mg - dropped klonopin completely last night - had to take 20mg ambien again to sleep - unmotivated - getting tired late in day > feeling just like coming off dexedrine in evening w/ blurry eyesight - emailed pdoc > he says im going up to fast > but upped my next script to 60mg/ day per my request - not feeling quite as good today only b/c lack of motivation is beginning to get old - i have got a lot of work to do and just don't feel like working > im writing this at 4:15pm and haven't gone into work yet
day 08 - 2003.11.18 - 50mg - dropped to .25 klonopin last night - had to take 20mg ambien to get to sleep - felt the need to take 50mg parnate today - not very motivated today but feeling fine - didn't get to work until 3:00pm but stayed till 7:30pm
day 07 - 2003.11.17 - 40mg - made it back to work today - had good energy until 5:00pm > ran completely out of gas - felt like I needed to take 50mg - still feeling as good as I ever did on lexapro
day 06 - 2003.11.16 - 40mg - no tired spells at all today - already feeling as good as I ever did on lexapro - thinking about dropping the .5 klonopin for sleep and go to 10mg ambien - sleeping restlessly
day 05 - 2003.11.15 - 30mg - not nearly as tired today - dropped from .75mg to .5mg klonopin last night - mood up again slightly
day 04 - 2003.11.14 - 20mg - less tired each passing day - still unmotivated - missed work - slight increase in mood
day 03 - 2003.11.13 - 18mg - woke 8:30am - tired but not as tired as yesterday - I think tiredness due to w/d from dexedrine and not parnate - mood not improved - missed work - totally unmotivated - at end of day slight mood increase
day 02 - 2003.11.12 - 17mg - woke 10am - been tired all day - mood not improved - missed work - totally unmotivated
day 01 - 2003.11.11 - 15mg - to start today - took @ 15mg - just a feeling of tightness in brain - but did not miss dexedrine
Posted by KellyD on December 1, 2003, at 9:10:08
In reply to ~~ p a r n a t e ~~ d a y ~~ t w e n t y ~~ , posted by wsj on December 1, 2003, at 0:51:41
I have been following your "days". Maybe this is an obvious question, prehaps really answered in your updates, but how do you really feel about continuing? Do you think it will be worth it in the long haul?
I'm wondering how you really "feel" about this journey?Kelly
Posted by wsj on December 1, 2003, at 21:19:02
In reply to Re: ~~ p a r n a t e ~~ d a y ~~ t w e n t y ~~ , posted by KellyD on December 1, 2003, at 9:10:08
i feel that so far it works as good as any AD i've taken with the exception of giving me terrible insomnia. i don't feel that on this 21st day that i have gotten the full effects. but so far i'm happy w/ the way things are going > guess i need to make that come across better in my journal.
thank you for asking,
wsj
Posted by KellyD on December 1, 2003, at 21:40:56
In reply to Re: ~~ p a r n a t e ~~ d a y ~~ t w e n t y ~~ » KellyD, posted by wsj on December 1, 2003, at 21:19:02
I really like your honest and forthright account on what's going on with you and your med.
I just stopped an AD after 25 days of feeling in a worse position than when I began.
I admire your courage. I give in rather quickly and don't have the fortitude to endure... my "start up" period never seems to end with AD's. So far, I don't think my discontinuations have been ill advised, actually. Everyone is different and has to find their own way.
As a sidebar, I had someone very close to me who was on Parnate for 10 years and did well with it.
Best to you.
Posted by wsj on December 1, 2003, at 22:38:48
In reply to Re: ~~ p a r n a t e ~~ d a y ~~ t w e n t y ~~, posted by KellyD on December 1, 2003, at 21:40:56
This is the end of the thread.
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