Psycho-Babble Medication Thread 323316

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sleeping meds

Posted by CareBear04 on March 11, 2004, at 17:18:31

hey everyone, i need some advice re: sleeping meds. i've had problems sleeping for over a year now, and i think i've tried most of the possible solutions out there. my pdoc and i are at a loss as to what to try now. last year, i took trazodone, which worked ok, but it left me with a hangover the next day. zyprexa has put me to sleep well, but it also leaves me really sleepy the next day. i was on klonopin + ambien for months and it worked great! i wish i could still be on it, but the ambien started to make me hallucinate, so i'm not supposed to take it anymore. i tried sonata, but it didn't do much for me at all. i just tried a trial of restoril, and it would take me over an hour to fall asleep, and i had trouble waking up. i also take 1mg of haldol at night, no matter what else i'm taking. any suggestions? my pdoc won't prescribe barbiturates or halcion, but i think he's pretty open to anything else. are there any other meds/combinations that i'm missing that have helped other people? thanks so much!!!
cb

 

Re: sleeping meds

Posted by King Vultan on March 11, 2004, at 19:34:53

In reply to sleeping meds, posted by CareBear04 on March 11, 2004, at 17:18:31

> hey everyone, i need some advice re: sleeping meds. i've had problems sleeping for over a year now, and i think i've tried most of the possible solutions out there. my pdoc and i are at a loss as to what to try now. last year, i took trazodone, which worked ok, but it left me with a hangover the next day. zyprexa has put me to sleep well, but it also leaves me really sleepy the next day. i was on klonopin + ambien for months and it worked great! i wish i could still be on it, but the ambien started to make me hallucinate, so i'm not supposed to take it anymore. i tried sonata, but it didn't do much for me at all. i just tried a trial of restoril, and it would take me over an hour to fall asleep, and i had trouble waking up. i also take 1mg of haldol at night, no matter what else i'm taking. any suggestions? my pdoc won't prescribe barbiturates or halcion, but i think he's pretty open to anything else. are there any other meds/combinations that i'm missing that have helped other people? thanks so much!!!
> cb


You didn't mention trying any of the sedating tricyclics. I can't recommend amitriptyline, as my feeling is that this has excessive and brutal side effects, but doxepin and trimipramine (Surmontil) are both very sedating and should not be as anticholinergic in actual use as imipramine and amitriptyline are. In a non-tricyclic, there is also Remeron, which is extremely sedating.

Todd

 

Re: sleeping meds

Posted by HappyGirl on March 12, 2004, at 0:24:17

In reply to sleeping meds, posted by CareBear04 on March 11, 2004, at 17:18:31

Hi:
Sleeping problem is often related to 'Depression' and 'Anxiety' with which you've been already dealing.
It sounds like you've been on many different form of med., including older form of AP, Haldol, then I totally understand your search for 'good night sleep' is VERY desperate.
In my guess along with the experience from my own journey as having Bp II, first thing you need to know is the EXACT cause for insomnia. Otherwise, just keep looking for a right med. might be practically time-consuming along with a lot of 'trials and errors,' as you already said here.
In my suggestion, although there are many different form of meds. to look at and choose from, you may need to pin-point at what's causing this, ... insomnia.
In my case, insomnia comes from both, depression and anxiety due to Bp II, then the med. for this is the Zyprexa, rather anti-dep., because its effectivenes suitable to my system. We are so different on different medications, however. Seeing your med. history, it sounds like you're a sort 'med. resistent' type, then try to look for med. that normally uses for Anxiety, such as Klonopin, even Serzone(needs a strong liver, plus with NO history of liver problem) might work for you. Serzone is VERY unique med. that works both Depression and Anxiety that ultimately alleviates 'insomnia' fairly at good level.
First, try to talk this med. Serzone(assuming you have a strong Liver) with your pdoc. at your next appt.
H.G.

 

Re: sleeping meds

Posted by Sad Panda on March 12, 2004, at 11:48:04

In reply to sleeping meds, posted by CareBear04 on March 11, 2004, at 17:18:31

> hey everyone, i need some advice re: sleeping meds. i've had problems sleeping for over a year now, and i think i've tried most of the possible solutions out there. my pdoc and i are at a loss as to what to try now. last year, i took trazodone, which worked ok, but it left me with a hangover the next day. zyprexa has put me to sleep well, but it also leaves me really sleepy the next day. i was on klonopin + ambien for months and it worked great! i wish i could still be on it, but the ambien started to make me hallucinate, so i'm not supposed to take it anymore. i tried sonata, but it didn't do much for me at all. i just tried a trial of restoril, and it would take me over an hour to fall asleep, and i had trouble waking up. i also take 1mg of haldol at night, no matter what else i'm taking. any suggestions? my pdoc won't prescribe barbiturates or halcion, but i think he's pretty open to anything else. are there any other meds/combinations that i'm missing that have helped other people? thanks so much!!!
> cb
>
>

I would try Doxepin, Trimipramine or Remeron. Start with 20mg of Doxepin or Trimipramine, or 15mg of Remeron. 7.5 mg of Remeron may even be enough for a good nights sleep.

Cheers,
Panda.



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