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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 16 of 16. This is the beginning of the thread.
Posted by Racer on June 20, 2005, at 20:20:10
First off, my meds:
Cymbalta 60mg
Wellbutrin XL 300mgI just stopped taking 100mg of Provigil, because that and the Wellbutrin together were just too much: I was moving my feet and lower legs all the time, and starting to do those things with my mouth that I used to do when I still did speed. Not Good. And despite the overstimulation, I was still not really able to do much productive stuff. (Maybe some residual depression?)
Now, though, although I'm a bit less tense, I find that about noon every day, I hit such a wall I have to lie down for a while. Then, again, at about 5 or 6 PM, I have to lie down again. I don't always sleep, but I have to rest, kinda doze or even just lie there with the TV going. It's really starting to get bothersome for me, because I feel so rotten about myself when I get nothing done, and I'm getting NOTHING done these days.
Now, there are certainly some situation stresses going, but nothing that hasn't been going on for a while now. (Over a year, so nothing new.)
Can anyone suggest whether it's one of the meds I'm taking, or if there's something that might help with this without hyping me up too much?
Thanks.
Posted by Phillipa on June 20, 2005, at 21:16:15
In reply to Argh! Excessive Daytime Sleepiness problem..., posted by Racer on June 20, 2005, at 20:20:10
Well Link just posted something about chocolate. But then again the sugar would have your energy going up and down. Fondly, Phillipa
Posted by NISSYNICOL on June 20, 2005, at 23:05:57
In reply to Re: Argh! Excessive Daytime Sleepiness problem... » Racer, posted by Phillipa on June 20, 2005, at 21:16:15
Wow. I take 200 Mg of Provigil for about 2 months now and I feel like it doesn't work for me anymore. I am right back to wanting to nap all day on and off. I also take cymbalta but I take 90 mgs. Provigil never made me feel speedy just alert. I wish I could help you.
NISSYNICOL :)
Posted by FredPotter on June 21, 2005, at 0:01:10
In reply to Argh! Excessive Daytime Sleepiness problem..., posted by Racer on June 20, 2005, at 20:20:10
Racer I've suffered the same thing for a while now. I suspected it was Celexa, which I cut down to 20mg and then 10. But my pdoc thinks it's residual depression and has prescribed a low dose of Zyprexa, which I haven't received yet. He said if it was a side effect of Celexa I would be tired all the time rather than having tired spells
Fred
Posted by partlycloudy on June 21, 2005, at 6:56:13
In reply to Argh! Excessive Daytime Sleepiness problem..., posted by Racer on June 20, 2005, at 20:20:10
Racer, are you able to get to exercise on a regular basis? I find that when I'm good about it (going to the gym 3 x week) that my overall energy is much more consistent. Are you able to get outside (the balconey does not count) for a 10 minute walk every day? Doing errands doesn't count - this would be a Walk For Racer, where you get to look around you and appreciate the sights and sounds in your neighbourhood. Just a little thing like that can help regulate your body with the day/night thing.
Also, do you drink caffeinated beverages? Those make me pretty wonky with my energy. I keep regular coffee away from me except as an emergency Gotta Stay Awake bolus.
Keep moving the shark around the tank, dear.
Best fishes,
pc
Posted by SLS on June 21, 2005, at 7:01:09
In reply to Argh! Excessive Daytime Sleepiness problem..., posted by Racer on June 20, 2005, at 20:20:10
Maybe it is time to taper and remove the Cymbalta to see if you really need it. It might be responsible for your sleepiness and apathy/amotivation.
- Scott
Posted by Racer on June 21, 2005, at 11:47:51
In reply to Re: Argh! Excessive Daytime Sleepiness problem..., posted by SLS on June 21, 2005, at 7:01:09
> Maybe it is time to taper and remove the Cymbalta to see if you really need it. It might be responsible for your sleepiness and apathy/amotivation.
>
>
> - ScottGrrr... Actually, we just raised it back to 60mg from 30mg, because the depression came back on the lower dose. Now, while I'm not terribly depressed -- mostly not depressed at all, except for the usual situational stuff that just isn't getting resolved -- I'm also not productive. And that's leading to a sort of vicious circle.
On the other hand, your mind was obviously working in the same directions mine had been, since I requested the lowered dose of Cymbalta to see if it would help or even fix the fatigue and amotivation... Good to know that, since great minds think alike, my mind might be almost great as proven by working similarly to yours. :-D
And PC is on to something, too, since I hardly get to leave the house, thanks to the car situation. That's driving me crazy-er. I hope that, once that is fixed and a couple of other things happen, a lot of this will at least change, if not resolve...
Oh, but back to PC's suggestion: in this neighborhood, there's no place to walk that doesn't allow me to find out all too much about either the homeless in the park in one direction, the EDD or Veterans Affairs in another, or the Mexican consulate in the final direction. Unless I walk back and forth up the sidewalk behind our building. And if I could drive, I could make it to the gym. It's about a two and a half mile walk, which I could do, but haven't because there's a huge highway overpass I'd have to cross, and my mild agoraphobia is not quite mild enough for that, especially since I'm also afraid that I'd be done at the gym, and too tired to walk home in the heat.
SUX! Will someone please babblemail me a mechanic to fix my husband's car???
(And yes -- we're approaching the question of why he seems to be restricting my movements by keeping me car-free except for the weekly visits to the therapist or going to the store for him...)
Posted by Phillipa on June 21, 2005, at 17:37:08
In reply to Re: Argh! Excessive Daytime Sleepiness problem... » SLS, posted by Racer on June 21, 2005, at 11:47:51
Thanks funny. Just before I went off the 60mg of cymbalta I was starting to wake up earlier in the morning. Maybe it was starting to work. Fondly, Phillipa
Posted by Chairman_MAO on June 22, 2005, at 18:02:23
In reply to Argh! Excessive Daytime Sleepiness problem..., posted by Racer on June 20, 2005, at 20:20:10
Pemoline works very well for this sort of problem. As little as 18.75mg qd could do the trick.
Posted by Colleen D. on June 22, 2005, at 20:46:44
In reply to Argh! Excessive Daytime Sleepiness problem..., posted by Racer on June 20, 2005, at 20:20:10
> Cymbalta 60mg
> Wellbutrin XL 300mgHi Racer!
I had the same thing happen with the exact combo and dosages. I went back to 150mg Effexor only during the day and .5mg of clonazepam at night. I couldn't understand why I was so drowsy during certain parts of the day and was getting so little done around the house. I'm doing much better now and have dropped the doxepin I used to NEED for sleep. Yea! Less drugs!
Weren't you on Effexor too a while back? Did it poop out? I hope you can find some way to get some energy without going spastic! I wouldn't have liked that feeling...
Good luck!
Colleen
Posted by Donna Louise on June 22, 2005, at 22:31:38
In reply to Argh! Excessive Daytime Sleepiness problem..., posted by Racer on June 20, 2005, at 20:20:10
Hi Racer, I remember that we had been taking the same regimen. I had to stop the wellbutrin, it just makes me crazy with agitation and anxiety. I am still on the 60mg of cymbalta and 400 provigil. But I can't keep my eyes open midday. so I take 300 provigil in the morning so I wll not go back to bed and another 100 in the afternoon before I take a 1-2 hour nap. I am thinking I will take the cymbalta at night, it is working really well for me, enough that I will put up with this wanting to sleep all the time, except at night. But still, I can lay down anywhere anytime and fall right asleep. I guess that is really a blessing. I first got this sleepy thing with zoloft and it has not gone away with several med changes. Maybe it is something else entirely. Maybe the pemoline? I will have to research to see what that is.
Posted by 4WD on June 23, 2005, at 22:50:37
In reply to Re: Argh! Excessive Daytime Sleepiness problem... » Racer, posted by Phillipa on June 21, 2005, at 17:37:08
> Thanks funny. Just before I went off the 60mg of cymbalta I was starting to wake up earlier in the morning. Maybe it was starting to work. Fondly, Phillipa
Hey Phillipa,That happened to me too. After I had been on Cymbalta for a while I started to wake up earlier--too early. But I sure went to sleep easily.
Marsha
Posted by Phillipa on June 24, 2005, at 0:05:24
In reply to Re: Argh! Excessive Daytime Sleepiness problem... » Phillipa, posted by 4WD on June 23, 2005, at 22:50:37
Marsha, Back to that post on luvox you wrote. You convince me at least one more night but only 25mg. Fondly, Phillipa
Posted by 4WD on June 24, 2005, at 20:57:54
In reply to Re: Argh! Excessive Daytime Sleepiness problem... » 4WD, posted by Phillipa on June 24, 2005, at 0:05:24
> Marsha, Back to that post on luvox you wrote. You convince me at least one more night but only 25mg. Fondly, Phillipa
Hi Phillipa,
I understand. I guess I just remember how awful it was when I had such terrible insomnia and I'd have been so happy to have found an AD that put me to sleep! Has the Luvox been helping with depression and/or anxiety at all?
Marsha
Posted by Phillipa on June 24, 2005, at 21:28:04
In reply to Re: Argh! Excessive Daytime Sleepiness problem... » Phillipa, posted by 4WD on June 24, 2005, at 20:57:54
Hi Marsha, No it hasn't so I'm going to try an experiment. No luvox tonight. See if I stay awake. Fondly, Phillipa
Posted by 4WD on June 24, 2005, at 22:22:40
In reply to Re: Argh! Excessive Daytime Sleepiness problem... » 4WD, posted by Phillipa on June 24, 2005, at 21:28:04
> Hi Marsha, No it hasn't so I'm going to try an experiment. No luvox tonight. See if I stay awake. Fondly, Phillipa
It may take a few days for you to notice a difference. I continuted to sleep extra good for a while even after I quit the Cymbalta.
Marsha
This is the end of the thread.
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