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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by rjlockhart on August 12, 2006, at 0:56:27
My eyes are so red right now from staying awake im about to vomit.
Hold on i feel like i have to... excuse me...
Ok, nothing.
Prozac seems to really increase me staying up. I feel so good about myself.
I've got to go to sleep.
Is this prozac making me do this?
hold on i may to throw up again im so warped.
Matt
Posted by Phillipa on August 12, 2006, at 20:52:05
In reply to Prozac and mania, posted by rjlockhart on August 12, 2006, at 0:56:27
Matt have you told your pdoc about the staying up all night and the reaction prozac is giving you. This didn't and doesn't always happen does it? Love Phillipa
Posted by laima on August 13, 2006, at 14:02:48
In reply to Prozac and mania, posted by rjlockhart on August 12, 2006, at 0:56:27
> Is this prozac making me do this?A psychiatrist and a sleep doctor both told me that prozac can interfere with sleep- I agree with Phillipa- talk to your doctor about the possibility.
Posted by pulse on August 14, 2006, at 8:17:16
In reply to Re: Prozac and mania » rjlockhart, posted by laima on August 13, 2006, at 14:02:48
yes, this is a quite typical (start-up) response to prozac, IF you aren't on a benzo. i'm most definitely NOT suggesting you go on a benzo, btw. (see below)
if you are not bipolar, it's not mania at all! prozac does indeed cause major sleep disruption and also poor sleep quality in many, if not most...again, when used alone.
i am also not suggesting implementing with a prescription sleep aid, but that is because ALL of them make me GI ill in the extreme - nice way to go to sleep! plus, the original ambien works for 4 hours to the second, for most folks. then, one must become a co-conspirator with their pdoc to double dosing it, i.e., taking another at the 4 hour wake-up point. this, to me, is not good doctoring. the new ambien cr, as many here have pointed out, simply doesn't get the job done, as is advertised. lunesta was another dud - for me.
prozac was the best ad ever for me. of the many times i've re-tried it, it never lost it's efficacy. however, ever since i went on klonopin, and then on a too high dose of it - anything above .5 mg/twice a day - for me - does this: i do NOT get that famous prozac better-than-well each day (or any day) feeling. prozac is the only ssri that is stimulating - in a good way, imo. in the past, i ONLY tried other ads to find a 'better mousetrap,' but i never did. not even close.
i can no longer take prozac - or any ad - due to the serotonin (serotonin is the main culprit; 2nd is norepinephrine) making be so very GI ill, in all ways, upper & lower. the nausea, especially of serotonin, now NEVER diminishes or goes way, as it should. btw, i'm not an isolated, idiosyncratic case re: this or similar. it is, apparently, somewhat 'rare.' search the archives.
however, for you, if you aren't bipolar, i strongly suggest sticking the prozac out. you can very probably count on the nausea stopping either within the 1st week, or, at the latest, the 2nd. surely by the 3rd, in MY (past) experience. if you have already been on it longer to MUCH longer - you didn't mention - i don't know what to suggest.
for sleep, tylenol pm is the only thing that works for me, just fyi.
one last thing: if you are taking any p-stims along with prozac, the nausea will most definitely be increased. perhaps by much.
good luck & enjoy what you can ...during this wait.
pulse
Posted by laima on August 15, 2006, at 12:28:16
In reply to Re: Prozac and mania, posted by pulse on August 14, 2006, at 8:17:16
I used prozac for many years without a benzo, no problems. It WAS very activating for me at the very start, but then settled down quickly. I guess all of our bodies are different. Did you say you are using 40mg? I thought that sounded high- I think they usually start people on 20 mg. That's one reason it could be especially "activating" for you--but PLEASE do not mess around with dose without talking to your Dr. Be sure to mention the details of your sleep difficulties and EVERYTHING else that you are taking.ps- I have sleep problems, too. My current doctor said that for some people, the seratonin effects of ssris like prozac can interfere with "sleep architecture", in my own case meaning, getting the right amount of "slow wave" restful sleep.
Good luck!
> yes, this is a quite typical (start-up) response to prozac, IF you aren't on a benzo. i'm most definitely NOT suggesting you go on a benzo, btw. (see below)
>
> if you are not bipolar, it's not mania at all! prozac does indeed cause major sleep disruption and also poor sleep quality in many, if not most...again, when used alone.
>
> i am also not suggesting implementing with a prescription sleep aid, but that is because ALL of them make me GI ill in the extreme - nice way to go to sleep! plus, the original ambien works for 4 hours to the second, for most folks. then, one must become a co-conspirator with their pdoc to double dosing it, i.e., taking another at the 4 hour wake-up point. this, to me, is not good doctoring. the new ambien cr, as many here have pointed out, simply doesn't get the job done, as is advertised. lunesta was another dud - for me.
>
> prozac was the best ad ever for me. of the many times i've re-tried it, it never lost it's efficacy. however, ever since i went on klonopin, and then on a too high dose of it - anything above .5 mg/twice a day - for me - does this: i do NOT get that famous prozac better-than-well each day (or any day) feeling. prozac is the only ssri that is stimulating - in a good way, imo. in the past, i ONLY tried other ads to find a 'better mousetrap,' but i never did. not even close.
>
> i can no longer take prozac - or any ad - due to the serotonin (serotonin is the main culprit; 2nd is norepinephrine) making be so very GI ill, in all ways, upper & lower. the nausea, especially of serotonin, now NEVER diminishes or goes way, as it should. btw, i'm not an isolated, idiosyncratic case re: this or similar. it is, apparently, somewhat 'rare.' search the archives.
>
> however, for you, if you aren't bipolar, i strongly suggest sticking the prozac out. you can very probably count on the nausea stopping either within the 1st week, or, at the latest, the 2nd. surely by the 3rd, in MY (past) experience. if you have already been on it longer to MUCH longer - you didn't mention - i don't know what to suggest.
>
> for sleep, tylenol pm is the only thing that works for me, just fyi.
>
> one last thing: if you are taking any p-stims along with prozac, the nausea will most definitely be increased. perhaps by much.
>
> good luck & enjoy what you can ...during this wait.
>
> pulse
Posted by mayzee on August 15, 2006, at 20:27:38
In reply to Re: Prozac and mania, posted by laima on August 15, 2006, at 12:28:16
>
> ps- I have sleep problems, too. My current doctor said that for some people, the seratonin effects of ssris like prozac can interfere with "sleep architecture", in my own case meaning, getting the right amount of "slow wave" restful sleep.
>laima,
how do you deal with that sleep architecture interference/lack of slow wave restful sleep?
--mayzee
Posted by laima on August 16, 2006, at 12:40:22
In reply to Re: Prozac and mania » laima, posted by mayzee on August 15, 2006, at 20:27:38
I met my current psychiatrist when I was referred to him, "an expert", for a second opinion after I totally vexed my previous psychiatrist (s). After talking with me for two hours and then quietly thinking for a spell, he speculated that the ssris I was on were "activating" me out of slow wave sleep. That he'd noticed that a number of people had troubled or abnormal sleep while using ssris--all the extra seratonin likely being the problem. Seratonin being an "activator"... He added wryly, "depriving anyone of restful slow-wave sleep is a great way to induce depression or other mental problems", but "it's near impossible to say definitively what came first-your sleep disorder or depression- but the two often go hand in hand". He speculated that switching to wellbutrin would be a good place to start, for according to him, its actions would be less likely to mess with sleep. (Less or no seratonin interference.) I had a few sleep studies- and his hunches proved impressively pretty accurate. It turned out that wellbutrin wasn't the right med for me after all...but the experience was still very educational and now some time later I am using EMSAM and am feeling considerably better-not perfect yet-but much better.And caveat, of course: we're all different- if an ssri is working out well for anyone- don't quit just because of what I said!
> how do you deal with that sleep architecture interference/lack of slow wave restful sleep?
>
> --mayzee
Posted by mayzee on August 16, 2006, at 19:54:58
In reply to Re: Prozac and mania » mayzee, posted by laima on August 16, 2006, at 12:40:22
>
> I am using EMSAM and am feeling considerably better-not perfect yet-but much better.
>I was hypersomniac --through all the SSRIs, SNRIs and Wellbutrin that i tried-- until I started EMSAM. Now I have really fragmented sleep and much less of it; haven't gotten any really restful sleep yet. (But then, with all the sleep I used to get, I never felt "rested" then either)
Do you take other meds besides EMSAM? (sorry, I think you have said before, but I don't remember)
Thanks,
mayzee
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