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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 25 of 38. This is the beginning of the thread.
Posted by Maxime on October 12, 2007, at 16:15:50
I haven't slept in 4 nights - zero hours. I am now starting to hallucinate. I took a double dose of Nozinan, but it didn't touch me.
I want my pdoc to call in a prescription for me, but I don't know what to ask for.
I look like hell and can barely function.
Suggestions?
Thanks.
Maxime
Posted by Justherself54 on October 12, 2007, at 16:21:11
In reply to HELP for sleep, posted by Maxime on October 12, 2007, at 16:15:50
maybe Zopiclone.. Works and not addictive..hope you get something soon to help you sleep..
Posted by Netch on October 12, 2007, at 16:22:57
In reply to HELP for sleep, posted by Maxime on October 12, 2007, at 16:15:50
> I haven't slept in 4 nights - zero hours. I am now starting to hallucinate. I took a double dose of Nozinan, but it didn't touch me.
>
> I want my pdoc to call in a prescription for me, but I don't know what to ask for.
>
> I look like hell and can barely function.
>
> Suggestions?
>
> Thanks.
>
> MaximeWhat other meds are you on?
Some find the combo Ambien and Largon/Panectyl very effective/Netch
Posted by Maxime on October 12, 2007, at 17:09:54
In reply to Re: HELP for sleep, posted by Justherself54 on October 12, 2007, at 16:21:11
> maybe Zopiclone.. Works and not addictive..hope you get something soon to help you sleep..
Thanks, but it doesn't work for me. I just stay awake with a bad taste in my mouth!
Thanks anyway.
Maxime
Posted by Maxime on October 12, 2007, at 17:42:37
In reply to Re: HELP for sleep » Maxime, posted by Netch on October 12, 2007, at 16:22:57
>
> What other meds are you on?
> Some find the combo Ambien and Largon/Panectyl very effective
>
> /Netch
>Psych drugs I am on:
trileptal 300 mg
Tryptophan 6 grams
Adderall XR 30 mg
Clonazepam 3 mgI am in desperate need of an antidepressant, but I am treatment resistant.
We don't have Ambien or Largon in Canada, but we have Panectyl. I wonder if that would be enough on its own.
Thanks.
Maxime
Posted by Netch on October 12, 2007, at 18:01:37
In reply to Re: HELP for sleep » Maxime, posted by Netch on October 12, 2007, at 16:22:57
The generic name for Largon is Propiomazine and other brand names could be:
Anergan
Fargan
Phenergan
Promahist
PrometheganThe generic name for Panectyl is Alimemazine or trimeprazine. Other brand names could be:
Dosegran
Doxergan
Dysedon
Imakol
Levoprome
Methylpromazine
Oxomemazin
Panectyl
Repeltin
Repetin
Temaril
Teralen
Theralene
VallerganIf you have a depression you could use remeron at night
If you suffer from a bipolar disorder you could use Seroquel
/Netch
Posted by Netch on October 12, 2007, at 18:08:06
In reply to Re: HELP for sleep, posted by Maxime on October 12, 2007, at 17:42:37
>
> >
> > What other meds are you on?
> > Some find the combo Ambien and Largon/Panectyl very effective
> >
> > /Netch
> >
>
> Psych drugs I am on:
>
> trileptal 300 mg
> Tryptophan 6 grams
> Adderall XR 30 mg
> Clonazepam 3 mg
>
> I am in desperate need of an antidepressant, but I am treatment resistant.
>
> We don't have Ambien or Largon in Canada, but we have Panectyl. I wonder if that would be enough on its own.
>
> Thanks.
>
> MaximeWhy are you takin Adderal?
I think your insomnia could be aggrevated by Adderall.Have you tried Lamictal for your depression?
It's the most effective for bipolar depression.
It can be combined with SSRI or lithium./Netch
Posted by Phillipa on October 12, 2007, at 18:32:16
In reply to Re: HELP for sleep, posted by Maxime on October 12, 2007, at 17:42:37
Maxie no other suggestions some now say lyrica is relaxing Phillipa
Posted by Maxime on October 12, 2007, at 18:58:34
In reply to Re: HELP for sleep » Maxime, posted by Netch on October 12, 2007, at 18:08:06
> >
> > Psych drugs I am on:
> >
> > trileptal 300 mg
> > Tryptophan 6 grams
> > Adderall XR 30 mg
> > Clonazepam 3 mg
> >
> > I am in desperate need of an antidepressant, but I am treatment resistant.
> >
> > We don't have Ambien or Largon in Canada, but we have Panectyl. I wonder if that would be enough on its own.
> >
> > Thanks.
> >
> > Maxime
>
> Why are you takin Adderal?
> I think your insomnia could be aggrevated by Adderall.
>
> Have you tried Lamictal for your depression?
> It's the most effective for bipolar depression.
> It can be combined with SSRI or lithium.I take Adderall for depression and have been for a couple of years. It has never caused sleep problems.
Lamictal made my depression much worse. I was so upset because it takes so long to titrate Lamictal ... I was expecting miracles.
Posted by Maxime on October 12, 2007, at 19:00:27
In reply to Re: HELP for sleep » Maxime, posted by Phillipa on October 12, 2007, at 18:32:16
> Maxie no other suggestions some now say lyrica is relaxing Phillipa
Lyrica is a big weight gainer, so I won't try it. Neurontin gave me edema that was so severe I had to be admitted into the hospital.
maxime
Posted by Netch on October 12, 2007, at 19:22:41
In reply to Re: HELP for sleep » Netch, posted by Maxime on October 12, 2007, at 18:58:34
For how long did you try lamictal?
I figure you're taking trileptal instead.I think you should consider remeron or seroquel as well for sleep aid.
SSRI may aggrevate your insomnia even more.
/Netch
Posted by dreamweever on October 12, 2007, at 19:46:55
In reply to HELP for sleep, posted by Maxime on October 12, 2007, at 16:15:50
Perhaps a stupid idea, but have you tried adding some magnesium and calcium at night? If you are restricting a lot, you could be deficient and both magnesium and calcium are calming and can help with insomnia.
> I haven't slept in 4 nights - zero hours. I am now starting to hallucinate. I took a double dose of Nozinan, but it didn't touch me.
>
> I want my pdoc to call in a prescription for me, but I don't know what to ask for.
>
> I look like hell and can barely function.
>
> Suggestions?
>
> Thanks.
>
> Maxime
Posted by your#1fan on October 12, 2007, at 22:11:41
In reply to Re: HELP for sleep » Maxime, posted by dreamweever on October 12, 2007, at 19:46:55
I have a suggestion. Temazepam with Seroquel.
Maxime, im so sorry. Why hasnt your doctor prescribed you a barbiturate?
Seconal? well there outdated, but in a crisis like this, cant he prescribe you it for a couple of days. Just like a 7 day supply?
Posted by johnj on October 13, 2007, at 9:11:19
In reply to HELP for sleep, posted by Maxime on October 12, 2007, at 16:15:50
Have you tried doxepin which is a TCA?
Posted by Maxime on October 13, 2007, at 13:55:21
In reply to Re: HELP for sleep » Maxime, posted by Netch on October 12, 2007, at 19:22:41
> For how long did you try lamictal?
> I figure you're taking trileptal instead.
>
> I think you should consider remeron or seroquel as well for sleep aid.
>
> SSRI may aggrevate your insomnia even more.
>
> /NetchI was on Lamictal for almost 4 months. Then I tried the trileptal and there were no side effects and it helps. Although my pdoc wants to reduce my dosage to see if it will help my depression. I'm game!
I have a lot of stress at work which doesn't help my insomnia. Plus my anorexia is to blame as well. Maybe I will save up my calories for night time and see it that helps. I restrict to 300-500 calories a day. My metabolism is screwed up and it's hard for me to lose weight.
Maxime
Posted by Maxime on October 13, 2007, at 13:57:37
In reply to Re: HELP for sleep » Maxime, posted by dreamweever on October 12, 2007, at 19:46:55
> Perhaps a stupid idea, but have you tried adding some magnesium and calcium at night? If you are restricting a lot, you could be deficient and both magnesium and calcium are calming and can help with insomnia.
>
>
>It's not a stupid idea at all. I do take 400 mg of magnesium, but not calcium. I will try some calcium as well. I am taking 6 grams of Trytophan because of my "diet". It doesn't help though.
How much calcium would I need to take?
Maxime
Posted by Maxime on October 13, 2007, at 14:02:31
In reply to Re: HELP for sleep, posted by your#1fan on October 12, 2007, at 22:11:41
Hi
I've tried Temazepam before and it worked for one night. It's worth another try. Seroquel makes me lactate (lovely).
A barbiturate? My pdoc would never prescribe them for me because of my suicidal tendencies. Although, as you suggested he might give me a week's supply (or 3 days). I am going to ask him on Monday.
I didn't sleep again last night ... that's now 5 nights. Today I am hallucinating.
Thanks for the suggestions. I think the barbiturate idea is a good one.
Maxime
> I have a suggestion. Temazepam with Seroquel.
>
> Maxime, im so sorry. Why hasnt your doctor prescribed you a barbiturate?
>
> Seconal? well there outdated, but in a crisis like this, cant he prescribe you it for a couple of days. Just like a 7 day supply?
Posted by Maxime on October 13, 2007, at 14:19:42
In reply to Re: HELP for sleep » Maxime, posted by johnj on October 13, 2007, at 9:11:19
> Have you tried doxepin which is a TCA?
I wish I could take it. I am not allowed anymore TCAs because I had a minor heart attack in the spring. They are too dangerous because of my anorexia and I take Cytomel for hypothyroidism.
Amitriptyline used to knock me out ... I loved it.
Maxime
Posted by Maxime on October 13, 2007, at 14:24:50
In reply to HELP for sleep, posted by Maxime on October 12, 2007, at 16:15:50
No sleep for me last night. Now I am starting to hallucinate. How long can this go on for? My pdoc is out of town so I can't even call him to get a me prescription for something.
I cannot take this anymore.
Maxime
Posted by your#1fan on October 13, 2007, at 14:51:56
In reply to Now 5 nights, posted by Maxime on October 13, 2007, at 14:24:50
maxime at this point....
Tell your doctor you need something very strong to help you sleep.
Seconal, Nembutal? like a 3 or 4 day supply to at least get you back down to earth.
And maybe an antimanic medication with it.
Posted by Justherself54 on October 13, 2007, at 15:15:32
In reply to Now 5 nights, posted by Maxime on October 13, 2007, at 14:24:50
What about a call in to your GP..he/she would know your history and more apt to prescribe something effective..
Posted by Maxime on October 13, 2007, at 15:18:35
In reply to Re: Now 5 nights, posted by Justherself54 on October 13, 2007, at 15:15:32
> What about a call in to your GP..he/she would know your history and more apt to prescribe something effective..
I tried, but her answering machine just says to call on Monday. There is no emergency phone number.
Maxime
Posted by Maxime on October 13, 2007, at 15:22:44
In reply to Re: Now 5 nights, posted by your#1fan on October 13, 2007, at 14:51:56
> maxime at this point....
>
> Tell your doctor you need something very strong to help you sleep.
>
> Seconal, Nembutal? like a 3 or 4 day supply to at least get you back down to earth.
>
> And maybe an antimanic medication with it.I am calling him on Monday when he returns. Last night I took 200 mg of Thorazine ... nothing. Usually 50 mg relaxes me enough to sleep.
Posted by Justherself54 on October 13, 2007, at 15:52:12
In reply to Re: Now 5 nights » Justherself54, posted by Maxime on October 13, 2007, at 15:18:35
Maybe a trip to emerg..take someone with you to drive..hopefully they'll give you something strong to tide you over until you can see your GP
Posted by Maxime on October 13, 2007, at 16:23:17
In reply to Re: Now 5 nights, posted by Justherself54 on October 13, 2007, at 15:52:12
> Maybe a trip to emerg..take someone with you to drive..hopefully they'll give you something strong to tide you over until you can see your GP
I was thinking of that, but I live in Canada where you can wait for more than 12 hours to see someone. And I feel stupid having to go to the ER because I can't sleep. There are so many people who need critical care.
Maxime
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