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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by floatingbridge on June 14, 2011, at 14:29:42
When I called my pdoc to tell him how last night went so poorly, I realized I misunderstood his directions. He meant half of 3mg lunesta at night, not combined with ativan.
Then He said something that scared me. That if
the insomnia doesn't resolve, we'll have to stop emsam.I wanted to remain casual on the phone. That's my m.o. Much quieter and slower outside than in.
I now realize That I am a little panicky. No, I haven't reached for the ativan. I did call him back and explained what I Did here and ask him for clarification and if he means no more depressment treatment. Maybe it's up to the Fibromyalgia folks at Stanford. At any rate, I asked for some clarification.
Should I just forget insomnia as an issue and try bear it?
There is no substitute for his own words. Hopefully, I will understand them.
fb
Posted by sigismund on June 14, 2011, at 15:25:24
In reply to ad for me?, posted by floatingbridge on June 14, 2011, at 14:29:42
I can see his point. Though Parnate and Nardil may be no better in this respect and is it this that makes you feel you are running out of options?
You tried and discontinued taking the patch off at nights? Or whatever you can do to take advantage of the AD effect with minimal insomnia?
My sleep is a bit like yours is now, and I take agomelatine. That's interesting.
Posted by sigismund on June 14, 2011, at 15:26:35
In reply to Re: ad for me? » floatingbridge, posted by sigismund on June 14, 2011, at 15:25:24
There is some AD effect from Emsam for you?
How do you find it, insomnia aside?
Posted by floatingbridge on June 14, 2011, at 16:22:28
In reply to ad for me?, posted by floatingbridge on June 14, 2011, at 14:29:42
So if insomnia doesn't magically resolve, them emsam is not the med for me
How far is my pdoc willing to look for resolution.
In the advent that emsam is withdrawn, I'd like to know what possible plan B's might look like.
I would like to know there is a plan b.
Posted by Christ_empowered on June 14, 2011, at 16:33:52
In reply to is it reasonable to have back up plan?, posted by floatingbridge on June 14, 2011, at 16:22:28
maybe something mood elevating that's not an AD? Could you add in some tramadol? Does that help you at all?
Posted by jono_in_adelaide on June 14, 2011, at 17:28:28
In reply to Re: is it reasonable to have back up plan?, posted by Christ_empowered on June 14, 2011, at 16:33:52
For the insomnia, try 25mg doxylamine succinate (Unisom Sleeptab) or 50mg diphenhydramine hydrochloride (Unisom Sleepgels, Sominxe, Nytol)
along with 1 Ativan and 1 Lunextra.A prescription that would be well wroth trying would be either doxepin 25-50mg an hour before bedtime.
Posted by jono_in_adelaide on June 14, 2011, at 18:32:19
In reply to Re: is it reasonable to have back up plan?, posted by jono_in_adelaide on June 14, 2011, at 17:28:28
Oh, if you have fibromyalgia, amitriptyline could help the FM as well as act as a hypnotic at bedtime, say 50mg 1 hour before you want to go to sleep?
Posted by floatingbridge on June 14, 2011, at 20:47:33
In reply to ad for me?, posted by floatingbridge on June 14, 2011, at 14:29:42
Posted by phillipa on June 14, 2011, at 21:24:00
In reply to pls, no more advise. stop. (nm), posted by floatingbridge on June 14, 2011, at 20:47:33
I'm sorry information overload. And horrible fatigue. No information just that this was why didn't do the emsam doc said to stimulating. Love Phillipa
This is the end of the thread.
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