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Dr. Bob is Robert Hsiung, MD,
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Posted by polarbear206 on June 11, 2013, at 11:17:33
In reply to Hypersomnia Vs. Excessive daytime sleepiness, posted by damnthislife on June 11, 2013, at 9:59:57
> Is there a different between these two, or are they directly related?
>
> With atypical depression, it is described as hypersomnia. So does the person techincally feel rested after getting 12 or so hours of sleep? Or is it that they can sleep for 12 hours and continue to feel tired for the remaining wakeful hours of the day needing to rest/nap?
>
> Anyone out there with Atypical/Dysthymia and have the hypersomnia/EDS that wants to chime in?
>
> Thanks!You don't feel rested either way because the root cause is that your circadien sleep cycle is thrown off.
Posted by damnthislife on June 11, 2013, at 12:36:59
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by polarbear206 on June 11, 2013, at 11:17:33
So being that no anti-depressant so far (SSRI, SNRI, NDRI's and stimulants) have helped this main area of my depression, is there something else I should be looking into other than taking the step to MAOI's, or possibly the mood stablizer that you suggested? Would these help rebalance my circadien sleep cycle
Posted by Tomatheus on June 11, 2013, at 12:37:35
In reply to Hypersomnia Vs. Excessive daytime sleepiness, posted by damnthislife on June 11, 2013, at 9:59:57
Damnthislife,
Hypersomnia is one of my symptoms. In my case, when I'm not receiving any treatment, I feel at my worst (at my lowest level of energy) in the morning. I have extreme difficulty waking, and my sleep times are long. I wouldn't say, though, that I have strong urges to sleep once I'm awake. I seem to remember reading that hypersomnia could either involve an excessive need to sleep during the day or extended sleep times and that the person with hypersomnia doesn't necessarily have to experience both (the daytime sleepiness and the extended sleep times), but I'm not 100 percent sure of the validity of this.
Anyway, just thought I'd chime in with my thoughts on this topic.
T.
Posted by damnthislife on June 11, 2013, at 12:54:25
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by Tomatheus on June 11, 2013, at 12:37:35
> Damnthislife,
>
> Hypersomnia is one of my symptoms. In my case, when I'm not receiving any treatment, I feel at my worst (at my lowest level of energy) in the morning. I have extreme difficulty waking, and my sleep times are long. I wouldn't say, though, that I have strong urges to sleep once I'm awake. I seem to remember reading that hypersomnia could either involve an excessive need to sleep during the day or extended sleep times and that the person with hypersomnia doesn't necessarily have to experience both (the daytime sleepiness and the extended sleep times), but I'm not 100 percent sure of the validity of this.
>
> Anyway, just thought I'd chime in with my thoughts on this topic.
>
> T.Tomatheus,
Thanks for your input! I would say I'm pretty close to you. When I wake in the morning, it is the most difficult part of the day. I could easily roll over and go back to bed for what feels likes hours. I due tend to wake a tiny bit once I get moving (shower, drive to work, get to work) however there after I continue to yawn and feel the need to nap.
I'm still besides myself as to why I didn't respond to any stimulant I took (provigil, adderal, stattera (sp?), or bupropion for that matter. Seeing as those have effect dopamine.
Posted by polarbear206 on June 11, 2013, at 13:20:04
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by damnthislife on June 11, 2013, at 12:54:25
I would strongly advise to add lamictal to an AD. What r u taking now? Also, mornings were worse for me for me. RED FLAG for underlying affective disorder.
Posted by damnthislife on June 11, 2013, at 13:24:08
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by polarbear206 on June 11, 2013, at 13:20:04
Polarbear206,
I see my Pdoc on Thursday. I will ask her about this and see if we can take this step first before going onto a MAOI.
How long did you feel your daytime sleepiness before you were finally put on Lamictal? I know you have described your symptoms before but were you yawning constantly? Just dying to lay down and take a nap?
I do have periods where I'm aggitated, like I cannot even stand to hear anyone around me speak. But yes, mornings are the worst for me an evenings seem to not be as bad. I also seem happier on alcohol... lol
BTW, it was Concerta, not stattera...
Posted by damnthislife on June 11, 2013, at 13:25:12
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by polarbear206 on June 11, 2013, at 13:20:04
> What r u taking now?
Sorry, forgot to post this.I'm on 40mgs of Prozac and 300mgs of Bupropion. Might as well be sugar pills.. lol
Posted by Tomatheus on June 11, 2013, at 14:44:54
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by damnthislife on June 11, 2013, at 12:54:25
Damnthislife,
I've had similar problems with medications that tend to be stimulating, although I've only taken Wellbutrin (bupropion) and adrafinil (Olmifon) and haven't taken the more traditional stimulants like Dexedrine, Adderall, and Ritalin. Basically, the medications don't seem to have much of an effect on my hypersomnia, especially in the longer run. I will say that I didn't give adrafinil much of a trial because it seemed to worsen my psychotic symptoms after a few days, but I took Wellbutrin SR for about two years and really only felt slightly improved if that during those years.
Right now, I'm taking Abilify (5 mg) with niacin (300 mg). The niacin might be helping with my hypersomnia, as I've only been sleeping around eight hours a night as opposed to 10 of more hours, but I've only been taking the supplement for a few days.
I do wish you luck with your upcoming pdoc appointment. Hopefully between Lamictal and the MAOIs, your doctor will be able to come up with a medication or combination of medications that will bring you some relief.
Take care,
T.
Posted by polarbear206 on June 11, 2013, at 15:23:48
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by damnthislife on June 11, 2013, at 13:25:12
Wellbutrin made me feel like crawling out of my skin . Did nothing!! Something more activating that targets more than one neurotransmitter worked better for me as in Effexor.
Posted by damnthislife on June 11, 2013, at 15:39:09
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by Tomatheus on June 11, 2013, at 14:44:54
> Damnthislife,
>
> I've had similar problems with medications that tend to be stimulating, although I've only taken Wellbutrin (bupropion) and adrafinil (Olmifon) and haven't taken the more traditional stimulants like Dexedrine, Adderall, and Ritalin. Basically, the medications don't seem to have much of an effect on my hypersomnia, especially in the longer run. I will say that I didn't give adrafinil much of a trial because it seemed to worsen my psychotic symptoms after a few days, but I took Wellbutrin SR for about two years and really only felt slightly improved if that during those years.
>
> Right now, I'm taking Abilify (5 mg) with niacin (300 mg). The niacin might be helping with my hypersomnia, as I've only been sleeping around eight hours a night as opposed to 10 of more hours, but I've only been taking the supplement for a few days.
>
> I do wish you luck with your upcoming pdoc appointment. Hopefully between Lamictal and the MAOIs, your doctor will be able to come up with a medication or combination of medications that will bring you some relief.
>
> Take care,
> T.Thanks T!
I'll write back Thursday evening or Friday morning as to what the next course of action is.
Posted by damnthislife on June 11, 2013, at 15:40:15
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by polarbear206 on June 11, 2013, at 15:23:48
> Wellbutrin made me feel like crawling out of my skin . Did nothing!! Something more activating that targets more than one neurotransmitter worked better for me as in Effexor.
>
>I have taken both Effexor and Cymbalta and neither did a thing for my symptoms. Effexor was one of helluva with drawl, too.
Posted by polarbear206 on June 11, 2013, at 17:09:41
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by damnthislife on June 11, 2013, at 15:40:15
> > Wellbutrin made me feel like crawling out of my skin . Did nothing!! Something more activating that targets more than one neurotransmitter worked better for me as in Effexor.
> >
> >
>
> I have taken both Effexor and Cymbalta and neither did a thing for my symptoms. Effexor was one of helluva with drawl, too.
Well the thing is that Effexor would of NOT helped me without the Lamictal. Lamictal was the piece of the missing puzzle.
Posted by damnthislife on June 11, 2013, at 18:25:25
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by polarbear206 on June 11, 2013, at 17:09:41
> > > Wellbutrin made me feel like crawling out of my skin . Did nothing!! Something more activating that targets more than one neurotransmitter worked better for me as in Effexor.
> > >
> > >
> >
> > I have taken both Effexor and Cymbalta and neither did a thing for my symptoms. Effexor was one of helluva with drawl, too.
>
>
> Well the thing is that Effexor would of NOT helped me without the Lamictal. Lamictal was the piece of the missing puzzle.
>
>I have to admit, this has me really wondering if this could be my issue. Could be why I have failed every single AD in the past/today. What is your dosage and how long did it take before you started seeing a difference?
Posted by polarbear206 on June 11, 2013, at 19:02:46
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by damnthislife on June 11, 2013, at 18:25:25
> > > > Wellbutrin made me feel like crawling out of my skin . Did nothing!! Something more activating that targets more than one neurotransmitter worked better for me as in Effexor.
> > > >
> > > >
> > >
> > > I have taken both Effexor and Cymbalta and neither did a thing for my symptoms. Effexor was one of helluva with drawl, too.
> >
> >
> > Well the thing is that Effexor would of NOT helped me without the Lamictal. Lamictal was the piece of the missing puzzle.
> >
> >
>
> I have to admit, this has me really wondering if this could be my issue. Could be why I have failed every single AD in the past/today. What is your dosage and how long did it take before you started seeing a difference?
>
Now your getting my point. :) I take 200mg of Lamictal and 300mg of Effexor.
Posted by polarbear206 on June 11, 2013, at 19:39:12
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by polarbear206 on June 11, 2013, at 19:02:46
Read this article
http://www.psychiatrictimes.com/display/article10168/55321?pageNumber=4
Posted by damnthislife on June 11, 2013, at 19:56:24
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by polarbear206 on June 11, 2013, at 19:39:12
> Read this article
>
> http://www.psychiatrictimes.com/display/article10168/55321?pageNumber=4It only opens to a main page
Posted by polarbear206 on June 11, 2013, at 19:57:27
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by polarbear206 on June 11, 2013, at 19:39:12
> Read this article
>
> http://www.psychiatrictimes.com/display/article10168/55321?pageNumber=4The title article is:
Wiplashed...A Mnemonic for recognizing Bipolar depression By Dr. Ron Pies.
Posted by polarbear206 on June 11, 2013, at 19:59:32
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by damnthislife on June 11, 2013, at 19:56:24
> > Read this article
> >
> > http://www.psychiatrictimes.com/display/article10168/55321?pageNumber=4
>
> It only opens to a main pageYou might have to register. It's free.
Posted by damnthislife on June 11, 2013, at 20:08:47
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by polarbear206 on June 11, 2013, at 19:57:27
> > Read this article
> >
> > http://www.psychiatrictimes.com/display/article10168/55321?pageNumber=4
>
> The title article is:
>
> Wiplashed...A Mnemonic for recognizing Bipolar depression By Dr. Ron Pies.Yup, just created an account. It's a very interesting read. The part with gaining weight quickly with chips and chocolate/sleeping with no rest hit me to the core. The only thing that still has me doubting is that I never had "up's" I never feel little boosts of energy or get hyper. However, I still want to pursue this. I will def be talking to her about this. Thanks again!
Posted by polarbear206 on June 11, 2013, at 20:40:19
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by damnthislife on June 11, 2013, at 20:08:47
> > > Read this article
> > >
> > > http://www.psychiatrictimes.com/display/article10168/55321?pageNumber=4
> >
> > The title article is:
> >
> > Wiplashed...A Mnemonic for recognizing Bipolar depression By Dr. Ron Pies.>
> Yup, just created an account. It's a very interesting read. The part with gaining weight quickly with chips and chocolate/sleeping with no rest hit me to the core. The only thing that still has me doubting is that I never had "up's" I never feel little boosts of energy or get hyper. However, I still want to pursue this. I will def be talking to her about this. Thanks again!
>
Good luck....keep me updated and be well soon :)
Posted by baseball55 on June 11, 2013, at 21:34:51
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by polarbear206 on June 11, 2013, at 20:40:19
When I was in the throes of atypical depression, I slept constantly. Only got up for work. I would sleep 36 hours in a row on weekends. I was barely functional. Parnate worked best for me, because it is somewhat stimulating. Wellbutrin never did a thing for me, nor did stimulants and I tried Ritalin, Concerta and Adderall.
Posted by Zyprexa on June 12, 2013, at 6:03:57
In reply to Hypersomnia Vs. Excessive daytime sleepiness, posted by damnthislife on June 11, 2013, at 9:59:57
I feel well rested when I get 10 hours sleep. If I wasn't getting the sleep I would be tired during the day. Just drink a little coffee.
Posted by damnthislife on June 12, 2013, at 9:05:11
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by Zyprexa on June 12, 2013, at 6:03:57
> I feel well rested when I get 10 hours sleep. If I wasn't getting the sleep I would be tired during the day. Just drink a little coffee.
I wish it was just that easy, but it isn't. Coffee, redbull, stimulants have no effect on me. I could drink a quad shot expressor and then lay down on the couch while watching tv and dose off.
Posted by damnthislife on June 12, 2013, at 9:06:18
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by baseball55 on June 11, 2013, at 21:34:51
> When I was in the throes of atypical depression, I slept constantly. Only got up for work. I would sleep 36 hours in a row on weekends. I was barely functional. Parnate worked best for me, because it is somewhat stimulating. Wellbutrin never did a thing for me, nor did stimulants and I tried Ritalin, Concerta and Adderall.
Sounds like me, to a T! lol I really only get up to go to work and to have a functioning life, if you want to call it that. Going to the grocery store, or to a social function takes an act of congress to get me there.
Posted by Phillipa on June 12, 2013, at 16:13:04
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by damnthislife on June 12, 2013, at 9:06:18
Have you had a sleep study done? Phillipa
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