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Dr. Bob is Robert Hsiung, MD,
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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
Posted by Damnthislife on June 12, 2013, at 19:36:24
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by Phillipa on June 12, 2013, at 16:13:04
Phillipa,
Yes. 2, actually. Both came back with no issues of OSA.
Posted by Zyprexa on June 12, 2013, at 22:23:44
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by damnthislife on June 12, 2013, at 9:05:11
What I'm saying is I take meds like zyprexa and perphenazine, which make you tired. Which is good for me because I get a full nights sleep when I take them. Then after I wake up it takes a bit of work to get out of bed but once I do I'm fully awake and feeling better than if I didn't take the zyprexa or if for example I take abilify which does not make you tired then I don't sleep well and can't function during the day.
Posted by damnthislife on June 13, 2013, at 8:40:39
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness » damnthislife, posted by Zyprexa on June 12, 2013, at 22:23:44
> What I'm saying is I take meds like zyprexa and perphenazine, which make you tired. Which is good for me because I get a full nights sleep when I take them. Then after I wake up it takes a bit of work to get out of bed but once I do I'm fully awake and feeling better than if I didn't take the zyprexa or if for example I take abilify which does not make you tired then I don't sleep well and can't function during the day.
Zyprexa,
Sorry, I misunderstood your post. Yes, I too have tried Lunesta (3 months @ 3mgs), Trazadone (2 months at 100mgs) and Melatonin (3-6mgs). Neither have solved my excessive tiredness. It did put me to sleep and I don't remember waking during the night, I do remember dreaming, but that's all.
Posted by damnthislife on June 13, 2013, at 18:55:51
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by damnthislife on June 13, 2013, at 8:40:39
Alright. Saw my pdoc today. We talked about options and she thinks the right move right now is going to Emsam. I asked her about taking Lamictal and she said she isn't against trying that, but she doesn't feel that I'm showing any signs of mania and wants to try this maoi first and we can Lamictal to it in a few months if this does nothing. All in all, I'm happy. I feel like I have finally found a doctor that listens to my feelings and wishes and is open minded. I will have to wait 4 weeks before starting Emsam to allow Prozac to leave my system. When I start, I will do a journal to show my improvements.
Posted by Tomatheus on June 13, 2013, at 20:50:23
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by damnthislife on June 13, 2013, at 18:55:51
Damnthislife,
It's good to hear that you feel like you're being listened to and that you seem happy with the way your doctor's appointment went. I wish you luck with the Emsam, and I hope that you'll be able to get through your washout without too many problems.
T.
Posted by sigismund on June 16, 2013, at 9:05:17
In reply to Re: Hypersomnia Vs. Excessive daytime sleepiness, posted by damnthislife on June 11, 2013, at 13:24:08
>like I cannot even stand to hear anyone around me speak. I also seem happier on alcohol.
Ah yes
Posted by Zatar on June 17, 2013, at 17:41:01
In reply to Hypersomnia Vs. Excessive daytime sleepiness, posted by damnthislife on June 11, 2013, at 9:59:57
To me, daytime sleepiness was the symptom and "idiopathic hypersomnia" was the diagnosis I received after a sleep study, including a Multiple Sleep Latency Test where I had the opportunity to fall asleep every two hours during the day. I usually don't go to sleep during the day, but when I was asked to recline in a dimly lit room, don't you know I fell asleep every two hours. Idiopathic just means they don't know what causes it. I believe it's elevated cytokines and an out of whack HPA axis.
http://www.ncbi.nlm.nih.gov/pubmed/12055986
-Zatar
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Dr. Bob is Robert Hsiung, MD,
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