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Re: Effexor-XR and sleep problems

Posted by medlib on April 26, 2000, at 11:39:11

In reply to Re: Serzone Effexor-XR and sleep problems, posted by Cindy W on April 25, 2000, at 21:47:31

... My problem now (am on Effexor 375 mg/day) is that since I raised the dosage (I have OCD and it takes a larger dose to help with that), I have real trouble sleeping. I have trouble falling asleep and staying asleep. Does anybody have any suggestions for something to combine with Effexor-XR to improve sleep (not benzos, but another AD?). In the past, I tried a small dose of Serzone, and that seemed to help. Will talk about any suggestions people have, with my pdoc on Moday. Thanks!!!


Cindy--Have you tried low-dose Remeron (mirtazipine) with your Effexor? It's taken at night for its sedating effects, but it also has AD properties. Many pdocs (including mine) speak very highly about the effectiveness of this combination. If you're unfamiliar with the drug, check out Dr. Bob's Tips section.

I'm on 300mg. Effexor XR and take Ambien 10mg. (an hypnotic--true sleeping pill, not benzo) for sleep problems. It wears off in 4 hours, tho, and isn't, like most hypnotics, really intended for long-term use. I'm considering Remeron instead, but am a little leary of its reputation for weight gain; hopefully, that's less of a problem at low doses. I'll probably ask for it at my pdoc appt. next week. If you decide to try it, will you please let us know your experience with it?

Best wishes--medlib




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