Posted by JohnL on January 17, 2001, at 3:00:13
In reply to Re: options for sleep meds » stjames, posted by Ron Hill on January 15, 2001, at 18:23:12
Hi Ron,
I'm not sure I can be of much help, but here is my two cents worth...
> After extensive research on the web, I have come up with the following list of possible solutions for my sleep problem. The list starts with what I consider the most likely best solution and continues rank ordered downward.
>
> 1. Add 7.5 mg Remeron prior to bedtime....good choice, however there is always a short morning hangover with this med. It's not bad, and not long, but just the fact that it's there day after day is annoying to me. I also take some Prozac. Remeron puts me to sleep fast, but still my sleep is not all that good.
> 2. Replace Prozac with about 15 to 30 mg Remeron....mmmm, I don't like this idea. That is, unless you aren't liking Prozac at all and it's not helping you.
> 3. Add small amount Serzone prior to bedtime....I don't like this idea either. Serzone has sedation, but maybe not enough to overcome Prozac, and it carries over considerably into the next day. Not to mention it sometimes reacts adversely with Prozac.
> 4. Replace Prozac with adequate amount of Serzone....if you at all like Prozac, I don't think you would like Serzone. Results with Serzone seem spotty at best.
> 5. Add Sonata on as needed only basis, 10 mg at bedtime or, if necessary, 5 mg at bedtime and 5 mg in the middle of the night....don't know about this one.
> 6. Add 10 mg Ambien at bedtime as needed....good choice, but Xanax or Valium might be a better choice as long as you keep a lid on possible temptations to increase dose over time.
> 7. Increase amount of Lithobid or augment Lithobid with very slow upward titration of Lamictal....would probably make sleep even worse. Especially Lamictal. It is not a sleep friendly med.In order of priority, my votes would be as follows:
Ambien first.
Then Xanax,
Valium,
Remeron last.
Until these had all been tried, I wouldn't consider other alternatives.
John
poster:JohnL
thread:51274
URL: http://www.dr-bob.org/babble/20010111/msgs/51844.html