Posted by Ron Hill on January 20, 2001, at 10:02:36
In reply to Re: SLS, JohnL, stjames, Cam W, Judy1, allisonm, J, posted by stjames on January 19, 2001, at 23:44:58
Thank you for your follow-up. I very much appreciate the input.
> I'm changing what I said B4, I missed the fact you are BP. Since your existing meds work well, save sleep, I was say try a benzo instead of Remeron.
> Why ? It is a careful ballence of meds that are needed to control BP. IT is well known AD's can push a BP into manic phase, if taken alone without a counter agent. Adding the Remeron for sleep might throw things off; I suspect 7.5 mgs will not be enough. Switching Remeron for existing AD might work but why mess with what is working ? Benzo's are often used in BP for sleep and to control cycling. My choices would be Atavin, Restriol, or Klonipin, in order of length of action. Early morning waking indicates a longer acting benzo.
> I take 15 mgs Remeron, which usually works, but if
> I am not well asleep by 3 am I can't take more Remeron as it would take too long to work and make me tried in the morning. Atavin is great for getting me to sleep quickly. Restriol (sp?) is little longer acting and Klonipin, long acting, is best if you have trouble through out the night.
> Sleep is so important in the control of BP, I feel
> benzo's are justified due to the benifits of good sleep and control of cycling.