Posted by King Vultan on June 21, 2004, at 8:05:42
In reply to STILL SLEEPY IN TORONTO, posted by morel1 on June 20, 2004, at 22:13:34
> Hey everyone,
>
> Haven't been on for a while and i hope everyone isdoing better in their individual situations. Well I have always had sleep trouble being that no matter how much i slept or even how little i havenever felt like i had a good night sleep. Right now i'm on 40mg of Celexa and have found that it has eliminated my anxiety and lifted my emotions a little. But my sleep is still filled with tossing and turning. Have tried trazadone up to 50mg and just made me overly drowzy and just made me stay in bed longer but not really improving sleep. So tomorrow i start 100mg of Wellbutrin - with the idea that it will rev me up enough through out the day that it will knock me out at night. So anyways, anyone with similar long standing issues with sleep that have found an answer? Oh yeah I went to a sleep clinic and have ruled out any type of apnea or physical problems - they think it is depression causing my sleep trbl -
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> thnxIf Provigil is available up there, that might be a good one to try for the way you feel during the day, at least. My pdoc says patients often get the feeling of feeling refreshed and having had a good night's sleep while taking it (unfortunately, it had the opposite effect on me, but this drug has one of the highest satisfaction scores in subjective ratings by patients).
For night time troubles, my background is that I generally sleep very well while unmedicated--unless I'm unusually depressed--but sleep poorly on many antidepressants. You may find that the Celexa, while being an effective antidepressant, may not have a productive effect on your sleep because insomnia is a fairly common side effect of SSRIs. If you are interested in an insomnia aid, this is a sequence I might suggest (realizing you have already tried at least one of them), from fairly innocuous to somewhat more problematic:
1) Benadryl (plain diphenhydramine)
2) trazodone
3) Ambien
4) Halcion
5) RestorilI take an MAOI that causes me terrible insomnia, and I alternate between Benadryl one night and Halcion the next. I also use a sleep/relaxation CD, which I find to be extremely helpful in keeping my thoughts from racing when I wake up in the middle of the night, and thus allowing me to fall back asleep.
I have seen a sleep doctor myself, and he told me one thing I should do was compress the amount of time I was spending in bed to more closely match how many hours of sleep I was actually getting. In other words, if I were going to sleep at 11 PM and getting up at 6 AM and spending a lot of time tossing and turning during the night trying to sleep, he suggested going to bed at 11:30 and seeing if that didn't work better. If there were still a problem, then perhaps go to bed at 12:00. The idea is you want to maximize the percentage of time you are spending in bed actually sleeping; better quality sleep will often result just from doing this.
Todd
poster:King Vultan
thread:358443
URL: http://www.dr-bob.org/babble/20040621/msgs/358505.html