Posted by bigcat on December 12, 2005, at 7:31:25
In reply to TO BIGCAT » bigcat, posted by ed_uk on December 11, 2005, at 15:59:53
> Hi Matt
>
> How are you feeling lately?
>
> Sorry for the delay in responding. I haven't had internet access for the last few days. I'm back now though :-)
>
> >75mgs in the morning and 75mgs at night
>
> Have you continued at this dose?!
>
> >Her great insight last time was that she "had a patient who didn't respnd to lexapro and then responded to Zoloft"
>
> LOL Matt, that was funny!
>
> >My pdoc has me at 225mgs, but I have tons of samples so it ain't a big deal. But the 600 was just for a day. I should probably go back down to 400 or maybe even 225??
>
> What dose did you decide to take? Have you been taking the same dose every day?
>
> >Zyprexa
>
> Zyprexa can help both depression and anxiety, as well as acting as an anti-manic 'mood stabiliser' and antipsychotic. Seroquel and Zyprexa have similar uses in psychiatry, but some people respond better to one drug than to the other. Zyprexa is renowned for causing weight gain!
>
> My cough is gone btw :-)
>
> Warm regards
>
> Ed
>
>
Here's how my Effexor trial is going:
For the last four days I've been taking 150mgs Effexor, 225mgs Lamictal and 600mgs Seroquel for sleep. Moving the Effexor dose back down to 150mgs actually worked well. The last few days have been great. I havent't been without some serious problems, however. First off, sleep is horrendous. My nigthtmares amount to what I believe is post-traumatic stress. I'm insanely depressed in my dreams, and relive my time at college when every moment was living hell. I've woken up screaming, the dreams are so unbelievably real. I wake up at 4:30-5am every night and either can't get back to sleep, or take more seroquel, and get a little more disprupted, restless sleep. I believe akathesia is the word for what I experience. It's actually quite horrendous. When I can't stand the physical discomfort and mental strain, I get out of bed, have breakfast, putz around for a short while, and feel unbelievably fatigued. I literally can't do anything but retire to the couch, where I sleep another few hours, however this is a deep sleep, and it is not med-induced. Then I'll wake up and feel so fatigued, I'll lie on the couch for hours. If I go to bed at 11pm, wake up for breakfast at 8am, I'll be confinede to the couch until 1pm in the afternoon. This has been the pattern.I've been exercising, which has been great, but today at 2pm, I just hit a brick wall. I went straight back into depression, and was mute at work today. My mind just shut off and I was obsessing and worrying and frustrated beyond belief. I'm going to add 37.5mgs Effexor tonight and stay with that for a week probably, see what happens. The frightful sleep and mornings where I am too fatigued to do anything (which I fret about horribly) are real problems. And like I said, I went right back into depression by midday today.
The variables I'm working with are dose, timing of doses, and sleep/sleep meds. Even with 1000mgs Sweroquel before bed, I'll wake up 4:30am. And Seroquel has NEVER hung me over anywhere near this bad before. It's definately the Effexor. I definately think a 37.5 mg dose increase is what I need. How would you recommend timing the doses (so that I take 187.5mgs a day). And what about sleep? I have Valium and Ativan and Ambien and Lunesta (which I cannot tolerate because of the taste which stays on my mouth 24 hours and makes me sick).
thanks,
-matt-
poster:bigcat
thread:584758
URL: http://www.dr-bob.org/babble/20051211/msgs/588290.html