Posted by yxibow on December 27, 2005, at 13:59:55
In reply to Re: Problems with SLEEP, posted by med_empowered on December 27, 2005, at 3:29:35
> Hi! the other poster brought up some other options. Remeron helps alot of people, but it can cause noticeable weight gain very, very quickly..if you go this route, going for 30mgs+ instead of the usual 15 might help.
Some say that the higher dosage improves weight gain -- I definately didn't observe that; it helped my main problem alot but the weight gain became more pronounced and I think that speaks for a number of people, but a smaller portion of the population may have a counteracting of weight at super high doses of Remeron.
>
> Personally, I'd avoid Seroquel--some people swear by it, but it really shouldn't be first line for insomnia, unless you can't sleep b/c you're psychotic.That I would agree with, although 25mg of Seroquel is so low that it is barely detectable psychiatrically, i.e. EPS, TD, etc.
>
> Barbiturates aren't used very often, but they can be very helpful if all else fails (even then, though, you're only going to want to take them for 2 weeks tops).Barbiturates are on my last resort list, they were shelved by benzodiazepines for a good reason -- the LD50 is on the order of at least 5 of not 10 times the LD50 of benzodiazepines and not very far off from the ED50 (effective). If you want to talk about scheduling, most of them are in C-II and C-III.
>
> Some people love this new Rozerem stuff. I haven't used it, but its non-controlled (unlimited refills, no abuse potential), so thats a definite plus.And its still a hormone like melatonin and one has to be careful with depression
Lunesta and and the other new ones usually dont cause too many problems w/ withdrawal, but they are schedule IV, so there could be refill issues.
>That depends on your doctor and state -- I've never had problem with Ambien refills. At least here in California as of oh, when was it, July 1? I dunno, C-IV and C-III is now not quite exactly but sort of like C-II with triplicates and all that, its just a special scrip form that has additional information of your name and address on it (and maybe DOB, I forget). It really isnt much different from before and most C-IV drugs are routinely refilled up to 6 times. This of course doesn't apply to your doctor if you've routinely abused Xanax by popping half a jar or something or if you have some anal retentive pharmacy.
> Vistaril is an antihistamine, and I dont like it very much, but it is good stuff sometimes for hardcore insomnia. 200mgs seems to be pretty standard for nite time sedation.Antihistamines tend to leave you very dry in the morning and a general nasty headache feeling. Yes, they are a relatively safe, but not the most pleasant form of sleep aid.
>Herbal supplements could help...if you're interested, valerian, kava kava, and the like sometimes help people get to sleep.>So does melatonin, although people with depression should probably avoid melatonin.
Yes. Was told that several times by doctors.
Valerian is very weak and gives me nausea the day after -- however some who are not cross tolerant to other GABA agents might benefit a little.
Kava should be used sparingly because of liver issues but for the Kava-naive patient it may give a 1 or 2 beer feeling.
Neither of those two wear off completely clean, but are okay OTC ideas for a very temporary time.
poster:yxibow
thread:592356
URL: http://www.dr-bob.org/babble/20051221/msgs/592463.html