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Emsam insomnia and spaciness

Posted by LongRoad on May 2, 2008, at 11:59:41

Hi all. First time poster, long time reader :)

I am primarily a depressive.

Have tried all SSRI's, and also Lamictal, Gabappentin, Neurontin, Wellbutrin, effexor, and some of the anti-psychotics. Most have had some or even good success for a period of time but the good ones eventually washed-out.

Currently I'm on the 12mg patch of Emsam. 6mg did very little, 9 helped more, and 12 seems to be doing a good job at keeping away the depression. The problem is the one I keep reading about - insomnia. It started at 9mg, I hoped it would go away, but no dice. I've been taking 4mg of Lunesta, and it knocks me out, but I wake up a couple hours later. I've started taking the patch off around 6 (get to bed around midnight) and still take the Lunesta. It's been slightly better these last couple of days - when I do wake up, I can kind of get back to a semi, restless sleep till morning. But it's still pretty bad.

I don't want to take benzos (primarily because I really DO want to - I'm a recovering addict). So I was wondering about other combinations. Geodon was something I thought of. I wanted to know what people's experiences are. I also have ADD inattentive type. I've been off the stims for awhile now b/c of irritability that eventually began and have been dealing ok with it. But the Emsam is worsening the ADD. And if I can't sleep now, adding dexedrine into the mix, probably won't help things :)

So any experience or advice around this med would be appreciated. Has anyone conquered the insomnia?


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poster:LongRoad thread:826808
URL: http://www.dr-bob.org/babble/20080430/msgs/826808.html