Posted by SLS on August 13, 2008, at 15:10:29
In reply to Re: Withdrawal from Effexor and Lunesta » SLS, posted by B2chica on August 13, 2008, at 12:12:13
> i'm curious about this.
>
> i'm usually fine till about 2.5 hours after i wake up. about 9:00-9:30 then boom i drop like a rock mid day i'm at worst.(10-4) but the suicidal thoughts really happen mostly in the morning between 9 and 2.
> but i also take ritalin about 8:00 and i know that helps my mood so i don't know if that's part of why i'm ok early morning or not.
>
> i've had depression as long as i remember. my first suicidal thinking/semi act was at 14.
>
> what does this say about my depression? does it mean anything regarding meds?Tricyclics have traditionally been thought of as being good to treat the classic endogenous depression. This includes loss of weight, loss of appetite, early morning awakenings, mornings worse than evenings, ruminating, psychomotor retardation, and melancholic thoughts.
As you suggested, it is conceivable that the Ritalin helps moderate the depression first thing in the morning. This makes it difficult to assess the base circadian fluctuations in mood throughout the day. Have you tried one of the long-acting forms of methylphenidate or dosed Ritalin throughout the day?
Remeron might be worth looking into. Like the tricyclics, Remeron boosts noradrenergic (NE) neurotransmission, albeit through a different mechanism.
- Scott
poster:SLS
thread:845406
URL: http://www.dr-bob.org/babble/20080805/msgs/845946.html