Posted by desolationrower on December 16, 2008, at 22:26:07
In reply to Re: SSRI insomnia, restlessness, poor concentration, posted by crittercuddler on December 16, 2008, at 17:26:57
> Things went okay at the doctor today. I typed up a summary of all the things I have learned here over the last few days along with medication combos that we might try based on them. My psychiatrist is very willing to collaborate with me and hear my ideas, which I like. Sometimes though he might be all to willing to go along with my lead though which might be neutralizing my OCD. Perhaps I could use a bit more control on his part. We have detailed discussion about how drugs work, etc... He appears to be the most competent doctor I have had so far. Often times I am not the only one who causes our appointment to go long because he too always has a lot to say and examples to give, etc...
That sounds like its working well. Sometimes i'm not sure how much to talk about drug actions with my pdocs, i'm not sure if i need to explain why something might work/how it works, or if they know already. I like my current one but it is weird he knows i'm taking memantine but not what it is for. It sounds like you're well organized. I just show up, I actually don't really talk about gsk-3 or whatever with my doc.
> For now, based on what we talked about he wants me to try Risperdal .25mg and see if I can tolerate it, and then we will look at anti-depressants. He is basing this approach on the belief that my system needs a kind of salve if you will, which is the same line of thinking he was using when perscribing AEDs to me in order to premedicate me. BUT, I wasn't able to stay on Gabapentin, Depakote, Trileptal, or Lamictal for any length of time though.... so perhaps this will work instead.
Hopefully it will be helpful. Low dose risperidone is a pretty clean medication. I noticed a decrease in pressure of self-harming thoughts and better sleep.
> To be honest I am not hopeful. :-(
> We didn't talk too much about anti-depressants today because he doesn't want to prescribe two meds at once based on my fear and reactions. But, he has my list for when we do.
> Hopefully we will get there and can discuss those soon.
Did you include the OTC options?
> Doesn't Baclofen work on GABA? Isn't it a GABA reuptake inhibitor or something? I don't want any medicine that works on GABA. After my terrible experience from using Klonopin long term and the withdrawal I suffered and perhaps am still suffering from I am more than happy to leave my GABA alone. At least by direct methods.
it is a GABA-B agonist (benzos affect GABA-A). So it is similar but not exactly the same. Perhaps it is too close.