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Re: Barbiturates for insomnia » Zana

Posted by yxibow on April 1, 2009, at 4:06:50

In reply to Barbiturates for insomnia, posted by Zana on March 31, 2009, at 11:25:03

> Has anyone had any experience using barbituates for sleep? The only thing that has worked for me is remeron but it exacerbates my anxiety and does nothing for my depression. My mother took seconal for years and found it not only got her to sleep but was an aphrodisiac as well. That would be nice. I've also read, however, that the sleep inducing effect lasts for only a couple of weeks.

Exactly because they are probably more powerful in dosage than some benzodiazepine sleep agents, although both are GABA-a acting agents.

That would be no good. Any info will be apprechiated as I meet with a new psychopharm doc this afternoon.
> Thanx Zana


I have to say definitely no to barbiturates for anything today other than monitored sedation in hospitals. There is no antidote other than ICU supportive care.

It is really odd that seconal has returned to the market, I would imagine though only prescribed in special situations.

That's why benzodiazepines came in -- they do have an antidote and the amount that is therapeutic is not so close to being lethal as barbiturates can be.


What else have your doctors tried for insomnia? How much of a dose were you taking of Remeron? Yes, it can exacerbate anxiety in some situations because of NE activity.

Have you ever tried a very small dose of Seroquel such as 25-50mg? There's almost no AP activity at that dose.

And I assume you've tried unisom (doxylamine formation) ?

There is also amitriptyline, though it has to be used judiciously as it is somewhat as a liability as barbiturates. I won't go further into that.

-- tidings

Jay

 

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