Posted by Amelia_in_StPaul on April 29, 2009, at 12:41:00
In reply to Re: Less anxious OFF prozac? Less OCD? » Amelia_in_StPaul, posted by yxibow on April 29, 2009, at 2:07:58
Many thanks, Jay.
I think I would like to try Luvox--do you know, can it be taken at the same time as something like Trazodone or a sleep agent with a shorter half-life, like cyproheptadine? Have you ever taken it Luvox at night, and did it make you sleepy in the morning?
It turns out I cannot be on Ativan the night of the sleep study, but for some reason he didn't care about the Trazodone. I'll have to ask again when I'm there. I don't think, though, that I'd have to be off either for as long as the fluoxetine, as the fluoxetine has a super long half life and changes sleep architecture. Trazodone doesn't really change it beyond one pill--not sure its half life, but it's faster comparatively.
Thanks again!
> > Sorry if I'm a broken record...I'm off fluoxetine for a sleep study, but am still on Ativan and Trazodone.
> >
> > I actually find that I have been way less anxious and way less obsessional and compulsive than when i was on fluoxetine.
> >
> > So...I'm guessing my old standby, fluoxetine, is not going to cut it for me anymore?
> >
> >
>
> I know that I need a sleep study sometime soon, I have had bad insomnia for quite a while.
>
> Why off the fluoxetine for the sleep study but not the sleepy/CNS depressants Ativan and Trazodone ?
>
> Admittedly some sleep centers will still take studies because they know patients with medications for psychiatric needs may need to remain on them but its hard to monitor sleep fully I would think with the Trazodone at least ?
>
>
> But anyhow back to the anxiety, its possible that fluoxetine may have helped you with other things, if you have depression, but its probably the most activating SSRI for a lot of people with anxiety and I would say that its quite possible it was overstimulating you. Thus it could trigger OCD symptoms.
>
>
> Might want to try the 'calmer' SSRIs Luvox or Paxil possibly; Paxil though can cause weight gain and coming off of it can trigger anxiety symptoms, its a tradeoff. Or possibly a newer one such as Celexa, that is if you haven't tried these already.
>
> Anafranil is also a possibility although it can be stimulating and have other TCA effects at a large enough dose.
>
> -- tidings
>
> Jay
poster:Amelia_in_StPaul
thread:893418
URL: http://www.dr-bob.org/babble/20090426/msgs/893460.html