Posted by g_g_g_unit on October 18, 2009, at 0:40:15
In reply to Re: parnate - ready to throw in the towel » g_g_g_unit, posted by Sunbath on October 17, 2009, at 6:49:49
> Hey g_g_g_unit!
>
> Really sorry that you're having such problems!!
> This damn insomnia! As I already said so often I think I'd also have already thrown the towel (maybe even much sooner than you as I'm so sensitive and desperate about sleep).
> Is there really no option for you to use something else than damn seroquel and the benzo?
> What about importing trazodone?
> Scott so often told us that you need to treat the insomnia aggressively and to not let it be the reason to quit parnate.
>
> Did you try this combination of 2 different benzos like he was suggesting?
>
> Maybe look at these threads:
>
> http://www.dr-bob.org/babble/20090818/msgs/913180.html
>
> If you have forgotten your thread here: http://www.dr-bob.org/babble/20090902/msgs/916464.html (he's talking about ativan + halcion)
>
>
> It's a shame that insomnia is so difficult to treat and it's really a bummer if it's helping you (like you said it is with your anxiety and ocd) and you need to ditch it only because you don't get the right meds for being able to get rid of this troublesome side effect! If I hadn't the right tool (trazodone in my case) I'd sit in the same boat! Did you ask your doc about importing trazodone? He shouldn't have anything against it when he notices how weak it is as a sri!
>
> Maybe let him have a look at Dr. Gillman's article (who as you might know is an "internationally acknowledged authority on serotonin toxicity (ST)" having done so much of the research). He even doesn't consider trazodone and others to be real sri's because they are too weak.
>
> In one of his articles about serotonin syndrome he says:
>
> "Although clomipramine and imipramine do precipitate ST, none of the other TCAs are able to because they are too weak as SRIs. Trazodone, nefazodone, mianserin, mirtazapine are neither SRIs nor significantly serotonergic. Also, they do not precipitate serotonin toxicity with MAOIs see (21)."
>
> it's here: http://www.psychotropical.com/1_st_intro.shtml
>
> do you have mirtazapine or the nearly identical mianserine available in your country?
>
> I wish you all the best and really GOOD LUCK!!!
> You didn't already try out all options possible I think! You can make it!!!
>
> Please keep us updated :)thanks for the info. i tried asking for mirtazipine, but it was contraindicted in the textbook he checked. he also said a TCA would have been okay if we had added it first, but it's too late now.
truth be told, i do sleep okay, but i am taking a high benzo dose to achieve that, which is making me uncomfortable.
he wants me to be on Risperdal long-term - both as a sleep-aid and as OCD therapy, but i'd rather not risk TD and raised prolactin, which he can't really fathom. i really don't think he'd want to import Trazodone, given how bent he is on me taking Risperdal. i'm tired of psychiatrists not caring about my quality of life. i'm thinking of just trying CBT.
poster:g_g_g_unit
thread:921207
URL: http://www.dr-bob.org/babble/20091012/msgs/921337.html