Posted by bleauberry on December 26, 2009, at 20:24:10
In reply to Nighttime dysphoria and already on meds..., posted by mtdewcmu on December 25, 2009, at 20:05:29
I would consider replacing Remeron and Wellbutrin with first choice Nortriptyline, second choice Savella.
It sounds like a daily rhythm, timeclock, adrenaline, cortisol thing. Complicated. But norepinephrine reuptake inhibitors can balance that out and reset it over time. Remeron and Wellbutrin are, in my view, likely to be worsening it.
If you had your cortisol checked on the Adrenal Stress Index test, it would not surprise me if the 3rd saliva sample of the day (the one you take at the time the sun goes down) is way below where it should be. An NRI will help compensate for that in the short run and restore it to normal in the long run. As will specific attention to foods you choose to eat, but that's another story.
The only reason I happen to recognize what you are talking about is because I've had some experience with it myself.
What does your doctor say about all this? What is the reasoning behind combining those doses of Prozac and Zoloft? Is he aware of the danger in doing that?
poster:bleauberry
thread:930897
URL: http://www.dr-bob.org/babble/20091217/msgs/931041.html