Posted by g_g_g_unit on February 21, 2012, at 6:01:34
In reply to Re: Depakote and sleep » g_g_g_unit, posted by SLS on February 21, 2012, at 5:38:42
> Are you currently employed? If not, then you might have the luxury of time in performing the experimentation necessary to titrate Parnate and find a treatment for the insomnia.
I work for my dad two days a week. I have to wake up at 8am, which I find to be a tremendous struggle, but other than that, I'm free to experiment. My problem is that I'm tremendously impatient and get freaked out when I'm left feeling out-of-control due to a side-effect like insomnia.
> You sure are a challenge. Yes, Klonopin was the first drug that came to mind. I did well with it years ago when my Parnate insomnia was very bad. Trazodone should be considered also. I wouldn't worry too much about hangover effects right now, which you might get from trazodone. You can mitigate this through dosage adjustments as the body accomodates to it. Linkadge has found the combination of melatonin, cyproheptadine, and Ativan effective.Maybe I'll talk to my psychiatrist about importing Trazodone. My only concern with klonopin is that it isn't ideal as far as sleep architecture goes and so probably wouldn't be a decent long-term solution.
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> Can you list which hypnotics you have tried already? Can you describe the withdrawal effects you get?I've tried Xanax, Valium and Zolpidem (I believe it's roughly equivalent to Ambien?). All produce irritability, agitation and (worst of all) sincere suicidal ideation. I partly wonder if these side-effects would be mitigated by an anti-depressant response from Parnate.
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> > Do you find that Prazosin helps with sleep-onset at all?
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> I really can't say for sure. I didn't have a problem with sleep initiation to begin with with. I believe prazosin has smoothed out my sleep with fewer awakenings. I also fall asleep faster after an awakening. Sigismund might try prazosin for his sleep issues. I'll be curious to see what happens with him.
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> Take things one step at a time, and start a new thread regarding treating your Parnate-induced insomnia.
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> - Scott
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poster:g_g_g_unit
thread:1010669
URL: http://www.dr-bob.org/babble/20120221/msgs/1011064.html