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Re: A nice surprise, Dr. Gillman responds to question

Posted by metamorphosis on January 1, 2013, at 9:48:03

In reply to Re: A nice surprise, Dr. Gillman responds to question » Phillipa, posted by SLS on January 1, 2013, at 7:01:25

> > I agree with Dr Gillman on not using antipsychotics for sleep. He's been mentioned here quite a few times by others. Phillipa
>
> Benzodiazepine (BZD) receptor agonists don't work for everyone. It is not unusual for people with MAOI-induced insomnia to be resistant to these drugs. Ativan and Klonopin were not sufficient for me when I first began taking Parnate + TCA in combination.
>
> What drugs would you recommend for BZD-resistant insomnia?
>
> Dr. Ken Gillman is good, and I agree with much of he has to say. However, some of his views are not shared by other good doctors who also have websites, publish papers, and give lectures. It is difficult to know who to listen to.
>
>
> - Scott

So far I am leaning toward trazodone, second, a low dose of doxepin. I have added melatonin. One of my New Years resolutions is to eat better, exercise and lower my coffee consumption, all of which should help.
Last night was I actually slept for around 6 hrs. Interestingly, though I woke up feeling I had been run over by a truck! And there was no partying involve. I agree that after being on klon. for a rew yrs. It does nothing for my sleep.

What is your first choice?
One other question. i know a guy who is starting Parnate. basically, he wnats a chill pill to prevent agitation and to much stimulating properties.
Here's the catch, he doesn't want a benzo and he couldn't tolerate pregabalin. So, i am quessing gabapentin is out. What other anti-anxirety/anxiolytic drugs can be used effectively with Parnate? He is on the fence with the TCA's and I am not sure which one would do the trick. Maybe some low doses of a particular TCA or trazodone/ I just don't want him to feel like "Shaun Of The Dead.
I haven't kept up with the newest meds. That have just appeared on the scene. I know Agomelatine is a is a melatonergic agonist at MT1 MT2 receptor and 5-HT2C antagonist.It has no effect on monoamine uptake and no affinity for adrenergic, histaminergic, cholinergic, dopaminergic and benzodiazepine receptors, nor other serotonergic receptors.
Would there be a contra-indication there with the 5HT activity?
It sounds promising but MAOI's and meds. can be tricky.

Happy New Year's to you and all!!!
Any New Years resolutions?

-Chris


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poster:metamorphosis thread:1034189
URL: http://www.dr-bob.org/babble/20121231/msgs/1034344.html