Posted by porkpiehat on April 15, 2018, at 16:58:20
In reply to Re: insomnia on Nortrip! Help me block the NE SLS » porkpiehat, posted by SLS on March 29, 2018, at 21:23:54
> Porkpiehat:
>
> How are you doing?
>
>
> - ScottHey man. I don't get pbabble notifications in my mail so I drift away.
No simple answers there...
I gave up on nortriptyline after a week because of apathy. Sleep got better when I took both propranolol and prazosin before bed, but ultimately the apathy sucked and so did the return to marplan side effects (tiredness, gasiness)
I went back to small dose of trazodone, 1mg of ativan, and half a doxylamine tablet.
sex drive came back, but my compulsiveness is becoming worse. I've been drinking every single night again (alone) and staying up late either buying or shopping for boats and fishing gear or related projects. Between this and the amount of pills I'm taking, and smoking a pack a day, I'm getting concerned. I'm getting fat and eat what I want and completely lost any kind of vision for my future.
Did a trial of hyrdroxyzine at night again as it has 5ht2a inhibition like trazodone and nortriptyline....I found way less comulsiveness/obsession in the next days probably because it also antagonizes D2 and alpha receptors. No uncontrollable drive to drink, felt embarrassed over the ridiculous amount I'm spending and the lack of self control. The downside of the D2/alpha action is that sex and social drives dropped too.
Really trying to get back into dating/and friends so this isn't good. Sleep wasn't great either. So I stopped.
Last week back on the trazodone and ativan. bought a kayak and hundreds of dollars of accessories.
Some of this impulsiveness I remember having on lamictal and SSRI's, but the crazy acting out happens typically when I take dopaminergics (ritalin, adderal, even Abilify)
This has been my MO since starting MAOIs last April/May. I would have switched off earlier but switching from Parnate to Marplan really improved my mood. Still get a weird scared feeling at times.
I wonder if the MAOI's increase compulsiveness in others or it's just my response to dopamine...I'm sure there's a pyschological component...plus the chance that these might be bi-polar tendencies.
This weekend I'm back on hydroxyzine because I was up until 3:30 am Friday night modifying my kayak and drinking bourbon...despite needing to be up early.
I'm terrified of coming off Marplan it has helped in so many ways. I don't see other options, and the withdrawl sounds miserably. And I hate antipsychotic add-ons.
poster:porkpiehat
thread:1097503
URL: http://www.dr-bob.org/babble/20180331/msgs/1098166.html