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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by utopizen on February 15, 2004, at 19:07:02
I tried Provigil at 400mg. No effect whatsoever.
I tried Ritalin, no effect except for ADD. Dexedrine, no effect except for ADD. Adderall, markedly affective, Desoxyn seemed to be more effective, but it's losing its edge-- I think I need to go back to Adderall, it can't be healthy to be on the same med like Desoxyn for a year.
Straterra I never tried. But I doubt a doc would be sympathetic enough to try it while keeping my Adderall... will be seeing a new doc after being an irritable patient and writing a long diatribe to my current psychiatrist after being mad for the third consecutive night of not sleeping on Rememron, Neurontin, and getting a stuffy nose on the Remeron to boot.
I'm a college student. It sucks, because I have ADD too, and it's worst when I have to read a book or something, that's when I feel like I am getting floored by a truck and get too tired to continue.
Posted by HenryO on February 16, 2004, at 3:51:50
In reply to Anyone have Excessive Daytime Sleepiness?, posted by utopizen on February 15, 2004, at 19:07:02
What are your other sleep patterns like- how is it for you at night?
Posted by utopizen on February 16, 2004, at 5:28:59
In reply to Re: Anyone have Excessive Daytime Sleepiness?, posted by HenryO on February 16, 2004, at 3:51:50
> What are your other sleep patterns like- how is it for you at night?
Oh, I sleep throughout. It's often hard for me to sleep until around 2, but with Remeron I caqn enjoy a nice stuffy nose and be out by 10PM and be groggy still at 10AM.
So I'm going to see if it's possible to avoid Remeron tonight. I'm really, really getting sick of p-docs and their contempt with Ambien. What's wrong with a country that's so freely prescribing me Desoxyn, which is C-II, so I can stay awake with my sleepiness, but so hesitant to prescribe a C-IV, Ambien, so I can sleep healthy and feel refreshed the next day?
Seriously, why are amphetamines more comfortable for doctors to prescribe than Ambien? I've seen lots of psychiatrists. They'll now and then suggest Straterra, or if they're really pathetic, Wellbutrin, will magically dissipate all of your sleepiness or ADD, even though it's not well supported at all and I'd like a single person to ever say they've quit amphetamines for ADD b/c of Wellbutrin. I don't think it's happened once. But okay, they very rarely will press you on this, unless you've got like a coke habit history.
So they have no problems keeping me awake, just putting me to sleep is an issue. Why? I can't understand. No clinical research has ever supported anything suggested Ambien is addictive. It's just because Ambien's makers haven't bothered to invest enough money in having studies that were longer than 6 months, so because of that there's no benefit of the doubt. And why? Seconal. Sleep=Seconal to any psychiatrist. It makes no sense. It's not rational.
Oh, and I've had a PSG, MSLT, Titration study, CPAP, now on BiPAP for my borderline sleep apnea, at an apnea index of 4, but because I have ADD my doc wants me on it because he thinks I might be more sensitive to even a few apneic episodes.
But tell him I haven't been using the BiPAP because I have insomnia, and he goes crazy. Not crazy enough to give me Ambien, just enough to be hostile that I am so irresponsible I always feel like partying by staring at the ceiling for 8 hours in the dark, because I'm a rebel like that and all.
I hate this. What's wrong with our society when sleeping is harder to do with meds than staying up is? Shouldn't it be the other way around?
Oh, and my little trendy sleep doc wants me to use the BiPAP apparently so much that he'd rather guarantee I don't sleep by having me wear it than simply treatt my insomnia first. Apparently treating insomnia is beneath him or something, I don't know.
Posted by Sad Panda on February 16, 2004, at 6:17:35
In reply to Re: Anyone have Excessive Daytime Sleepiness?, posted by utopizen on February 16, 2004, at 5:28:59
> > What are your other sleep patterns like- how is it for you at night?
>
> Oh, I sleep throughout. It's often hard for me to sleep until around 2, but with Remeron I caqn enjoy a nice stuffy nose and be out by 10PM and be groggy still at 10AM.
>
> So I'm going to see if it's possible to avoid Remeron tonight. I'm really, really getting sick of p-docs and their contempt with Ambien. What's wrong with a country that's so freely prescribing me Desoxyn, which is C-II, so I can stay awake with my sleepiness, but so hesitant to prescribe a C-IV, Ambien, so I can sleep healthy and feel refreshed the next day?
>
> Seriously, why are amphetamines more comfortable for doctors to prescribe than Ambien? I've seen lots of psychiatrists. They'll now and then suggest Straterra, or if they're really pathetic, Wellbutrin, will magically dissipate all of your sleepiness or ADD, even though it's not well supported at all and I'd like a single person to ever say they've quit amphetamines for ADD b/c of Wellbutrin. I don't think it's happened once. But okay, they very rarely will press you on this, unless you've got like a coke habit history.
>
> So they have no problems keeping me awake, just putting me to sleep is an issue. Why? I can't understand. No clinical research has ever supported anything suggested Ambien is addictive. It's just because Ambien's makers haven't bothered to invest enough money in having studies that were longer than 6 months, so because of that there's no benefit of the doubt. And why? Seconal. Sleep=Seconal to any psychiatrist. It makes no sense. It's not rational.
>
> Oh, and I've had a PSG, MSLT, Titration study, CPAP, now on BiPAP for my borderline sleep apnea, at an apnea index of 4, but because I have ADD my doc wants me on it because he thinks I might be more sensitive to even a few apneic episodes.
>
> But tell him I haven't been using the BiPAP because I have insomnia, and he goes crazy. Not crazy enough to give me Ambien, just enough to be hostile that I am so irresponsible I always feel like partying by staring at the ceiling for 8 hours in the dark, because I'm a rebel like that and all.
>
> I hate this. What's wrong with our society when sleeping is harder to do with meds than staying up is? Shouldn't it be the other way around?
>
> Oh, and my little trendy sleep doc wants me to use the BiPAP apparently so much that he'd rather guarantee I don't sleep by having me wear it than simply treatt my insomnia first. Apparently treating insomnia is beneath him or something, I don't know.
>How much Remeron are you taking? 30mg seemed to keep me sleeping for longer than 15mg did. Took me about 2 months to get use to it. Now I sleep like a baby.
Cheers,
Panda.
Posted by Chairman_MAO on February 16, 2004, at 17:21:30
In reply to Re: Anyone have Excessive Daytime Sleepiness?, posted by utopizen on February 16, 2004, at 5:28:59
I keep hearing your plight, and I feel for you. I wish I had answers for you, but I do not. The only answer I can give you is that doctors are arbitrary and unsympathetic. Did it ever occur to you that most psychiatric consultations take place solely because of the national drug policy? I mean, what else besides "I want a sleeping pill" does saying "I cannot sleep" mean? If you could buy Ambien over the counter, would you need all of this sleep clinic nonsense? Sure, you're getting lots of nifty graphs, machines, and information from all of these sleep studies, but are they helping you sleep better? :(
Consider yourself lucky that someone is prescribing you Desoxyn. It has the greatest CNS effect in proportion to peripheral effect, and is therefore the most efficient and cardio-friendly stimulant. After all, did the morons that bash methamphetamine ever consider that it is the most abusable because it is the SAFEST? If it weren't the LD50 relative to the ED50 wouldn't be so damn high as to allow for all of that crazy psychotic behavior; the abusers would just drop dead! It really should be first-line for ADD/ADHD. But since methamphetamine has a bad rap due to the war on commmon sense, err, I mean the war on drugs, no doctor I had would ever prescribe it.The only suggestion I can offer you is to order zolpidem/zopiclone from overseas. I do not advocate breaking any US laws ... I'm assuming you do not live in the US, right? Good. It can be done discreetly and on the cheap. This cannot be discussed here. If you disclose your email address to me, perhaps I could give you an, umm, consultation on this subject. Or, if you prefer, I can setup a free email account somewhere and we can correspond that way. It really hurts me to see someone deprived of sleep--without which taking a stimulant to stay awake is POINTLESS--over a Schedule IV classification. How are these doctors supposed to know what dosage of Desoxyn you need or even what your psychiatric symptoms are at all when you are so sleep deprived?
"Oh no, the drug actually WORKS, schedule it!" must be what the sociopaths in charge at the DEA are thinking.
Keep on fighting the good fight; you deserve to sleep!
Posted by AntiTrust on February 17, 2004, at 17:59:37
In reply to Anyone have Excessive Daytime Sleepiness?, posted by utopizen on February 15, 2004, at 19:07:02
excessive sleepiness during the day...yep i got that! <grin>
Posted by utopizen on February 17, 2004, at 22:08:15
In reply to Re: Anyone have Excessive Daytime Sleepiness?, posted by AntiTrust on February 17, 2004, at 17:59:37
> excessive sleepiness during the day...yep i got that! <grin>
get a sleep study... they're fun. insurance covers it.
then get an MSLT or MWT daytime study the next day.
You can die if you have a disorder related to EDS, like sleep apnea. Sleep apnea means you temporarily stop breathing without noticing it, you arouse just enough without noticing it, and you start breathing again. Could happen to you several times a night, and each time making your sleep lousy.
Mortality is bad.
This is the end of the thread.
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