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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by Phillipa on January 27, 2005, at 18:32:48
I am soooo tired, and disoriented now that I am home. After having to get up much earlier than I usually do, and being awakened during the night at least 2 times nightly, I'm a walking zoombie! It was really hard to get admitted to a hospital as you now have to be suicidal, and I wasn't. So, I put on an act in old pdoc's office by using rapid speech. He thought I was manic and referred me to a very good teaching hospital Pitt Memorial in Greenville, NC. But it's been an exhausting couple of weeks while I desperately tried to find a "good new pdoc". Now, how do I get back on a schedule? Even mealtimes were changed. How should I go about this? Should I stay up late like I used to? Sleep later? Take extra sleep med for a day or two? Need some insight. Fondly, Phillipa
Posted by 3 Beer Effect on January 27, 2005, at 21:58:03
In reply to Tired and Disoriented From Hospital, posted by Phillipa on January 27, 2005, at 18:32:48
I would think that the 15 mg of Remeron would put you to sleep within an hour. By taking the Remeron, you won't need any sleep meds or chloral hydrate which probably aren't that good for you anyway, since eventually you will not be able to sleep without them. I would take it at 9 pm, then you will be asleep by 10 pm & that is a pretty normal/common sleeping pattern. I wouldn't put on an act in front of psychiatrists because then you will get the wrong medicine. Your lucky they didn't put you on a mood stabilizer for mania. Your Zoloft dose seems to be kind of low, but I imagine that they are slowly increasing your dosage to avoid mania. Zoloft seems to work in most studies at 75mg but not at 50 mg. When you get up to higher doses of Zoloft 75-100 mg, it should be taken in the morning because it is activating.
Remeron + an SSRI is a very powerful/synergistic combo that may be ideal because Remeron blocks the Serotonin receptors that cause the bad side effects of insomnia, anorgasmia, & agitation allowing the Zoloft to work at the important Serotonin receptors. But it will probably take a month of an adequate dose of Zoloft at 75 mg before you will notice any difference, so don't give up- SSRIs take a long time to work. I noticed no difference with Prozac until the 5th week!
Also, it is important that people who are depressed need to get out in to the world & find a hobby or something that interests them. I have a tendency to isolate myself & watch excessive amounts of TV when depressed but that is the worst thing you can do. A happy life is generally a life where you are busy with interesting activities & hobbies. When you are doing something you are interested in your constant worries shut off especially if the activity requires concentration such as riding a mountain bike on a dirt trail, snowboarding, reading an interesting book. I don't know if you like history, but South Carolina is full of historical sites you can visit, or you can take a trip to the mountains or the beach & relax. If you spend too much time worrying about meds or posting messages on this board you will get more depressed & overreact to every small side effect that you have read about & could even be imagining. Try not to think about your meds, just take them & do other stuff with your spare time, they work best when you give them no thought!
Cheers,
3 Beer Effect
Posted by Phillipa on January 27, 2005, at 22:20:40
In reply to Zoloft + Remeron= Powerful/synergistic combo, posted by 3 Beer Effect on January 27, 2005, at 21:58:03
Thank-you so much for such a positive response. I believe everything you say is true. Ironically I live 7miles from Emerald Isle in NC. Walking the beach is one of the ways I enjoy excercising. Only problem is the next 4 days temps are in the 30's. I know that doesn't sound that cold, but the wind really gets you. Last year I walked 5 miles when it was 26 degrees out. So far,no side effects and that's a miracle for me. Thanks,Phillipa
Posted by pretty_paints on January 28, 2005, at 10:35:06
In reply to Re: Zoloft + Remeron= Powerful/synergistic combo » 3 Beer Effect, posted by Phillipa on January 27, 2005, at 22:20:40
Hi Phillipa!
I don't really have any answers to your questions (sorry), but I just wanted to say hi.
What were you in hospital for? If you don't mind, could you tell me a little more about your stay in there? How long were you in for, any drug changes? (sorry if you already mentioned this in your first post).
I'm feeling really crap at the mo as I'm in the middle of a med change. Seroquel to Abilify. Hmm. At the moment on a low dose of Seroquel and feeling lousy.
Love to hear from you,
Kate xxx
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