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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 Niltiac on March 26, 2009, at 16:43:16
Hi,
I've been on Cipralex (10mg) for almost a year now to help anxiety and I can't seem to get over the tiredness it's causing me. I've tried Wellbutrin (along with the Cipralex) several different times now and although it does help, the multitude and intensity of side effects I experience are unbearable. I'm getting sick of being so tired all the time and I was wondering if anyone had any suggestions.
I am quite an active person, I exercise regularly and eat very healthy, so I can't think of any major lifestyle changes I could make. I have a feeling my daytime tiredness may be due to poor sleeping at night, therefore, I've tried taking Melatonin (6-9mg), but it didn't seem to help. Should I take more?
Thank you,
Niltiac
Posted by desolationrower on March 27, 2009, at 3:36:25
In reply to A remedy for Cipralex induced sedation, posted by Niltiac on March 26, 2009, at 16:43:16
no, i think doses lower than that saturate receptors, or at least are far more than the body produces naturally. For sleep, i usually suggest trazodone, cyproheptadine, or gabapentin. you could also try adding either an nri, or modafinl/adrafinil.
-d/r
Posted by Niltiac on March 27, 2009, at 11:24:10
In reply to Re: A remedy for Cipralex induced sedation, posted by desolationrower on March 27, 2009, at 3:36:25
Thanks for those suggestions. Although it's the last thing I want, I think I should try something that promotes sleep, that is, quality sleep and hope it helps with daytime drowsiness. However, I'm not even sure that's the problem. I'm taking Cipralex at night right now because it made me even more drowsy when I took it in the morning, so if anything, it should be helping me sleep and I just need to combat the daytime drowsiness it causes. Hmmm. Wait, are you suggesting I take one of these along with Cipralex or switch? I ask because I noticed some of the meds you mentioned are also have anxiolytic properties.
Once again I really appreciate these suggestions, but I'm also open to more natural remedies if anyone knows any. For example, certain vitamins, minerals or supplements anyone has had success with.
Posted by desolationrower on March 28, 2009, at 20:31:20
In reply to Re: A remedy for Cipralex induced sedation, posted by Niltiac on March 27, 2009, at 11:24:10
> Thanks for those suggestions. Although it's the last thing I want, I think I should try something that promotes sleep, that is, quality sleep and hope it helps with daytime drowsiness. However, I'm not even sure that's the problem. I'm taking Cipralex at night right now because it made me even more drowsy when I took it in the morning, so if anything, it should be helping me sleep and I just need to combat the daytime drowsiness it causes. Hmmm. Wait, are you suggesting I take one of these along with Cipralex or switch? I ask because I noticed some of the meds you mentioned are also have anxiolytic properties.
as ajunct to the cipralex. sris can cause fatigue, but also prevent deep sleep.
> Once again I really appreciate these suggestions, but I'm also open to more natural remedies if anyone knows any. For example, certain vitamins, minerals or supplements anyone has had success with.
magnesium or zinc deficiency is the main thing i can think of to improve sleep, though b12 deficiency can reduce melatonin formation. alcar and creatine might help with fatigue directly.
also, not sure what SE you got from bupropion, but trying desipramine or another nri might help with fatigue too. possibly selegiline.
-d/r
This is the end of the thread.
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