Psycho-Babble Medication Thread 79858

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Idiopathetic Hypersomnia Major Depression

Posted by whiteau on September 28, 2001, at 18:21:50

I am new to the site and very pleased to be here. I am 57 years old and was first diagnosed with major depression in 1962 while in college (back when Elival and Niagara Falls were both brand new). Here is my question - 4 years ago I started Prozac 30mg/day and the medication worked just fine for about 2 years. The past two years I have had "sleeping sickness". I assumed it was Prozac "poop out"; for the past 3 months I have been on Wellbutrin 300mg and Zoloft 150mg with no result. The depression is not to bad but the chronic sleepiness, after 14 hours sleep at night plus naps, is really getting old. Stimulants are out due to passed abuse, I have been through the TCA's. Any helpful suggestion would be appreciated. Thanks

 

Re: Idiopathetic Hypersomnia Major Depression

Posted by Mitch on September 28, 2001, at 23:51:54

In reply to Idiopathetic Hypersomnia Major Depression, posted by whiteau on September 28, 2001, at 18:21:50

> I am new to the site and very pleased to be here. I am 57 years old and was first diagnosed with major depression in 1962 while in college (back when Elival and Niagara Falls were both brand new). Here is my question - 4 years ago I started Prozac 30mg/day and the medication worked just fine for about 2 years. The past two years I have had "sleeping sickness". I assumed it was Prozac "poop out"; for the past 3 months I have been on Wellbutrin 300mg and Zoloft 150mg with no result. The depression is not to bad but the chronic sleepiness, after 14 hours sleep at night plus naps, is really getting old. Stimulants are out due to passed abuse, I have been through the TCA's. Any helpful suggestion would be appreciated. Thanks

Just a few questions to help clarify:
1) Is there a seasonal or cyclical nature to the depressions?
2) Have you ever had a "sleep study" done to rule out "sleep apnea" as a cause of your excessive daytime drowsiness?
3) Have you tried reducing the Zoloft (it can cause sleepiness in some people), while keeping the Wellbutrin in place?

 

Re: Idiopathetic Hypersomnia Major Depression Mitch

Posted by whiteau on September 29, 2001, at 10:29:59

In reply to Re: Idiopathetic Hypersomnia Major Depression, posted by Mitch on September 28, 2001, at 23:51:54

The depression is not to bad but the chronic sleepiness, after 14 hours sleep at night plus naps, is really getting old. Stimulants are out due to passed abuse, I have been through the TCA's. Any helpful suggestion would be appreciated. Thanks
>
> Just a few questions to help clarify:
> 1) Is there a seasonal or cyclical nature to the depressions?
> 2) Have you ever had a "sleep study" done to rule out "sleep apnea" as a cause of your excessive daytime drowsiness?
> 3) Have you tried reducing the Zoloft (it can cause sleepiness in some people), while keeping the Wellbutrin in place?

Hi Mitch
Thank you for your response. In answer to your questions; there does not seem to be any seasonal or cyclical component to the depression. A sleep study and cutting back on the Zoloft are very good suggestions, I will follow up and let you know. I do appreciate your help.
Richard

 

Re: Idiopathetic Hypersomnia Major Depression whiteau

Posted by Zo on September 29, 2001, at 19:04:04

In reply to Re: Idiopathetic Hypersomnia Major Depression Mitch, posted by whiteau on September 29, 2001, at 10:29:59

I would think problem-sleepiness to be highly unusual on Wellbutrin, am guessing you haven't pushed the dose to the max? And, even, then some?

And the sleep apnea--please, do look into it!

Best,
Zo

 

Re: Idiopathetic Hypersomnia Major Depression

Posted by galtin on September 29, 2001, at 23:37:25

In reply to Idiopathetic Hypersomnia Major Depression, posted by whiteau on September 28, 2001, at 18:21:50

> I am new to the site and very pleased to be here. I am 57 years old and was first diagnosed with major depression in 1962 while in college (back when Elival and Niagara Falls were both brand new). Here is my question - 4 years ago I started Prozac 30mg/day and the medication worked just fine for about 2 years. The past two years I have had "sleeping sickness". I assumed it was Prozac "poop out"; for the past 3 months I have been on Wellbutrin 300mg and Zoloft 150mg with no result. The depression is not to bad but the chronic sleepiness, after 14 hours sleep at night plus naps, is really getting old. Stimulants are out due to passed abuse, I have been through the TCA's. Any helpful suggestion would be appreciated. Thanks


whiteau- I am struck by your problem, perhaps because my struggle has usually been to STAY asleep. If your hypersleep coincided with the medication change you could try upping the Wellbutrin and exchanging the Zoloft for Prozac or Effexor.

If it is not the meds, it may be an independent sleep disorder. Some folks develop variations of narcolepsy in their 40s and 50s. Anyway,a couple nights at a sleep clinic might yield valuable info. Best of luck.

 

Re: Idiopathetic Hypersomnia Major Depression

Posted by Erin59 on October 2, 2001, at 1:08:56

In reply to Idiopathetic Hypersomnia Major Depression, posted by whiteau on September 28, 2001, at 18:21:50

> I am new to the site and very pleased to be here. I am 57 years old and was first diagnosed with major depression in 1962 while in college (back when Elival and Niagara Falls were both brand new). Here is my question - 4 years ago I started Prozac 30mg/day and the medication worked just fine for about 2 years. The past two years I have had "sleeping sickness". I assumed it was Prozac "poop out"; for the past 3 months I have been on Wellbutrin 300mg and Zoloft 150mg with no result. The depression is not to bad but the chronic sleepiness, after 14 hours sleep at night plus naps, is really getting old. Stimulants are out due to passed abuse, I have been through the TCA's. Any helpful suggestion would be appreciated. Thanks

It is nice to meet my kindred sleeping spirit. I have been on Wellbutrin (350) and Zoloft (150) along with Klonopin to help with a Valium addiction, plus a miniscule dose of Seroquel at night to help with suicidal thoughts. My depression manifests in some serious hypersomnia (Rip Van Winkle has nothing on me). Due to prior addictions, I doubt any doc would prescribe me stimulants. I too can easily sleep 12-15 hours a night plus daily naps (very tough on a small busiess owner). I know this is depression related (I also cast some blame on the meds, specifically, Zoloft). as my condition is episodic and my sleeping patterns are perfectly normal when I am not in the throws of a medical maelstrom. Is this the case with you or is your hypersomnia constant? I posted on this problem a while back and received some good responses. One was to cut back my Zoloft to 100 and take it at night. Unfortunately, I am being weened off Wellbutrin due to significant weight loss but, while on it, I could take 350 of Wellbutrin at night and be asleep within 30 minutes. Another poster suggested augmenting with Adranafil, a mildly stimulating drug you have to obtain overseas as it is not FDA approved. It has been used to treat narcolepsy as well as depression. Do a search on Adranafil on the archives and you will receive alot of info. My order finally arrived today and I am hopeful this will help. As with most drugs, it takes a couple of weeks to get effects. Hope this helps and sweet dreams. :-).
Erin


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