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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 blueberry on November 12, 2005, at 15:19:43
I'm on the hunt for a good sleep med I can take long term. Forget zyprexa...no longer sedating...seroquel doesn't get me through the whole night...trazadone and remeron totally stink...xanax I like sometimes but don't want it every night...ambien and company not that great.
I'm considering either doxepin or elavil, very low doses. Comments here as well as research shows that these two are good for sleep and also good for sleep architecture.
What I'm worried about is carryover effects into the next day. You know, the usual tricyclic stuff like feeling drugged, dry mouth, blurry eyes, maybe decrease in sexual desire. I don't want to be dragging around half the day waiting for it to wear off from the previous night.
Anyone tried these? Any comments on next day side effects at low doses?
Current meds are 7.5mg lexapro and weaning off of 2.5mg zyprexa, possibly trying wellbutrin soon. Since I usually respond to low doses, maybe even just a bit of elavil or doxepin might help my depressive symptoms.
Posted by linkadge on November 12, 2005, at 20:06:39
In reply to Doxepin or Elavil for sleep? Comparisons?, posted by blueberry on November 12, 2005, at 15:19:43
Doxapin was ok for me. It was sedating, lasted till into the afternoon. I was under the impression that doxapin was slightly more sedating than amitryptaline, but could be wrong.
Cognition was bad, but it certainly added antidepressant effect to the SSRI I was taking at the time.
Linkadge
Posted by Phillipa on November 12, 2005, at 21:40:35
In reply to Re: Doxepin or Elavil for sleep? Comparisons?, posted by linkadge on November 12, 2005, at 20:06:39
Same problem I have. Inability to sleep for more than maybe 5hrs at a time. The one med that worked for more than a year was the old med chloral hydrate. Fondly, Phillipa
Posted by Colleen D. on November 13, 2005, at 10:55:54
In reply to Doxepin or Elavil for sleep? Comparisons?, posted by blueberry on November 12, 2005, at 15:19:43
Doxepin 25mg works great for me and I have no residual drowsiness the next day. I tried trazodone - yuk! I felt like I had a major hangover the next day. Remeron put me out like a light but didn't keep me asleep all night. I've never tried Zyprexa or Seroquel, and my doc won't prescribe Ambien. She thought a low dose anti-anxiety TCA was the best thing for me since tolerance is not an issue.
Good luck!
Colleen
> I'm on the hunt for a good sleep med I can take long term. Forget zyprexa...no longer sedating...seroquel doesn't get me through the whole night...trazadone and remeron totally stink...xanax I like sometimes but don't want it every night...ambien and company not that great.
>
> I'm considering either doxepin or elavil, very low doses. Comments here as well as research shows that these two are good for sleep and also good for sleep architecture.
>
> What I'm worried about is carryover effects into the next day. You know, the usual tricyclic stuff like feeling drugged, dry mouth, blurry eyes, maybe decrease in sexual desire. I don't want to be dragging around half the day waiting for it to wear off from the previous night.
>
> Anyone tried these? Any comments on next day side effects at low doses?
>
> Current meds are 7.5mg lexapro and weaning off of 2.5mg zyprexa, possibly trying wellbutrin soon. Since I usually respond to low doses, maybe even just a bit of elavil or doxepin might help my depressive symptoms.
This is the end of the thread.
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