![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by linkadge on June 11, 2007, at 17:40:54
Took a trip to the ER for horrable multi-day insomnia. 3 nights 3hrs of sleep.
Anyhow, the doctor was fairly nice, script for 50mg trazodone and 7.5 zopiclone if needed.
I am hesitant to take the trazodone on account of the 5-ht2b agonist metabolite, but I may see if it works PRN, or in a cycle of other sleep meds.
Linkadge
Posted by Phillipa on June 11, 2007, at 21:39:48
In reply to ER visit, trazodone + zopiclone, posted by linkadge on June 11, 2007, at 17:40:54
Link you have to sleep. And that's what happened to me too when they took away my luvox and only gave me benzos no sleep for three nights so went back to the original meds. Luvox, valium,.5xanax and 3mg of lunesta. I slept finally. I hope you sleep tonight love Phillipa
Posted by Phillipa on June 12, 2007, at 16:41:13
In reply to Re: ER visit, trazodone + zopiclone » linkadge, posted by Phillipa on June 11, 2007, at 21:39:48
Link did you sleep? Love Phillipa
Posted by Quintal on June 12, 2007, at 20:08:33
In reply to Re: ER visit, trazodone + zopiclone, posted by Phillipa on June 12, 2007, at 16:41:13
Might still be in bed?
Q
Posted by linkadge on June 13, 2007, at 10:47:40
In reply to Re: ER visit, trazodone + zopiclone » Phillipa, posted by Quintal on June 12, 2007, at 20:08:33
I did sleep. The trazodone did litte/nothing, but the zopiclone worked after 1 + 1/2 7.5 mg tablets.
Linkadge
Posted by Sigismund on June 14, 2007, at 6:04:01
In reply to Re: ER visit, trazodone + zopiclone, posted by linkadge on June 13, 2007, at 10:47:40
Link, do you have any clue about why you have trouble sleeping?
Anything make it worse or better?
Posted by linkadge on June 14, 2007, at 6:34:07
In reply to Re: ER visit, trazodone + zopiclone » linkadge, posted by Sigismund on June 14, 2007, at 6:04:01
I honestly don't. Its been going on for almost a year, even after exam stress is over.
Not sure. No thought in particular is keeping me up, mind not racing etc.
Linkadge
Posted by kaleidoscope on June 14, 2007, at 14:57:14
In reply to Re: ER visit, trazodone + zopiclone, posted by linkadge on June 14, 2007, at 6:34:07
Hi Link
Zopiclone causes fewer side effects than traz.
Posted by Justherself54 on June 15, 2007, at 0:26:41
In reply to Re: ER visit, trazodone + zopiclone, posted by kaleidoscope on June 14, 2007, at 14:57:14
trazadone made me a complete zombie the next day so I never took another..I take Zopiclone every nite and it works with no "hangover" effect the next day.
Posted by confuzyq on June 15, 2007, at 0:31:30
In reply to Re: ER visit, trazodone + zopiclone, posted by linkadge on June 14, 2007, at 6:34:07
I'm sorry, as primarily a lurker I don't know much of your back story, but are you getting outdoors at all? I have had wildly shifting sleep issues all my life (during the ones that prevented sleep, have used traz, valium, amitriptyline), and have connected the dots that for myself, it's by far worse when I've been getting no firsthand daylight in me for a long period.
I briefly participated in an NIH or NIMH (has been many years) study on how natural circadian rhythm can shift or be lost due to lack of direct daylight exposure, etc. etc. Can't remember the disorder name that was being studied at this point, but could find it.
Posted by confuzyq on June 15, 2007, at 0:47:40
In reply to Re: ER visit, trazodone + zopiclone » linkadge, posted by confuzyq on June 15, 2007, at 0:31:30
The study I was in was attempting to prove that with that proposed sleep disorder, the circadian rhythm will shift for the sufferer no matter what.
(I had to quit when a winter fever interfered with the required periodic thermometer-up-butt-all-day apparatus reading, and never did look into what the outcome of the study was, if it's even completed yet. I had gone to a specialized sleep disorder clinic seeking help; they told me I was a perfect subject for this study; then after several weeks when I asked when I could expect some advice or findings they told me it was a national study for which results wouldn't be available for years, and not individual ones at that. Just what I was looking for when I sought help lol. But I digress.)
OH I remember -- the name of the disorder being studied was DSPS (Delayed Sleep Phase Syndrome).
Posted by linkadge on June 15, 2007, at 6:34:55
In reply to Re: ER visit, trazodone + zopiclone » linkadge, posted by confuzyq on June 15, 2007, at 0:31:30
Yes, actually I am. I am out for about 30 minautes in the morning sun, plus 45 at noon, and another hour or two after 3 pm.
This insomnia has been with me for over a year. I average 3 or 4 hours, sometimes less. Its very broken with a lot of nightmares. I finished school for the year so major stresses are over.
The insomnia reached an all time bad point the other day when I went almost 3 nights with zero sleep.
The zopiclone seems to work well, but the trazodone not so much, and It seems to be better sleep than a benzo.
Anyhow, we'll see where we go.Linkadge
Posted by saturn on June 21, 2007, at 15:25:14
In reply to Re: ER visit, trazodone + zopiclone, posted by linkadge on June 15, 2007, at 6:34:55
> The zopiclone seems to work well, but the trazodone not so much, and It seems to be better sleep than a benzo.
You probably already know this Link, but I have heard it said that BZD-1 receptor agonists ("pseudobenziodiazepines") do not disrupt sleep architecture whereas benzos do. Something about benzos disrupting stage 4 and/or REM phases whereas (es)zopliclone/zolpidem do not do this, and so give much more restorative sleep than a benzo.
Hope you're able to get a better handle on the sleep. Peace...Saturn.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.