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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 SheilaC on June 21, 2007, at 10:12:23
I have been taking 2mg of Abilify for the past 3 days. I take it at night. I also take 75mg of Wellbutrin 2x a day and 10mg of Prozac (Effexor made me pee to many times).
I am having sleep trouble. I sleep great at first for about 4 hours and then I wake up and toss and turn.
Will this get better? Is there anything I can take that will help with sleep? Do I need more Abilify?
I need sleep! Maybe I should take some Xanax with my Abiify at night.
Posted by lymom3 on June 21, 2007, at 11:24:47
In reply to Trouble sleeping..., posted by SheilaC on June 21, 2007, at 10:12:23
Abilify gave me insomnia which is one of the reasons that I discontinued it. I took it in the morning as it was very energizing to me. I couldn't imagine taking it at night. Having said that, I was only on it for 3 weeks. Other side effects caused me to discontinue it but I don't know if the insomnia would have subsided or not.
Posted by Phillipa on June 21, 2007, at 11:55:05
In reply to Re: Trouble sleeping..., posted by lymom3 on June 21, 2007, at 11:24:47
Most people take it in the am as it is stimulating. Try that. Love Phillipa ps wellbutrin is stimulating too.
Posted by Tony P on June 21, 2007, at 16:59:54
In reply to Trouble sleeping..., posted by SheilaC on June 21, 2007, at 10:12:23
That's a very activating combination - not surprised you're having trouble sleeping! I was up half the night when I used to take just Wellbutrin.
A benzo like Xanax may help, but you may also quickly become tolerant to it. I was taking Klonopin (clonazepam) with the Wellbutrin and still am taking 2 mg/day with my current meds (Remeron+Requip); it's probably the safest bet for long-term night-time use. Even with the clonazepam I still have trouble sleeping many nights without additional meds.
Here are some non-benzo alternatives that I've used successfully:
Trimipramine 50-200 mg (according to Wikipedia, the closest to natural sleep)
Nortryptiline 25-50 mg
Trazadone 50-300 mg YMMV greatly!
Neurontin (gabapentin) 300-600 mg, this didn't help me get to sleep but seemed to help with staying asleep.
Melatonin 9 mg (for me works best in combo with one of the above, good for resetting your bedtime)All of these except the Melatonin are mild to moderate antidepressants too (and of course are Rx only), so you might be able to reduce your other meds as well. Trimipramine works the best for me, the only problem is it has a long half-life so I tend to have trouble getting up, but setting two alarms and the coffe-maker on auto usually does it for me!
Good luck,
Tony
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