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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by pedr on September 2, 2011, at 16:44:09
Hi,
I am taking Nardil+Abilify and am waking up from sleep earlier and earlier. It's reached 3a.m. now and I'm slowly going insane (perhaps literally) from the erratic sleep patterns. I take 1 ambien (I think 5mg) before bed, say 10pm and that helps me drop off. However if I take 2 pills, I am guaranteed to have the most vivid, terrifying nightmares so I tend not to want to have 2 pills.So when I awake at 3 or 4a.m. should I take another pill? I suspect that I'll feel like a zombie-with-a-hangover if I do that the following day though.
Any advice appreciated. BTW benzo-based sleep aids, Melatonin and Trazodone aren't effective for me. The Abilify laughs right in their faces 8o}
thanks,
Pedr
Posted by floatingbridge on September 2, 2011, at 17:21:41
In reply to Getting back to sleep after waking early, posted by pedr on September 2, 2011, at 16:44:09
Do you take your abilify in the morning?
I'll share my own advice from my pdoc. I, too, have been struggling with early awakenings.
One strategy was to take an ambien upon retiring if needed. Then to take one upon at early wake up. Since it seems to wear off so quickly for me, I did not feel drugged like I did with Lunesta.
There is also sonata which I took for early awakening. It pooped. I'd be awake and 'happy'.
Right now I am using tenazepam, but it really works no better for me than the 2x nightly ambien.....
I wonder what others' experiences are.
Good luck.
Posted by jono_in_adelaide on September 2, 2011, at 20:05:34
In reply to Re: Getting back to sleep after waking early » pedr, posted by floatingbridge on September 2, 2011, at 17:21:41
Try taking the abifily in the morning, and a sleeping pill at bedtime (say Ambien 10mg or temazepam 15-30mg)
You could also try Sonata, 1 tab when you wake during the night...... this is very short acting, you you could take one at 3am or 4am, and still get up and function normaly at 7 or so.
Posted by Phillipa on September 2, 2011, at 20:26:52
In reply to Re: Getting back to sleep after waking early, posted by jono_in_adelaide on September 2, 2011, at 20:05:34
No benzos? Phillipa
Posted by pedr on September 2, 2011, at 22:38:23
In reply to Re: Getting back to sleep after waking early » pedr, posted by floatingbridge on September 2, 2011, at 17:21:41
> Do you take your abilify in the morning?
yep.
> One strategy was to take an ambien upon retiring if needed. Then to take one upon at early wake up. Since it seems to wear off so quickly for me, I did not feel drugged like I did with Lunesta.I might have to give that a go.
> Good luck.
thanks man. If I find something effective, I'll shout.
pedr.
Posted by pedr on September 2, 2011, at 22:41:37
In reply to Re: ALL MAOI USERS: Hypertensive Crisis and Nifedipine » floatingbridge, posted by pedr on September 2, 2011, at 22:38:23
sorry about the bizarre subject change: my LastPass FF plugin for some reason stashed and form-filled that particular subject! please ignore.
Posted by pedr on September 2, 2011, at 22:43:04
In reply to Re: Getting back to sleep after waking early » jono_in_adelaide, posted by Phillipa on September 2, 2011, at 20:26:52
> No benzos? Phillipa
as per my initial post, they don't work for me :
>> BTW benzo-based sleep aids, Melatonin and Trazodone aren't effective for me.pedr.
Posted by floatingbridge on September 2, 2011, at 22:46:39
In reply to Re: Getting back to sleep after waking early » Phillipa, posted by pedr on September 2, 2011, at 22:43:04
> > No benzos? Phillipa
>
> as per my initial post, they don't work for me :
> >> BTW benzo-based sleep aids, Melatonin and Trazodone aren't effective for me.
>
> pedr.I don't think those are benzo's, are they?
Not that I think one should lightly start a benzo....
Posted by pedr on September 2, 2011, at 22:49:50
In reply to Re: Getting back to sleep after waking early » pedr, posted by floatingbridge on September 2, 2011, at 22:46:39
ahhhh I see what is afoot. I intended "Benzo-based sleep aids and Trazodone and Melatonin are not effective" but you guys read it as "the benzo-based sleep aids Trazodone and Melatonin...".
So the up-shot is: no, benzo's don't do it for me. Thanks though!
Pedr
Posted by floatingbridge on September 2, 2011, at 22:53:20
In reply to Re: Getting back to sleep after waking early » floatingbridge, posted by pedr on September 2, 2011, at 22:49:50
Oh. Got you. Well that is a tough spot. :-/. Hmmm.
Posted by Phillipa on September 2, 2011, at 23:39:54
In reply to Re: Getting back to sleep after waking early » pedr, posted by floatingbridge on September 2, 2011, at 22:53:20
I read it the same. Phillipa
Posted by jono_in_adelaide on September 3, 2011, at 20:34:36
In reply to Re: Getting back to sleep after waking early, posted by Phillipa on September 2, 2011, at 23:39:54
If benzos dont work, ask your doctor if you can try dosepin, 25-50mg an hour before bedtime
This is the end of the thread.
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