Psycho-Babble Medication Thread 1093505

Shown: posts 1 to 6 of 6. This is the beginning of the thread.

 

Meds (SSRIs?) for REM reduction

Posted by Prefect on December 13, 2016, at 5:40:33

Which SSRIs are most effective at reducing early morning lengthy REM sleep and excessive atonia, sweating, confusional awakening, and daytime lethargy attached with deep lengthy REM?

 

Re: Meds (SSRIs?) for REM reduction

Posted by joe f on December 13, 2016, at 21:08:38

In reply to Meds (SSRIs?) for REM reduction, posted by Prefect on December 13, 2016, at 5:40:33

I believe luvox may be the only ssri which increases melatonin.

 

Re: Meds (SSRIs?) for REM reduction joe f

Posted by Prefect on December 14, 2016, at 18:50:49

In reply to Re: Meds (SSRIs?) for REM reduction, posted by joe f on December 13, 2016, at 21:08:38

Melatonin reduces REM?

 

Re: Meds (SSRIs?) for REM reduction

Posted by PeterMartin on December 16, 2016, at 2:47:00

In reply to Meds (SSRIs?) for REM reduction, posted by Prefect on December 13, 2016, at 5:40:33

MAOis are supposed to completely suppress REM sleep (threads will come up on search). Not sure about SSRIs though :(

 

Re: Meds (SSRIs?) for REM reduction

Posted by chumbawumba on January 13, 2017, at 2:50:31

In reply to Meds (SSRIs?) for REM reduction, posted by Prefect on December 13, 2016, at 5:40:33

> Which SSRIs are most effective at reducing early morning lengthy REM sleep and excessive atonia, sweating, confusional awakening, and daytime lethargy attached with deep lengthy REM?

I've tried a bunch ( Prozac, Paxil, Zoloft, Celexa, Effexor, Nefazodone,Trasodone, Doxepin, Remereon, Imipramine, Moclobemide, Parnate, and probably some I'm forgetting) and I can't say whether one was more effective at reducing REM sleep. I think if your depression is effectively treated it will happen. At least in my experience excessive REM sleep is a sign my depression is under treated.

A strong fairly long acting benzo will do it for sure. I took 60 mg of Dalmane for a while and never dreamt at all. The nice thing about a drug like Dalmane is it's got such a long half life that it's essentially self tapering so you don't have to reallly worry too much about rebound symptoms if you stop taking it. Valium would probably be the same way.

But besides benzos, low dose Seroquel is very effective for sleep and augments antidepressants. In the absence of counteracting stimulation 50-100 mg of Seroquel should put you on your *ss. As monotherapy it is actually the most sedating thing I have ever had. More than benzos, Remeron, doxepin. The only thing stronger would be a qualude or anesthesia.

I actually could not walk if I took Seroquel and was not in bed when it kicked in.

 

Re: Meds (SSRIs?) for REM reduction

Posted by creepy on August 14, 2017, at 2:13:36

In reply to Meds (SSRIs?) for REM reduction, posted by Prefect on December 13, 2016, at 5:40:33

Desipramine and protriptyline get used in sleep apnea and reduce REM sleep time.


This is the end of the thread.


Show another thread

URL of post in thread:


Psycho-Babble Medication | Extras | FAQ


[dr. bob] 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.