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Dr. Bob is Robert Hsiung, MD,
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Posted by bee on September 5, 2000, at 23:50:30
I have been taking 25 mg. of doxepin and have decreased my elavil to 60 mg (was 80 mg) at night. I have been on this combo for 5 days. I am finding it harder to fall asleep at night (anywhere from 1 to 3 hours) and am waking up at 7 a.m. I am still feeling tired but not getting a restful sleep.
I had a bad day yesterday what with crying and feeling very down. The same sort of feeling I would get when I have decreased meds. before so obviously, I still need to be on meds.
How long before everything kicks back in? I am guessing that decreasing the elavil has brought the first signs of depression back. Will it take a while longer for the doxepin to kick in? How long should I give this combo a chance? I have a prescription for trimipramine also if this doesn't work.
I am trying this combo hoping that a lower dose of elavil will stop the carbohydrate cravings. I'm tired of the weight! Have also tried the SSRIs but not compatible.
Any ideas/thoughts?
bee
Posted by stjames on September 6, 2000, at 1:25:26
In reply to augment meds/problems, posted by bee on September 5, 2000, at 23:50:30
> I have been taking 25 mg. of doxepin and have decreased my elavil to 60 mg (was 80 mg) at night. I have been on this combo for 5 days. I am finding it harder to fall asleep at night (anywhere from 1 to 3 hours) and am waking up at 7 a.m. I am still feeling tired but not getting a restful sleep.
>James here....
Remember the lower limit of TCA's to effect depression is generally
75 mgs. Sleep is always a good guide as to dose, too. Even on a low dose
of doxipin, ~25-50 mgs, I could not avoid cravings. You might want to explore
some of the ideas we mentioned to you as it seems you, like I,
are/were stuck between the min dose to be effective for depression, sleep and cravings.
Sorry ! I can tell you that going between TCA and TCA, it is funny for 3-5
days, at least in my experience. I always took a little Atavin for these days. TCA's are very long acting, so it takes time
for the levels to stabilize. I would say give it a little while longer.james
This is the end of the thread.
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