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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by jodeye on March 19, 2004, at 15:10:06
Hello,
I have no problem with falling asleep, staying asleep, or apnea, yet I have the lifelong handicap of waking up exhausted and staying that way till late afternoon.
I have tried the SSRIs, MAOIs, Z-drugs, Benzos -- mostly for APD -- and nothing has helped with restorative sleep.
Are there any meds which can help with restorative sleep? Thanks.
--Jay
Posted by King Vultan on March 19, 2004, at 15:38:28
In reply to Improving Restorative Sleep, posted by jodeye on March 19, 2004, at 15:10:06
> Hello,
>
> I have no problem with falling asleep, staying asleep, or apnea, yet I have the lifelong handicap of waking up exhausted and staying that way till late afternoon.
>
> I have tried the SSRIs, MAOIs, Z-drugs, Benzos -- mostly for APD -- and nothing has helped with restorative sleep.
>
> Are there any meds which can help with restorative sleep? Thanks.
>
> --Jay
>Trimipramine (Surmontil), which is a sedating TCA, seems to have some unique sleep properties. It may be worth a try.
Todd
Posted by Minnie-Haha on March 19, 2004, at 16:55:40
In reply to Improving Restorative Sleep, posted by jodeye on March 19, 2004, at 15:10:06
Had your thyroid checked lately... by a thyroid specialist / endocrinologist?
Posted by Minnie-Haha on March 19, 2004, at 17:00:54
In reply to Improving Restorative Sleep, posted by jodeye on March 19, 2004, at 15:10:06
Lord, and there's the thing my docs keep harping on me about: exercise. I walk 20-30 minutes every other day, but my pdoc wants me to do 40 minutes of cardio 5 days a week.
Posted by Sad Panda on March 20, 2004, at 3:19:18
In reply to Re: Improving Restorative Sleep, posted by King Vultan on March 19, 2004, at 15:38:28
> > Hello,
> >
> > I have no problem with falling asleep, staying asleep, or apnea, yet I have the lifelong handicap of waking up exhausted and staying that way till late afternoon.
> >
> > I have tried the SSRIs, MAOIs, Z-drugs, Benzos -- mostly for APD -- and nothing has helped with restorative sleep.
> >
> > Are there any meds which can help with restorative sleep? Thanks.
> >
> > --Jay
> >
>
> Trimipramine (Surmontil), which is a sedating TCA, seems to have some unique sleep properties. It may be worth a try.
>
> Todd
>Drugs that are H1 blockers + 5-HT2A blockers tend to induce quality sleep. Trimipramine is the most potent of the 5-HT2A blocking TCA's, Doxepin, Amitriptyline & Nortriptyline are pretty good too & can be mixed with SSRI's. Clomipramine is also good but is strongly serotoninergic. A good drug by itself, but not to be mixed with SSRI's. Imipramine & Desipramine are weak & very weak H1 & 5-HT2A blockers. I suspect it's this difference that makes Clomipramine & Amitriptyline superior to Imipramine as stand alone AD's. I take Remeron myself with Effexor.
Cheers,
Panda.
Posted by jodeye on March 20, 2004, at 16:56:14
In reply to Improving Restorative Sleep, posted by jodeye on March 19, 2004, at 15:10:06
Thanks for the responses. It looks like I should follow my edocs advice and walk three hours a day, ugh... and since I haven't tried a tricyclic since childhood, it sounds like I should give them another try. I wonder if Remeron can be effective over the long haul?
--Jay
Posted by Sad Panda on March 20, 2004, at 18:11:07
In reply to Thanks all, posted by jodeye on March 20, 2004, at 16:56:14
> Thanks for the responses. It looks like I should follow my edocs advice and walk three hours a day, ugh... and since I haven't tried a tricyclic since childhood, it sounds like I should give them another try. I wonder if Remeron can be effective over the long haul?
>
> --Jay
>I spent 30+ years of tossing & turning for 2 hours to get to sleep, sleeping OK & then taking ages to wake up. I have never been a morning person. :)
After I have taken Remeron I can go to sleep with in 5 minutes whenever I am ready & sleep is great. I've been doing this for a few months now, the dopey feeling is gone, but I still go to sleep instantly.
If you want a sleep tablet, try Remeron first as it has very few side effects. If you want a sleep tablet with AD abilities, try Anafranil(Clomipramine). If's Remeron's price is an issue try Sinequan(Doxepin).
Cheers,
Panda.
Posted by jodeye on March 21, 2004, at 15:39:58
In reply to Re: Thanks all » jodeye, posted by Sad Panda on March 20, 2004, at 18:11:07
> > Thanks for the responses. It looks like I should follow my edocs advice and walk three hours a day, ugh... and since I haven't tried a tricyclic since childhood, it sounds like I should give them another try. I wonder if Remeron can be effective over the long haul?
> >
> > --Jay
> >
>
> I spent 30+ years of tossing & turning for 2 hours to get to sleep, sleeping OK & then taking ages to wake up. I have never been a morning person. :)
>
> After I have taken Remeron I can go to sleep with in 5 minutes whenever I am ready & sleep is great. I've been doing this for a few months now, the dopey feeling is gone, but I still go to sleep instantly.
>
> If you want a sleep tablet, try Remeron first as it has very few side effects. If you want a sleep tablet with AD abilities, try Anafranil(Clomipramine). If's Remeron's price is an issue try Sinequan(Doxepin).
>
> Cheers,
> Panda.
>
>
Remeron looks good. How much do you take and how long before bed?Thanks,
Jay.
Posted by Sad Panda on March 21, 2004, at 22:38:00
In reply to Re: Thanks all, posted by jodeye on March 21, 2004, at 15:39:58
> > > Thanks for the responses. It looks like I should follow my edocs advice and walk three hours a day, ugh... and since I haven't tried a tricyclic since childhood, it sounds like I should give them another try. I wonder if Remeron can be effective over the long haul?
> > >
> > > --Jay
> > >
> >
> > I spent 30+ years of tossing & turning for 2 hours to get to sleep, sleeping OK & then taking ages to wake up. I have never been a morning person. :)
> >
> > After I have taken Remeron I can go to sleep with in 5 minutes whenever I am ready & sleep is great. I've been doing this for a few months now, the dopey feeling is gone, but I still go to sleep instantly.
> >
> > If you want a sleep tablet, try Remeron first as it has very few side effects. If you want a sleep tablet with AD abilities, try Anafranil(Clomipramine). If's Remeron's price is an issue try Sinequan(Doxepin).
> >
> > Cheers,
> > Panda.
> >
> >
> Remeron looks good. How much do you take and how long before bed?
>
> Thanks,
> Jay.
>I take 30mg half an hour before bed. You should start at 7.5mg else you may find yourself sleeping for 12 hours straight. Don't try it until the weekend. I would still be taking 15mg except I needed extra to help with side effects from the Effexor that I take.
Cheers,
Panda.
This is the end of the thread.
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