I AM A 68 YEAR OLD MALE, DX Chronic Depression (Monopolar), Well controlled PTSD, Some kind of sleep disorder(?) Major Complaint: EXCESSIVE FATIGUE
AND SLEEPINESS, every day all day. First Diagnosed with depression in 1964 - not treated until 1973. Hold BA Degree in psychology, two tours in Vietnam, worked 31 years in the Cardiac Pacemaker Business (spent all my time in surgery and cath lab). Worked 24/7 on emergency call, often worked 80 hours per week "felt driven to service my doctors and their patients". After 15 admissions for acute depressive events I was 100% disabled in 1998.
I have taken nearly all MAOI, Tricyclic,ssri, snri, and ECT Treatments. Have had a past history of stimulant abuse.
I am not severely depressed depressed at present but can not overcome feelings of fatigue and sleepiness.
1) lamotrigine 150 mg per day
2) clonaxepam 1 mg per day
3) fluoxetine 20 mg per day
4) trazodone 25 mg per day
5) armodafinil (nuvigil) 250 mg per day
Do not smoke, do not use alchol, sleep study neg. for apnea
Any suggestions welcome - I WILL NOT QUOT YOU NOR WILL I ALTER TREATMENT WITHOUT PHYSICIANS APPROVAL