Hello I believe I can help you with your concern today
I am so sorry that you have been experiencing this type of insomnia for so long, I can imagine how distressing this is for you
So regarding the Paxil use that you have been having, the agitation is a side effect, but it is usually temporary as your body gets used to it
It usually goes away around 4 weeks of use and I believe you mentioned that you have been using the Paxil for only 1 week
I also would like to mention that Lexapro has been indicated as more effective regarding depression and has less incident rates of side effects like agitation, so that can be something to look into as well
Also regarding the 0.5mg of Ativan, is that the only dosage you have used of that benzodiazepine?
I have a lexapro prescription waiting at the pharmacy for me if I'm not tolerating the paxil so I think I may get it since the depression is debilitating.
I takehave take 3 .5 attivan per day
Okay so you take 3.5mg of Ativan per day, and still no sleep. Well you can try switching to Klonopin as that stays in your system longer than the Ativan.
my dr won't prescribe rivitril as she thinks its too addicting
All of the benzodiazepine medications can be addicting, but if you use them as prescribed and wean off them slowly, then you will not have any major side effects from taking these medications. But I cannot convince your doctor to prescribe something she does not consider to be safe.
And you mentioned that you have already tried neurontin
Agreed, however the 90 mg of restoril is not putting me to sleep for more than 2-3 hours and that mixed with serequel. Just want to sleep. I'm so desperate for sleep
Yes and I actually found it addicting needed higher and higher doses And experience euphoria. It took me 3 month of hell to get off it.
That is so odd because those medications should definitely put you to sleep for a lot longer. Most likely the depression you have is what is causing your severe insomnia, so if you cure the depression, you hopefully will resolve the insomnia. The Lexapro will help a lot with that. In addition, if the Lexapro does not help on its own, you can consider adding abilify to the lexapro
Yes the benzodiazepines are addictive and take awhile to taper off them safely. May I ask are you seeking therapy at all for your depression?
Or are you just seeing a psychiatrist for medication consult and management?
Any other suggestions for sleep? I'm sure I haven't tried everything available
You have tried most of the medications available, you could add Zyprexa to help you sleep as well, although I read that you did try Clozapine and that is an antipsychotic as well
forgot to mention initially I was not depressed neither had I ever experienced depression before the trazadone stopped working for sleep. Also I've been on lexapro before eWorld great for depression but made insomnia worse. Do I sound hopeless by now???????
All the SSRI medications can cause insomnia, although Lexapro has a lower incidence rate of this, which is why I mentioned it
You are not hopeless at this point, but these medications all have strong sedative effects that you have been on and you are the Doral (Quazepam) does help with sleep, but is not available in Canada.
I know you have tried the tryclic antidepressants, have you tried Clomipramine?
Yep, so i wonder if an old antipsychotic would be better? Yes I am I counselling for how severely this has affected my life but it's not really helping me cope. I just need to sleep. I
An older antipsychotic may help you sleep like Haloperidol, but it also has some other really bad side effects too
No I have not tried that tryciclic. How does it differ from elavil
Clomipramine has a similar effect like Trazadone and Remeron, that is why I mentioned it
So it would be in the same class as Elavil as well
Well thank you I'm going to switch back to lexapro and ask my doc about the tryciclic you mentioned. Any other sedating medication you can think of?
Well all of the Tricylic and tetracyclic antidepressants have a sedative effect, so those can work for you. And also Depakote is a mood stabilizer, but can have a drowsiness effect with some individuals as well.
Also I would recommend going to a sleep clinic, if you have not already, as there may be another cause for your insomnia
I'm scheduled for sleep clinic. Thanks for your help
That is good, I hope the sleep clinic can shed some light for you as well. If there is anything else that you need you are more than welcome to contact me at anytime
I wish you the best of luck and I hope you get rid of this chronic insomnia soon
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