So I have been on xanax 1mg two to three times daily for about 1-1.5 years now; Paxil is great and I don't need xanax when on paxil but it makes me manic as hell so that isn't really an option. Been thinking whether Zoloft would be any different.... Anyway, still on xanax same dosage, but just doubled my valium from 10mg at night to 20mg at night because I was waking up from sleep with difficulty breathing and panic symptoms. I asked to try ativan, eliminate the antipsychotic i use for sleep mainly since ativan 2mg really helps with insomnia, and get rid of the valium. Well she said lets try increasing the valium first then we will go from there.
Valium honestly does nothing for me. At 10mg I legit feel nothing. It takes at least 40-60mg for minimal anxiety relief. I respect its long half-life but if it's not benefiting much for sleep, or other anxiety problems in the morning I feel like why should I continue it. Switching to ativan 2mg at bedtime could get me off valium and saphris for sleep
(would love to not be on an antipsychotic mainly for sleep anyway). Ativan very little to no next day drowsiness, cognitive impairment, lethargy, flat mood. Refreshing sleep is what ativan gives me. Any ideas why the dr might be pushing for valium instead even after I explained it doesn't help for sleep, for anxiety, only thing it is good for is if i dont take my xanax for 1-2 weeks and I wont have a seizure, but my neurologist said lamital should cover that since it's an anticonvulsant.
I don't know whether to stay on 2 benzos as the same time, whether it's xanax and valium or xanax and ativan, or to ask for an increase in xanax to maybe 5-6mg/day in divided doses, maybe 2mg twice per day and 1mg once per day, or 2mg 3x a day. My neurologist said if you need to be on these types of medications than it is warranted and pretty much OK in my case. Klonopin sucks, not as much as valium, but it does barely anything for anxiety, esp. panic, or sleep. Makes me have a depressed mood actually, while xanax uplifts my mood and helps me enjoy life without having anxious mood and panic attack symptoms. Ativan just makes me drowsy so I prefer that for sleep.
My main question is regarding how i could proceed. Adding ativan, stopping valium maybe saphris, or upping xanax dose and being on only one benzodiazepine. I do have a tolerance so higher doses than 1mg sometimes are needed to stop anticipatory anxiety, avoidance anxiety, and esp. panic attacks. Restoril doesn't help with sleep surprisingly. Never tried triazolam but would love to due to its short half-life and potency/efficacy for insomnia, but my dr thinks it wouldn't be a good idea. Dr says stims may be increasing my anxiety but don't think that is the case. Really want an effective benzo combo or pick to be on xanax only, just at a higher dose. My parents think its crazy to take 3 xanax a day but it's what helps and lets me live life. Somtimes i take more than prescribed because 1mg will not help my symptoms. I just want to be on a stable dose, whether its xanax 3mg xr 1x daily with 1mg 3x daily or 2mg 3x daily. Something has got to give, and the hardest part is even bringing up increasing my xanax dose with my dr because of its bad reputation since everyone seems to abuse it nowadays. I'm ready to take a trip to mexico and take a visit to their pharmacies...
hello, new here. i found the board by googling two of my meds interactions.
went to my psych today and got a new med... read about two of my meds interaction and lowkey i'm terrified lol.
list of all drugs/substances i take once a day, all in the morning:
300mg bupropion qd
400mg lamictal qd
10mg generic zyrtec
birth control pill
30mg zenzedi OR adderall. i only take half at a time, and not every day, though i do most days
5mg ambien (take ~5x a week)
my depression has been terrible for the last year -- tbh since the election. dropped out of Uni fall semester last year and haven't been since. i have been lazy, 100000% unmotivated, reclusive, gained 30lbs in less than 2 years etc etc. i don't want to leave the house to see my friends and family because i am embarrassed about my weight gain (also because of the reclusiveness i mentioned).
after talking with my psych, she suggested adding 5mg Trintellix (Brintellix?). she mentioned that the most common side effects were nausea, diarrhea etc etc. she said that if it seemed to be helping i could lower my wellbutrin dose and perhaps stop taking it entirely (trintellix being its replacement). after leaving her office i did what any other millennial would do and googled the medication. there is a LOT of information about the possibility of serotonin syndrome being a side effect - i read somewhere 15%???? that seems low but like google it - it sounds terrifying. combining wellbutrin + trintellix has a "MAJOR" interaction per drugs.com, which states that the risks outweigh the benefits when combined. i immediately left my psych a message telling her basically what i said but less crazy (pfff lol) sounding. she called back and said that she's never seen that, it's very rare, she's met only one prescriber who reported it in a patient, and it's usually at higher doses. i feel a little better but still a bit nervous.
not really sure what i'm expecting to get from this post but i'm so annoyed with taking a millions meds and i keep seeing deaths reported by combined meds, often including (not limited to) adderall and ambien. like i'm in my early 30s, i don't want to die in my sleep.... anyway, hi!
So I am in quite a nasty situation. Over 3 months ago I was able to kick my addiction to heroin with therapy and Suboxone. Also, I successfully got my bipolar II under control with Lithium ER 900mg and Seroquel XR 300mg.
For the last 6 weeks I am having fragmented sleep. I am able to fall asleep relatively easily only to wakeup after 2hrs. I then go back to sleep and from then on I wake up roughly 5 times a night.
I've eliminated all caffeine from diet, I don't smoke cigarettes within 2hrs of bed and I don't watch TV or use any other screen before retiring.
My addiction specialist has tried me on
trazadone 150mg--did nothing
Doxepin 75-150mg--only makes me sleeoy
Ambien CR (w/ doxepin)--barely any change. I think it slightly improves the quality of sleep in between waking up.
Does anyone have any recommendations for a sleep maintenance medication? I prone to rapid weight gain from AP's and dont want to double up as I am taking quetiapine already.
For what it's worth....my sleep hygiene is very good. I've started exercising in the morning before work. I work as a credit analyst and sit in front of a computer from 9 to 5. HOWEVER...my insomnia is causing me to nod off at my desk which is unacceptable.
Any tips/ideas/recommendatins are welcome. Mikl_pls I'm looking your way as you are the resident amateur psychopharmacologist. ;-)
Hello, all. I'm new to this site. I've been working with a pdoc for the past 3 to 4 years and, more recently, a therapist, due to what I personally classify as treatment resistant MDD. I'm in my mid-forties. Throughout this time, my pdoc has tried multiple "cocktail" combinations of medications. Some combinations work for a while, but it's difficult to become excited when I'm in a good period because I know the bottom can, and likely will, drop out from under my feet again. I'm curious whether anyone has had any success with a similar pharmaceutical lineup like mine. I'm also hoping someone might have tips on outrunning the black dog for longer than a few months at a time. I trust my pdoc, but I'm wondering if I should get a second opinion. Unfortunately, I live in an area where there are not many pdocs from which to choose.
Some things to know:
I have sleep apnea. For most of my adult life, I've fought drowsiness during the day no matter how much sleep I get. I've had multiple CPAP titrations, but they never seem to do much for the daytime sleepiness. About 3 years ago, I was diagnosed with ADD. Current medicinal lineup:
Adderall (15 mg x 2 per day) Lamictal (75 mg x 2 per day) Xanax (0.5 mg x 3 per day) Buspar (15 mg x 4 per day) Trintellix (20 mg x 1 per day) Made me nauseated when I took it during the day, so my pdoc had me start taking it at bedtime, which made all the difference. Starting today, replacing Latuda with Vraylar (1.5 mg x 1 per day) Previously tried the following:
Paxil (40 mg x 1 per day) I started this for social anxiety nearly 20 years ago and was taken off of it around 6 months ago. Going off of this after so long was a terrible experience, but those effects have subsided. Prozac Wellbutrin (150 mg x 1 per day) Latuda (20 mg x 1 per day) Seroquel (25 mg x 1 per day) Slept like a baby on this, but it made the daytime drowsiness worse. Rexulti Experienced akathisia with this one. Abilify Also experienced akathisia on this. Viibryd Had stomach cramps I'm also using the following supplements:
Omega-3 Vitamin D Vitamin B6, Magnesium, Zinc capsule Ashwaganda/Rhodiola