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HydroCat

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  1. HydroCat

    New meds, new dreams

    Couldn't sleep. At 4 AM I took a .25mg Clonazepam. Fell asleep. I've dreamt the same weird dream about 7-8 times in a row in 3 hours, then I gave up. Could this be the ought-to-be-horrible Effexor withdrawal?
  2. HydroCat

    New meds, new dreams

    Thanks @argh. I am exactly one week on the current dose of Mirtazapine so I hope that if it is really the cause then it is temporary. I am somewhat scared of going to sleep now but I can't take the calming Clonazepam because it can equally be the culprit, as my obsessive searching through the internet brought up... along with some other scary stuff about drugs that is just great for people like me with OCD as the main Dx to read before bedtime. What dose of Mirtazapine were you on? Did you take it at morning or at night?
  3. Recently I had a few changes made to my meds cocktail, introducing Mirtazapine and Clonazepam and increasing Abilify. Since then I have really long realistic weird dreams every night. I guess this has to do with either Clonazepam (which I can easily stop taking) or Mirtazapine (which I can't). Any input is welcome...
  4. It is unclear to me why they call it this way. If Mirtazapine is an indirect agonist of 5HT1A because it causes serotonin release, then every SSRI is as well, by inhibiting serotonin reuptake. Right now it feels more activating than calming, even more so than Effexor. I guess everyone is different.
  5. Thanks for the link. Very interesting study. I have just finished switching from 225mg Effexor to 30mg Mirtazapine, which is an equivalent dose (sort if) for OCD+depression+anxiety, along with Abilify and Lamictal. It is very effective for my depression and anxiety - calming but not too sedating (15mg, however, definitely was). Subjectively I am pretty sure it also made me more social and clear-minded. I do have a little bit more appetite and have gained a few grams but nothing significant so far. A disclaimer though, I usually have no side effects and no withdrawl issues. Either I am lucky or my pdoc is very professional in switching meds. Or both. Bottom line: a +1 for Mirtazapine. Past ADs: Sertraline, Fluoxetine, Cymbalta, Effexor, Milnacipran, Trintellix, Bupropion. Of these Cymbalta was the best for the longest time.
  6. HydroCat

    Nightmares from Melatonin?

    I guess the consent form is for your pdoc to not be held responsible for... whatever... Risperidone is good for sleep mainly because it is a (very) strong antihistamine, or histamine inverse-agonist. There are quite many of these, besides Risperidone there are other APs. Mirtazapine is a strong antihistamine too. Many allergy meds fall into this category as well. A pure antihistamine should also have fewer side effects (or potential side effects) than any AP. 1mg Risperidone made me sleep so deeply that I was literally surprised that I could even wake up. My insurance required special requests (!) from my pdoc to a board of doctors (!!!) to allow it, because it is an AP and I am not diagnosed with psychosis. Go figure.
  7. Then it comes to that: no matter when I take the .25mg, AM or PM - I literally can't stay awake after lunch. Besides that, I can't really tell what it does for my mood. Maybe I don't really need it...
  8. Not sure why this happens but ever since I am on Clonazepam I fall asleep mid-day, about 16 hours after I take it. Problematic when I am at work... This is a very late onset for its sedating effect. Metabolism thing?
  9. Sounds awful. Really. Guess I could say that we all have super bad times in this place but I won't... Just a thought, if one of your AAPs has a stronger affinity (or something) then it may be dominant over the others. In other words, you may be taking too much of one, or too many different ones and neutralize some of their effect. Seroquel and Clozapine are calming, but Abilify can be activating which may not be good for your case. While not being a professional I would look into lowering the dose of Abilify and see if anything changes. What are you taking other than AAPs?
  10. Went from 225mg down to 75mg, with 30mg Mirtazapine. So far I don't really feel any different. A bit more calm and a bit more sleepy maybe. I expected a horrible withdrawl syndrome, maybe it will come when I stop taking Effexor in two days...
  11. I see a lot of good comments about rexulti. Unfortunately, it is not (yet) available in my country.
  12. @cakepop Intrusive thoughts is one feature of OCD, yes.
  13. The placebo effect is an influence from something out of expectation. For example, if you take a drug, believing it does something then you may actually feel a change even if the pill itself is just a sugar pill.
  14. Hallucination sounds like a psychotic feature. The strange thought may be what is called "intrusive thought". Abilify helps me a lot with my intrusive thoughts and being an antipsychotic it should be good for psychosis obviously. I'd say the answer is yes.
  15. The “no one can give you a diagnosis online” disclaimer aside, I'll try to give you some information. Prozac is close to being a SNRI and Lexapro is the “purest” SSRI available. So it seems that a serotonin boost gives you a good feeling but the extra norepinephrine (and indirectly - dopamine) effect of Prozac gave you panic attacks. It is generally accepted that bipolar spectrum patients taking an SSRI alone are more prone to getting manic without a mood stabilizer or an antipsychotic addition. I would ask you if you think that the good feeling Lexapro gives you can be considered hypomania or simply normal mood. If it is the latter then maybe you are not bioolar after all. Otherwise, well, the principal is correct. Oversimplifying, Lamictal affects the GABAergic system by changing the ratio between glutamate and GABA that have opposite effects. Alcohol is a GABA agonist, it mimics the inhibitory (depressant, calming) effect of GABA. Benzodiazepines, anti-anxiety meds like Valium or Xanax, enhance the effect of GABA when it is available. They have a calming effect when they work and maybe they can make you want to drink less, but due to this mechanism they are never to be used with alcohol (!) You need to better understand the effect alcohol has on you and the reason for which you drink.
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