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Which antipsychotic will give you the BEST SLEEP (Will award helpers +++)

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Hi,

Which antipsychotic gives your the best?. So you take it to go to bed and you wake up feeling refreshed.

 

Olanzapine is said to increase slow wave sleep. risperidone is also said to do this but many say they wake up feeling bad.

Which is the best antipsychotic out of them all that gives you the best sleep? .

 

 

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I don't think there is any right answer to this because you will never know how the meds affect you unless you try them. Meds tend to affect different people differently. It's sad to say but oh so true.

Having said that, I have heard good things about Saphris  with regard to sleep (though I have no personal experience with this med).

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Zyprexa knocks me out, but I feel like crap the next day. I don't take it for sleep, though. Seroquel didn't help me sleep, plus it gave me a terrible hangover. Abilify doesn't do anything for my sleep as far as I can tell, but again I don't take it for that purpose.

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Olanzapine gave me a sleep hangover the next day and I'd need an afternoon nap for three or four hours to get over it. The best I had for sleep was clopixol. If you're in the US though, it's not scheduled.

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Saphris helped me sleep... about 20 hours a day. I was on risperdal for years, sleep wasn't bad, wasn't good. On seroquel now, lucky if I get 3 hours in a row.

You won't know what works til you've tried it.

 

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In defense of, "you'll have to try to know".

For example, Saphris for me is the worst, I take it, about one hour after taking it I'm dribbling and dangerous to be awake, so I go to sleep but about four hours after sleeping I awake hungry, that happened fro two months.

I never took something like quetiapine, first month that I took it, I would hit the bed and snort so loud that I would wake up with my own snort, 100mg at the time, never passed 300mg. Some people can take those dosages and stay awake for example.

My pdoc is saving Zyprexa for a extreme case, he know how easy almost every drugs makes me gain unhealthy weight in a short time but I really hope it induces the same deep sleep as quetiapine but with the benefit of having antipsychotic effects at low dosages.

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Just agreeing with others that you won't know until you try it because everyone reacts differently to meds.  If you can't find one that works, maybe a combination of meds could help?

I have not found a med that keeps me asleep all night and I wake up refreshed.

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I got a great night sleep the first night I was on risperidone, never had one like that before. I was having big problems with sleep prior to that but now I have a set time at night I aim to go to sleep at and I will sleep until 8-9am the next day if I don't have something to get up by. When I wake up I don't particularly feel like I've slept too well though, even though I've had all that time but that's probably an illusion.

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I take seroquel which knocks me out but I don't always see it as a blessing when I want to stay up. If you're a college student and take it, it's a curse or at least you consider it as a curse. It does give you a good nice sleep though.

Edited by The Right Honourable Jimmy

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There are lots of sedating AP's. Zyprexa, seroquel, saphris, etc made me sleep but YMMV. Everyone is different. Risperdal did not sedate me at all, for example. 

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Yeah, sorry to beat a dead horse, but results are all over the board on this one...and unfortunately, you may also find that your own results change over time.  Sometimes the reason can be obvious (the rest of your meds changed, so whatever it's interacting with is different) and sometimes it makes no sense.

In addition to those mentioned above (for me, zyprexa strangely didn't put me to sleep, seroquel knocks me out but adds weight quickly and is a last resort, abilify was neutral), geodon made me fall asleep. That one can send people in either direction, from my understanding.  I actually had to stop it because of how sedating it was--I was unable to wake up for work the next morning and couldn't afford to lose my job.  I would have put up with the seroquel weight gain if I had to.  But I know for a lot of people it's more activating (which is actually why I started it, oddly enough).

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Geodon made me so agitated my pdoc took me off of it after a long weekend. Risperdal was too sedating, made me hung over, and made me depressed. Abilify made me manic. Latuda is my boyfriend, but we had to separate because of the expense.

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When I was on Geodon, after about a month I had to come off of it because my resting pulse was around 120 ... or close to it.  Every week.  It had gotten really high. 

I ended up needing an EKG every 2 weeks until it went down.  I am not sure if my blood pressure rose or not to a dangerous level (because I was already on atenolol ... which most likely kept it down).

Abilify does not make me tired, and is weight-neutral. 

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Seroquel was sedating at low doses. Loxapine knocked me out completely. I fell asleep in school, at the doctor's office, etc. The rest of the APs and AAPs I've been on, I got used to fairly quickly and were only sedating for a few days or weeks.

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Does it have to be an anti-psychotic med for you to try to help you sleep?

For me this didn't last, but the first time I took depakote I was out like a light.  Unfortunately that wore off a couple of days later.  But maybe try different meds (not only antipsychotics)?

 

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On ‎4‎/‎19‎/‎2016 at 7:10 PM, The Right Honourable Jimmy said:

If you're a college student and take it, it's a curse or at least you consider it as a curse

My sleep specialist tried to help with sleep hygiene. Things like no electronics/light 1 hour before bed. Fall asleep at the same time every night and wake up at the same time. Limit caffeine intake to before noon only. Etc...

All I could think was, yeah I'm in college. I'm in class, or labs, or doing research all day. This isn't going to work.

 

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At the right doses, both Zyprexa and Seroquel help me sleep.  I've taken as little as 5 mg of Zyprexa and currently take 75 mg of Seroquel.  I had to experiment to find just the right dose (ie. no hangover, but still sleeping).

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Seriously is really wonderful. It knocks you out cold. BUT, it gives you "the munchies". And I mean worse than marijuana munchies. I gained 50 pounds on it. That's the only reason I'm not still on it

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For me, Risperidone is the bomb right now. It makes me feel VERY relaxed. It takes me a while to fall asleep, but it's like a slow, peaceful drifting, not like tossing-and-turning. When I wake up, I feel good and refreshed. However, this was NOT the case when I first started taking it. For about the first week, I felt like I was almost drunk after I took it and would pass out quickly, then wake up feeling almost hungover. This went away after I adjusted to it, and now I get a solid 7 hours of sleep per night and wake up feeling fine. 

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