Needing Support

Question:

Hi, my name is Stacey, I don’t know where to start.  I have been severely depressed since Aug 95.  And have also been diagnosed with an anxiety disorder, which is somewhat under control with Chlordiazapoxide.  I am frustrated because I have been on every antidepressant under the sun and nothing seems to have helped the depression.  My Psych. put me on 600mg of lithium, 75mg of Trimipramine just over a week ago, (I don’t think he really knows what is wrong with me yet) so far, there has been no improvement. I have these violent mood swings that change by the hour.  One minute I’m fine, an hour later I want to kill myself and I am afraid I might hurt someone else.  My husband is a very patient man but even he is getting really frustrated with my moods.  I haven’t been able to work since Nov. I understand that medicine takes time to work, but the frustration of not knowing what is happening to me and why this all started out of the blue and wondering if I will ever be myself again is driving me crazy.  I just wish someone had a simple answer.  I am 24 and do not want to be like this for the rest of my life – I am scared!  I promised my husband I would not kill myself, but he has locked all the meds. away just in case.  I don’t trust myself either!  I probably sound like I am just blabbering but I have so much to say and don’t know who to say it to.  I am frustrated because as supportive as my friends and family are, they do not know the torment that I am really going through.  If there is anyone out there with any advice or encouragement, I could really use it. Thanks Stacey

Response:

I am 26 years old and have just recently started to come out of a pretty serious depression  preceded by a manic episode.  I have been taking Prozac for about a month.  I am not completely out of the woods yet, but can see the other side.  Just wanted to let you know that I can understand your worries about having to go through this for the rest of your life. I have felt the same frustrations.  I hope this helps you atleast a little bit to know that it can be done.  Hang in there. Jason

Response:

I know what know about being normal one minute and crazy the next.  I am diagnosed as rapid-cycling bipolar, but it took them three months just to figure the bi-polar part. Gotta go.

Response:

Leave a Comment March 7, 1996

Just started Neurontin….advice???

Question:

Damn James! LOL I just read your message after I posted mine.  You reiterated everything that I said and I hadn’t read your message yet! :)  I think we have a meeting of the minds here :) . You’re absolutely right.  Although I realize that the problems in the medical community aren’t just in my city, this doc is just the absolute mirror of the problem here. Another thing is that this doc is at the clinic that I reported to the main office in Washington DC for not answering their phones after 20 rings the day I was suicidal.  I was actually letting DC know about a social worker that was VERY helpful and I wanted to ensure she was recognized.  Unfortunately, and maybe I’m dreaming this up, but unfortunately that social worker hasn’t been at work since I reported to DC how good she was and no one knows when she’s coming back. Seems fishy to me… And at the same time the doctor is telling me I’m not depressed…well then why the hell am I on 300 mg a day of Wellbutrin? Duh! Anyway, I will contact you James separately.  Maybe there is something we can do together on this situation.

Response:

>Hi James, > Well, I didn’t get Zyprexa…but my family doc (who seems to know MUCH more > than my pdoc!!!) started me on Neurontin with my Effexor XR and clonazepam. > Now, I know all of the stuff about the drug in the medical literature and > stuff. BUT, I am curious, what is the starting dose for us BP’ers?

This varies james but I believe in the " start low, and go slow" and taking Neurontin every 6 hours as it’s half life is only 5-7 hours. >I know > that TOO high of a dose can actually send us spinning, and aggitate us. But, > he has me on 100mg tid to start. From looking at the doses in the med books, > this seems like a fine, and low, starting dose. If anybody else WHO IS on > the med could please pass their experiences on, it would be greatly > appreciated. Thanks!!!

I took Neurontin for over 1 year….and the frquency was  every six hours. The highest dose I was on was 2100 mg….for me it also had the added benefit of alleviating the neuropathic pain from my Multiple Sclerosis. I hope the med works well for you. Peace, — Lynda

Response:

031.remarq.com>, > Amen, James! That’s my pet-peeve, too. I

personally believe that – Hide quoted text — Show quoted text -> *anyone* prescribed AD’s, no matter what their history, should > be seen on a weekly basis for the first month – just in case > something goes wrong. > I count my blessings that I lucked out with my first entre into > the mental health system and got a first-rate pdoc. He prudently > put me on a mood stabilizer right away (along with Prozac and > other goodies), suspecting bipolar despite my lack of history > for any sort of depression or other mental problems. And he > turned out to be right on the mark, which

became very clear down > the road. Had I received a less-than-adequate pdoc, I may yet be > struggling with getting this illness under control, and surely > the condition would have deteriorated. > I do have another pet peeve, and that is pdoc’s who prescribe > anything other than lithium *OR* depakote on the first round. (I > don’t know your particular situation, James.) These first-line > meds help something like 70% of all bipolar

patients – therefore > it is prudent and wise to start with them *first* – not the > newer meds like Lamictal and Neurontin. Not that there’s > anything necessarily wrong with either of those – but they > really should be tried only when the others fail or cause > unreasonable side effects. Just my opinion. > jen > * Sent from RemarQ http://www.remarq.com The

Internet’s Discussion Network * > The fastest and easiest way to search and

participate in Usenet – Free! > RE:Neurontin vs. Depakote

This is myfirst time so please bear with me. I took Depakote for 2 1/2yrs, it saved my life,but it quit working. Now I take 3600mgs of Neurontin,its a little trickier, have to remember to dose on the same schedule every day or i feel dizzy and tired. have to take  Zyprexa to sleep and the serazone for the lows. I sure would try the Depakote first, its a lot easier. I also had an immediate benefit from the Depakote, this is a little slower going. have been taking for 2 mos. woul appreciate hearing from anybody who’s been on it a little longer. clay Before you buy.

Response:

Amen, James! That’s my pet-peeve, too. I personally believe that *anyone* prescribed AD’s, no matter what their history, should be seen on a weekly basis for the first month – just in case something goes wrong. I count my blessings that I lucked out with my first entre into the mental health system and got a first-rate pdoc. He prudently put me on a mood stabilizer right away (along with Prozac and other goodies), suspecting bipolar despite my lack of history for any sort of depression or other mental problems. And he turned out to be right on the mark, which became very clear down the road. Had I received a less-than-adequate pdoc, I may yet be struggling with getting this illness under control, and surely the condition would have deteriorated. I do have another pet peeve, and that is pdoc’s who prescribe anything other than lithium *OR* depakote on the first round. (I don’t know your particular situation, James.) These first-line meds help something like 70% of all bipolar patients – therefore it is prudent and wise to start with them *first* – not the newer meds like Lamictal and Neurontin. Not that there’s anything necessarily wrong with either of those – but they really should be tried only when the others fail or cause unreasonable side effects. Just my opinion. jen * Sent from RemarQ http://www.remarq.com The Internet’s Discussion Network * The fastest and easiest way to search and participate in Usenet – Free!

Response:

– Hide quoted text — Show quoted text -> Hey folks: > Well, I didn’t get Zyprexa…but my family doc (who seems to know MUCH more > than my pdoc!!!) started me on Neurontin with my Effexor XR and clonazepam. > Now, I know all of the stuff about the drug in the medical literature and > stuff. BUT, I am curious, what is the starting dose for us BP’ers? I know > that TOO high of a dose can actually send us spinning, and aggitate us. But, > he has me on 100mg tid to start. From looking at the doses in the med books, > this seems like a fine, and low, starting dose. If anybody else WHO IS on > the med could please pass their experiences on, it would be greatly > appreciated. Thanks!!! > James MacLachlan:-)

Hey, you’re gettin’ some! ;-) Jim O – Hide quoted text — Show quoted text –

Response:

>weeks–sort of normal; next two weeks–really sleepy in the afternoons.  i >think i started on 900 mg and am now at 1500 daily.  best of luck, julie

I got started on 3 x 300 a day and with the coming off depakote (2000 mg a caused by the depakote are almost gone

Response:

>weeks–sort of normal; next two weeks–really sleepy in the afternoons. i >think i started on 900 mg and am now at 1500 daily.  best of luck, julie > I got started on 3 x 300 a day and with the coming off depakote (2000 mg a > caused by the depakote are almost gone

I found Depakote to probably be the most "stimulating", yet "dysphoric producing", out of all of the mood stabalizers. I might suggest holding your dose of Neurontin where it is at for atleast another week or so. IMHO..anyhow… Best.. James:-) — "Dying is only one thing to be sad over. Living unhappily is something else." Morrie Schwartz "Some day we will wave hello…and wish we’d never waved goodbye…"

Response:

   I experienced virtually no side effects, except for some weight gain, at the 2400 mg level. It did, however, agitate me. Right now my heart feels as though it will burst from my chest; I cannot sleep and I want to stop my medication in order to drink excessively and go manic. Gabriel * Sent from RemarQ http://www.remarq.com The Internet’s Discussion Network * The fastest and easiest way to search and participate in Usenet – Free!

Response:

Hey folks: Well, I didn’t get Zyprexa…but my family doc (who seems to know MUCH more than my pdoc!!!) started me on Neurontin with my Effexor XR and clonazepam. Now, I know all of the stuff about the drug in the medical literature and stuff. BUT, I am curious, what is the starting dose for us BP’ers? I know that TOO high of a dose can actually send us spinning, and aggitate us. But, he has me on 100mg tid to start. From looking at the doses in the med books, this seems like a fine, and low, starting dose. If anybody else WHO IS on the med could please pass their experiences on, it would be greatly appreciated. Thanks!!! James MacLachlan:-)

Response:

I started at 400TID and went to 400QID because I felt I was not getting "coverage" through the day. The short effective life of the drug (5-6 hours) had particular impact on me–but not others (YBMV, once again!). When I miss or am late for a dose, I get buzzy–when I tried an increase (to help alleviate some anxiety), it increased my slight depression. Ironically, though–right before that–when I reduced my dose to 400TID once again–I felt a dip. This makes me think that I am just at the right dose for me <G>. -Thumper

Leave a Comment March 29, 2000

Chronic licking – till raw and bloody

Question:

The suggestion I can think of is a specialist, maybe a veterinary behaviorist?? Or dermatologist? Try one of the large university vet schools. I’ve heard they are using medications for behavioral problems (Prozac and the like), but don’t know much about it. One other consideration, could it be some sort of allergy? Have you had him tested? I would say it was an unusual manifestation of allergies, but you asked for suggestions and these are things that come to my mind(probably because I worked for an allergy specialist).  After ten years of this though, I’m not sure there is much anyone can do.  Maybe alternative treatments would be an option in this case. I’m so sorry for you and your poor dog, this must be very hard on all of you. >We have a golden retriever (12.5 years old) who has licked his legs raw and >bloody for 10 years.

[snip]

Response:

> We have a golden retriever (12.5 years old) who has licked his legs raw and > bloody for 10 years.  Apparently it started as a seperation anxiety when we put > him in a kennel for 2 weeks because when we brought him home he had a raw spot. >  Over the years it has gotten worse and worse.  Now he has huge raw spots on > all 4 legs where there is no skin at all and at times he leaves droplets of > blood all over because of the bleeding.  We have tried everything (except > acupuncture) – cortizone, shots, wrapping and binding, sprays, Elizabethean > collar, you name it.  The vet says it is the worst case he has ever seen and at > this point is probably developed into a neurological habit.  At times it smells > so bad it reeks.  This is a beautiful dog, wonderful temperment, and part of > our family.  Any suggestions at all that we can try?  My husband is threatening > having him put to sleep – but there is too much good life left in him.  He > deserves better than what he is doing to himself. Please help!

   I’m not sure if this is a behavioral or medical problem.  The duration, intensity, and failure to respond to treatments seem to indicatea behavioral problem.  However, the fact that all four limbs seems to indicate a medical problem.  I suggest you have a vet (perhaps a dermatologist?) take a look at him and aggressively attempt to persue a diagnosis.    If it IS behavioral in nature, I’d highly recommend you find a good veterinary behaviorist ASAP.  They have some very good drugs to break the cycle of acral lick dermatitis (chronic self-mutilation of the limbs). One particularly good one is clomipramine.  I think your dog can absolutely live a good life with swift and aggressive behavior therapy. Erik "Rouleaux" Hofmeister WSU Class ‘00 PLEASE NOTE: In the absence of a traditional veterinarian-client-patient relationship, this information should be taken as a friendly opinion, not as an official clinical recommendation.  Also realize that I am a veterinary student, and anything stated should be taken with that in mind.

Response:

: We have a golden retriever (12.5 years old) who has licked his legs raw and : bloody for 10 years.  Apparently it started as a seperation anxiety when we put : him in a kennel for 2 weeks because when we brought him home he had a raw spot. :  Over the years it has gotten worse and worse.  Now he has huge raw spots on : all 4 legs where there is no skin at all and at times he leaves droplets of : blood all over because of the bleeding.  We have tried everything (except : acupuncture) – cortizone, shots, wrapping and binding, sprays, Elizabethean : collar, you name it.  The vet says it is the worst case he has ever seen and at : this point is probably developed into a neurological habit.  At times it smells : so bad it reeks.  This is a beautiful dog, wonderful temperment, and part of : our family.  sorry to seem unkind, but he sounds like a monster to me… I get visions of frankenstien X with trasporter accident. You’re a loyal and caring person to have invested so much in his care. At this point he seems to be distressing your entire family, in this pitiable condition. The old fellow seems to have reached the end of his rope. Please consider his and your family’s quality of life conserning this issue.  Any suggestions at all that we can try?  My husband is threatening : having him put to sleep – but there is too much good life left in him.  He : deserves better than what he is doing to himself. Please help!

Response:

We have a golden retriever (12.5 years old) who has licked his legs raw and bloody for 10 years.  Apparently it started as a seperation anxiety when we put him in a kennel for 2 weeks because when we brought him home he had a raw spot.  Over the years it has gotten worse and worse.  Now he has huge raw spots on all 4 legs where there is no skin at all and at times he leaves droplets of blood all over because of the bleeding.  We have tried everything (except acupuncture) – cortizone, shots, wrapping and binding, sprays, Elizabethean collar, you name it.  The vet says it is the worst case he has ever seen and at this point is probably developed into a neurological habit.  At times it smells so bad it reeks.  This is a beautiful dog, wonderful temperment, and part of our family.  Any suggestions at all that we can try?  My husband is threatening having him put to sleep – but there is too much good life left in him.  He deserves better than what he is doing to himself. Please help!

Response:

I wish I knew something that could help, but all I can go is wish you lots of luck! Labrynth > We have a golden retriever (12.5 years old) who has licked his legs raw and > bloody for 10 years.  Apparently it started as a seperation anxiety when we put > him in a kennel for 2 weeks because when we brought him home he had a raw spot. >  Over the years it has gotten worse and worse.  Now he has huge raw spots on > all 4 legs where there is no skin at all and at times he leaves droplets of > blood all over because of the bleeding.  We have tried everything (except > acupuncture) – cortizone, shots, wrapping and binding, sprays, Elizabethean > collar, you name it.  The vet says it is the worst case he has ever seen and at > this point is probably developed into a neurological habit.  At times it smells > so bad it reeks.  This is a beautiful dog, wonderful temperment, and part of > our family.  Any suggestions at all that we can try?  My husband is threatening > having him put to sleep – but there is too much good life left in him.  He > deserves better than what he is doing to himself. Please help!

– http://www.abraxis.com/niceguy/labrynth

Response:

- Hide quoted text — Show quoted text – >: We have a golden retriever (12.5 years old) who has licked his legs raw and >: bloody for 10 years.  Apparently it started as a seperation anxiety when we >put >: him in a kennel for 2 weeks because when we brought him home he had a raw >spot. >:  Over the years it has gotten worse and worse.  Now he has huge raw spots >on >: all 4 legs where there is no skin at all and at times he leaves droplets of >: blood all over because of the bleeding.  We have tried everything (except >: acupuncture) – cortizone, shots, wrapping and binding, sprays, Elizabethean >: collar, you name it.  The vet says it is the worst case he has ever seen >and at >: this point is probably developed into a neurological habit.  At times it >smells >: so bad it reeks.  This is a beautiful dog, wonderful temperment, and part >of >: our family. > sorry to seem unkind, but he sounds like a monster to me… I get >visions of frankenstien X with trasporter accident. You’re a loyal and >caring person to have invested so much in his care. At this point he >seems to be distressing your entire family, in this pitiable condition. >The old fellow seems to have reached the end of his rope. Please consider >his and your family’s quality of life conserning this issue.

Elaine, I hope you aren’t serious. You think a dog should be put to sleep for a case of seperation anxiety. Wlnson, Have you tried remedies for stress. A homeopathic remedy may work or perhaps some valerian or kava when you leave him alone. I had a dog that was stressed a lot and licked a sore spot on her hind leg. To get it to heal I put a sock on her and taped it at the top so it would stay on. Do you have a holistic vet you can bring your dog to?? You need to get those sores to heal and get really active in trying to get to the bottom of your dogs anxiety so you can relieve it. Good Luck, Elizabeth

Response:

Leave a Comment March 16, 1998

amitriptyline (elavil) and anafranil for compulsive behavior

Question:

last month, we posted to this group that our little rescue was experimenting with the use of an anti-depressant, Elavil or amitriptyline HCL, to alter the behavior of a husky with dominance-aggression problems. after five weeks we are satisfied that the objectionable behavior is reduced sufficiently to permit this fine dog to be adopted. this bull terrier site contain information on the use of a similar mediation, "anafranil": http://www.btwf.org/o-c.htm  our original 4-18-98 posting follows: at our little dog rescue (www.geocities.com/baja/4055), we’re very familiar with dogs that have severe behavioral problems.  recently we obtained a 1 year old spayed female siberian husky that exhibits an unacceptable level of dominance-aggression. she had been abandoned at a commercial kennel where she had been isolated for five months. especially, she engaged in "mouthing", grabbing at hands to receive more attention. behavioral training was insufficient to alter the conduct.  we tried an anti-depressant, amitriptyline HCL (Elavil) (100 mg daily before sleep) and have found the result to be impressive within 2 weeks. while the objectionable behavior is not totally extinguished, it is much reduced. it remains to be seen whether the use of the drug can be eventually discontinued. more information on the use of Elavil for dogs at: http://www.canines.com/amitrip.html btw, we chose Elavil over the more recently developed "uptake blockers" like Prozac mainly because it is so much less expensive. an important consideration, especially if treatment is prolonged or even lifetime.  i hope others find this information useful.  sue sanchez — please visit our dog rescue website: www.geocities.com/baja/4055 "Serving people and dogs of all faiths and none since 1988."

Response:

 I do not comprehend someone buying a crazy dog who needs head pills to be safe with the family. You could get a regular dog who doesn’t need "pills" to be safe.

: last month, we posted to this group that our little rescue was : experimenting with the use of an anti-depressant, Elavil or : amitriptyline HCL, to alter the behavior of a husky with : dominance-aggression problems. after five weeks we are satisfied that : the objectionable behavior is reduced sufficiently to permit this fine : dog to be adopted. : this bull terrier site contain information on the use of a similar : mediation, "anafranil": : http://www.btwf.org/o-c.htm :  our original 4-18-98 posting follows: : at our little dog rescue (www.geocities.com/baja/4055), we’re very : familiar with dogs that have severe behavioral problems. :  recently we obtained a 1 year old spayed female siberian husky that : exhibits an unacceptable level of dominance-aggression. she had been : abandoned at a commercial kennel where she had been isolated for five : months. especially, she engaged in "mouthing", grabbing at hands to : receive more attention. behavioral training was insufficient to alter : the conduct. :  we tried an anti-depressant, amitriptyline HCL (Elavil) (100 mg daily : before sleep) and have found the result to be impressive within 2 weeks. : while the objectionable behavior is not totally extinguished, it is much : reduced. it remains to be seen whether the use of the drug can be : eventually discontinued. : more information on the use of Elavil for dogs at: : http://www.canines.com/amitrip.html : btw, we chose Elavil over the more recently developed "uptake blockers" : like Prozac mainly because it is so much less expensive. an important : consideration, especially if treatment is prolonged or even lifetime. :  i hope others find this information useful. :  sue sanchez : — please visit our dog rescue website: www.geocities.com/baja/4055 : "Serving people and dogs of all faiths and none since 1988."

Response:

a. this is not our dog, this is a rescue dog we are fostering. b. sasha is a fine dog with a problem. we don’t throw away a dog who has a               solvable  problem. c. it may be that the medication can be discontinued when she reaches her ultimate home. – Hide quoted text — Show quoted text – >  I do not comprehend someone buying a crazy dog who needs head pills to > be safe with the family. You could get a regular dog who doesn’t need > "pills" to be safe. > : last month, we posted to this group that our little rescue was > : experimenting with the use of an anti-depressant, Elavil or > : amitriptyline HCL, to alter the behavior of a husky with > : dominance-aggression problems. after five weeks we are satisfied that > : the objectionable behavior is reduced sufficiently to permit this fine > : dog to be adopted. > : this bull terrier site contain information on the use of a similar > : mediation, "anafranil": > : http://www.btwf.org/o-c.htm > :  our original 4-18-98 posting follows: > : at our little dog rescue (www.geocities.com/baja/4055), we’re very > : familiar with dogs that have severe behavioral problems. > :  recently we obtained a 1 year old spayed female siberian husky that > : exhibits an unacceptable level of dominance-aggression. she had been > : abandoned at a commercial kennel where she had been isolated for five > : months. especially, she engaged in "mouthing", grabbing at hands to > : receive more attention. behavioral training was insufficient to alter > : the conduct. > :  we tried an anti-depressant, amitriptyline HCL (Elavil) (100 mg daily > : before sleep) and have found the result to be impressive within 2 weeks. > : while the objectionable behavior is not totally extinguished, it is much > : reduced. it remains to be seen whether the use of the drug can be > : eventually discontinued. > : more information on the use of Elavil for dogs at: > : http://www.canines.com/amitrip.html > : btw, we chose Elavil over the more recently developed "uptake blockers" > : like Prozac mainly because it is so much less expensive. an important > : consideration, especially if treatment is prolonged or even lifetime. > :  i hope others find this information useful. > :  sue sanchez > : — please visit our dog rescue website: www.geocities.com/baja/4055 > : "Serving people and dogs of all faiths and none since 1988."

– please visit our dog rescue website: www.geocities.com/baja/4055 "Serving people and dogs of all faiths and none since 1988."

Response:

>  I do not comprehend someone buying a crazy dog who needs head pills to > be safe with the family. You could get a regular dog who doesn’t need > "pills" to be safe. > : last month, we posted to this group that our little rescue was > : experimenting with the use of an anti-depressant, Elavil or > : amitriptyline HCL, to alter the behavior of a husky with > : dominance-aggression problems. after five weeks we are satisfied that > : the objectionable behavior is reduced sufficiently to permit this fine > : dog to be adopted.

Actually, what I think we are seeing here is a dog that did not receive the proper training and as a result, the owner was recommended to give drugs to the dog to combat the behavior. The mouthing etc. COULD have been addressed under proper training quite effectively, but the owner’s decided to use drugs instead. I don’t think, given the description,that the dog was crazy at all, but rather, it did not receive effective training. Most likely, due to poor training from someone who very likely had not a clue as to how to train a mouthy dog. JMO, Terri

Response:

we fully appreciate the usefulness of training and we assure you that proper training techniques were used here. however, we are aware that behavior is about equal parts heredity and environment and that some dogs, like some humans, have some minor disfuctions in their brains that medications can correct. we never use medications unless we have previously tried appropraite training techniques. – Hide quoted text — Show quoted text ->  I do not comprehend someone buying a crazy dog who needs head pills to > be safe with the family. You could get a regular dog who doesn’t need > "pills" to be safe. > : last month, we posted to this group that our little rescue was > : experimenting with the use of an anti-depressant, Elavil or > : amitriptyline HCL, to alter the behavior of a husky with > : dominance-aggression problems. after five weeks we are satisfied that > : the objectionable behavior is reduced sufficiently to permit this fine > : dog to be adopted. > Actually, what I think we are seeing here is a dog that did not > receive the proper training and as a result, the owner was > recommended to give drugs to the dog to combat the behavior. > The mouthing etc. COULD have been addressed under proper training > quite effectively, but the owner’s decided to use drugs instead. > I don’t think, given the description,that the dog was crazy at all, > but rather, it did not receive effective training. Most likely, > due to poor training from someone who very likely had not a clue > as to how to train a mouthy dog. > JMO, > Terri

– please visit our dog rescue website: www.geocities.com/baja/4055 "Serving people and dogs of all faiths and none since 1988."

Response:

Leave a Comment May 17, 1998

3Day Pain Patch

Question:

Has anyone had experience with a 3 day pain patch?

Response:

Yes, they’re called Duragesic. The active ingredient is Fentenyl. They come in 25, 50, 75 and 100 microgram/hr doses. They are suppose to last for 72 hours. I just got some today (100’s) and I’m going to give them a try.

Response:

I have been on various opiods for the past four years and now my body seems to process them very quickly.  The 12 hour continuous action pills only last about 3.5 hours for me.  I continually went through withdrawal symptoms throughout the day.  I was most recently on oxycontin 120 mg per day and have just started duragesic (fentenyl patch).  One doctor suggested that i just stop the pills and start the patch.  The other doctor flew off the handle and ripped a strip of the first for stating that.  The second said that it will take up to 3 days for the fentenyl patch to really get into your system and if i stopped the pills i would go through major withdrawals.  I am taking both for now and it seems OK. * Sent from RemarQ http://www.remarq.com The Internet’s Discussion Network * The fastest and easiest way to search and participate in Usenet – Free!

Response:

A patch for pain, that sounds interesting.Do you think the long term effects of a patch might out-weigh the effects of taking oral medicine?Are is it all the same once your body sucks it up. One goes through the skin and the other your mouth.What is opoids? I take oxycontin, loratabs and amitriptyline. Are those opoids?The oxycontin helped me to get off the roller coaster,so I like those.Is oxycontin a new drug because my pharmacy doesn’t have it in generic.It’s like $80.00 for a one month supply if you don’t have insurance.My mother is on tylenol four and muscle relaxers for her back, do they have a long acting pain reliever for her? Is oxycontin the only long lasting pain treatment?Thanks, Mechelle * Sent from RemarQ http://www.remarq.com The Internet’s Discussion Network * The fastest and easiest way to search and participate in Usenet – Free!

Response:

>A patch for pain, that sounds interesting.Do you think the long term >effects of a patch might out-weigh the effects of taking oral >medicine?Are is it all the same once your body sucks it up. One goes >through the skin and the other your mouth.What is opoids? I take >oxycontin, loratabs and amitriptyline. Are those opoids?The oxycontin >helped me to get off the roller coaster,so I like those.Is oxycontin a >new drug because my pharmacy doesn’t have it in generic.It’s like >$80.00 for a one month supply if you don’t have insurance.My mother is >on tylenol four and muscle relaxers for her back, do they have a long >acting pain reliever for her? Is oxycontin the only long lasting pain >treatment?Thanks, Mechelle

I use the patches and they are good for stabalizing the pain level, even if it is still a high level.  Currently I am stabalized at 8.5, but I part of the rare breed that most meds don’t work on, so my docs are always actively searching.  I also use the Actiq for breakthrough pain.  It is also Fentanyl, but in a sucker form and it’s just like going to the ER and getting and IV shot.  Since I started with them, I haven’t had an ER visit again yet.  And I was there at least a few times a month.  Give it a try.  If it doesn’t work for you though, you will ahve to go through some withdrawl to come off the patch. That is normal because it is a constant 24 hour releasing dose and you have to gradually come off it. Best, Tracy "Of all the things I’ve lost, I miss my mind the most!" "I still miss my ex-husband, but my aim is improving." "A friend is the little toy prize in the cereal box of life."

Response:

Leave a Comment December 7, 1999

Use Antidepressants Cautiously for Bipolar Depression

Question:

Clinical Psychiatry News Use Antidepressants Cautiously for Bipolar Depression Carl Sherman, Contributing Writer [Clinical Psychiatry News 27(9):13, http://news.medscape.com/IMNG/ClinPsychNews/1999/v27.n09/cpn2709.13.0... ---- WASHINGTON -- The management of bipolar depression remains a thorny issue, with several "reasonable" therapeutic choices but none of unquestioned superiority for all patients. "The bedrock of pharmacotherapy -- mood-stabilizing medications -- is generally better at preventing and treating mania than depression," Dr. Gary S. Sachs said at the annual meeting of the American Psychiatric Association. Antidepressant agents, in particular, should be used cautiously and for limited periods -- days to weeks in many cases -- because of the risk of mania and rapid cycling, said Dr. Sachs, director of the bipolar clinic at Massachusetts General Hospital in Boston. Bipolar depression has received relatively little research attention, with bipolar patients excluded from most antidepressant trials. But its impact is unquestionable: Depressive episodes typically last far longer than mania and most suicides among bipolar patients occur during this phase of the illness. By 40 weeks, virtually all manic episodes have resolved, while nearly half of depressions persist for a year. Spontaneous episodes of moderate to severe depression in patients not currently on medication often respond to mood stabilizers: Eleven controlled studies have shown lithium to be effective, with one-half to three-fourths of patients recovering within 3-4 weeks. There are fewer data for carbamazepine and valproate, but response rates seem similar, Dr. Sachs said. Antidepressants alone are a poor choice for bipolar patients, in his opinion. "It's like lighting a fuse. ... Eventually you'll have an explosion." Not only is there a high risk of switching to mania (31%-70%, 20% within the first week), but the frequency of depressive episodes may increase, he said. The addition of antidepressants to mood stabilizers has achieved mixed results. Some studies have shown 40%-50% response rates, while the longest double-blind study of bipolar depression showed no significant difference among paroxetine, imipramine, or placebo when these were added to lithium. In this study, paroxetine was helpful when serum lithium levels were below 0.8 mEq/L. "The role of antidepressants may be for those who cannot tolerate a therapeutic dose of a mood stabilizer," Dr. Sachs said. Adding another mood stabilizer to the regimen of patients who have breakthrough depression while on monotherapy appears as effective as adding an antidepressant, but data are limited, and the risk of suicide counsels prudence when using this strategy. "You don't want to be months into it before giving an approved drug [for depression]," he said. As a clinical guideline, Dr. Sachs urged limiting the use of antidepressants as much as possible. These drugs should be given acutely for those who need it, for no longer than the natural course of the depressive episode. "The ‘art’ of being a psychiatrist includes estimating how long that should be," he said. While patients with unipolar depression may reasonably remain on antidepressants for 6-12 months after remission, for bipolar patients in which depression follows directly after mania, 6-12 weeks is more appropriate. And for rapid cyclers in whom mania follows depression, it is probably advisable to taper 6-12 days after the episode resolves, he said. Lamotrigine, a novel anticonvulsant, appears a promising new option for bipolar depression. A 7-week, randomized, controlled trial involving nearly 200 patients showed the drug to be effective, with no more conversion to mania than with placebo, he said. Electroconvulsive therapy remains the most effective treatment for bipolar depression, he observed.

Response:

>Electroconvulsive therapy remains the most effective treatment for bipolar >depression, he observed.

Yep. Eric Krispy Kreme is gonna take over America…not arab terrorists. http://groups.yahoo.com/group/FactsAndFallaciesOfDepression MIBS (Minimally Invasive Brain Stimulation) http://www.musc.edu/psychiatry/fnrd/tms.htm

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>Which is  biologically and genetically totally  DIFFERENT than unipolar >depression,  which you suffer from  where ECT is more likely than not to do >REALLY bad things to you!

I dont know Linda. ECT is highly effective across the spectrum of severe psychiatric illnesses. The only psych disorder Ive read about that ECT is not effective for is OCD. And likewise Ive read ECT doesnt do too hot in cases of depression where a heavy "obsessive compulsive" component is present. But for about everything else, severe depression, mania, psychosis, psychotic depression, ECT is the best thing available. It even has off label uses for movement disorders and Parkinsons. See, ECT gets that dopamine flowing good, loosens up that rigidity  you get if you have parkinsons or a movement disorder. Its good for everything…more people should probably be choosing to have it. Eric Krispy Kreme is gonna take over America…not arab terrorists. http://groups.yahoo.com/group/FactsAndFallaciesOfDepression MIBS (Minimally Invasive Brain Stimulation) http://www.musc.edu/psychiatry/fnrd/tms.htm

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It even has off label uses for > movement disorders and Parkinsons. See, ECT gets that dopamine flowing good, > loosens up that rigidity  you get if you have parkinsons or a movement > disorder.

if i can lift weights, you kin do yoga. id still like to see some movement/relaxation therapies tried first for you. they can be unbelievably helpful. peace, anna — blackbird singin in the dead of night take these broken eyes and learn to see all your life you were only waiting for this moment to be free ~

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Then why have you resisted the good news for so long?  Jesus…er ECT will save you, Eric. – Hide quoted text — Show quoted text ->Which is  biologically and genetically totally  DIFFERENT than unipolar >depression,  which you suffer from  where ECT is more likely than not to do >REALLY bad things to you! > I dont know Linda. ECT is highly effective across the spectrum of severe > psychiatric illnesses. The only psych disorder Ive read about that ECT is not > effective for is OCD. And likewise Ive read ECT doesnt do too hot in cases of > depression where a heavy "obsessive compulsive" component is present. > But for about everything else, severe depression, mania, psychosis, psychotic > depression, ECT is the best thing available. It even has off label uses for > movement disorders and Parkinsons. See, ECT gets that dopamine flowing good, > loosens up that rigidity  you get if you have parkinsons or a movement > disorder. > Its good for everything…more people should probably be choosing to have it. > Eric > Krispy Kreme is gonna take over America…not arab terrorists. > http://groups.yahoo.com/group/FactsAndFallaciesOfDepression > MIBS (Minimally Invasive Brain Stimulation) > http://www.musc.edu/psychiatry/fnrd/tms.htm

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- Hide quoted text — Show quoted text ->I can’t take antidepressants at all, they invariably throw me into a >mixed episode, but I’m taking a large dose of Lamictal (lamotrigine), >400mg daily, and it’s the most effective treatment for my predominately >depressed mixed states that I’ve tried so far. >After 30 years of recurrent depressions and then horrific mixed episodes >my life is a wreck, so I can hardly expect anything to be 100% >effective, but my last serious predominately depressed mixed ‘episode’ >went on for four years. I think that goes beyond what could be called an >episode, but call it what you will. I was convinced that I had to >finally accept that there was no hope of ever coming out of it. As far >as I’m concerned there can be little doubt about it — lamotrigine >saved my life. >As far as side-effects are concerned, lamotrigine gets a lot of bad >press about its dangerous side-effects, but I can truthfully say that >compared to the endless array of creative combinations of nasty >side-effects I got from lithium, valproate and antidepressants, >lamotrigine has been a cool breeze.

Very true, its a well known fact that bipolars usually need to be cautious and conservative with antidepressants. Only using them when truly necessary. As antidepressants can flip bipolars into manic or hypomanic states easily. When required, the antidepressant least likely to activate mania in a bipolar is usually Wellbutrin SR. This is well established. Lamictal also has antidepressant properties, as you well know. Im glad youve found something that can fix your depression probs yet not activate mania or hypomania in you…Ive heard MANY great things about Lamictal. It appears to be a great drug for both bipolar and for depression. Eric Steroids caused my depression…prednisone should be used conservatively http://groups.yahoo.com/group/FactsAndFallaciesOfDepression MIBS (Minimally Invasive Brain Stimulation) http://www.musc.edu/psychiatry/fnrd/tms.htm

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– Hide quoted text — Show quoted text ->I can’t take antidepressants at all, they invariably throw me into a >mixed episode, but I’m taking a large dose of Lamictal (lamotrigine), >400mg daily, and it’s the most effective treatment for my predominately >depressed mixed states that I’ve tried so far. >After 30 years of recurrent depressions and then horrific mixed episodes >my life is a wreck, so I can hardly expect anything to be 100% >effective, but my last serious predominately depressed mixed ‘episode’ >went on for four years. I think that goes beyond what could be called an >episode, but call it what you will. I was convinced that I had to >finally accept that there was no hope of ever coming out of it. As far >as I’m concerned there can be little doubt about it — lamotrigine >saved my life. >As far as side-effects are concerned, lamotrigine gets a lot of bad >press about its dangerous side-effects, but I can truthfully say that >compared to the endless array of creative combinations of nasty >side-effects I got from lithium, valproate and antidepressants, >lamotrigine has been a cool breeze. >Very true, its a well known fact that bipolars usually need to be cautious and >conservative with antidepressants. Only using them when truly necessary. As >antidepressants can flip bipolars into manic or hypomanic states easily. When >required, the antidepressant least likely to activate mania in a bipolar is >usually Wellbutrin SR. This is well established.

You know your shit, this is the med my doc has just pescribed me. I get _Really_ manic on ad’s to, or at least that has been my rescent history. >Lamictal also has antidepressant properties, as you well know. Im glad youve >found something that can fix your depression probs yet not activate mania or >hypomania in you…Ive heard MANY great things about Lamictal. It appears to be >a great drug for both bipolar and for depression. >Eric >Steroids caused my depression…prednisone should be used conservatively >http://groups.yahoo.com/group/FactsAndFallaciesOfDepression >MIBS (Minimally Invasive Brain Stimulation) >http://www.musc.edu/psychiatry/fnrd/tms.htm

Remove the **** from my address for email replies…. —–= Posted via Newsfeeds.Com, Uncensored Usenet News =—– http://www.newsfeeds.com – The #1 Newsgroup Service in the World! —–==  Over 80,000 Newsgroups – 16 Different Servers! =—–

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>You know your shit, this is the med my doc has just pescribed me. I >get _Really_ manic on ad’s to, or at least that has been my rescent >history.

Yeah…I do know my shit. At least about some things. I am well read no doubt about it. Even my psychiatrists say Im one of the most well read patients they ever came across. I also ask a lot of questions. An educated patient is the best patient… Eric Steroids caused my depression…prednisone should be used conservatively http://groups.yahoo.com/group/FactsAndFallaciesOfDepression MIBS (Minimally Invasive Brain Stimulation) http://www.musc.edu/psychiatry/fnrd/tms.htm

Response:

Leave a Comment September 29, 2001

Remeron

Question:

I am on Remeron for about 3 weeks, But it don’t seem to be helping my depression. I have also on lithium to augment the effect of Remeron. Any Help?

Response:

: I am on Remeron for about 3 weeks, But it don’t seem to be helping my : depression. I have also on lithium to augment the effect of Remeron. Any : Help? Dose?

Response:

> I am on Remeron for about 3 weeks, But it don’t seem to be helping my > depression. I have also on lithium to augment the effect of Remeron. Any > Help?

I’ve had great results with Zoloft 100mg, though I wasn’t bipolar. — Regards, .

Response:

Response:

Aloha, Just curious about folks experience with Remeron.  I have taken s.s.r.i’s off and on for ten yrs.  Started having more migraine headaches that would not respond well to medication.  Keep switching anti-depessants to find one that won’t cause more headaches.  Thanks for you thoughts on this. And you might email me directly at

Response:

Hi Larry and Welcome to the ng, > Just curious about folks experience with Remeron.  I have taken > s.s.r.i’s off and on for ten yrs.  Started having more migraine > headaches that would not respond well to medication.  Keep switching > anti-depessants to find one that won’t cause more headaches.  Thanks > for you thoughts on this. And you might email me directly at

Headache is not listed as a side effect for Remeron:  CNS: Somnolence, dizziness, activation of mania or hypomania, > suicidal ideation, sedation, drowsiness, abnormal dreams, abnormal > thinking, tremor, confusion, hypesthesia, apathy, depression, > hypokinesia, vertigo, twitching, agitation, anxiety, amnesia, > hyperkinesia, paresthesia, ataxia, delirium, delusions, > depersonalization, dyskinesia, extrapyramidal syndrome, increased > libido, abnormal coordination, dysarthria, hallucinations, neurosis, > dystonia, hostility, increased reflexes, emotional lability, euphoria, > paranoid reaction.

Hope this AD will be effective for you. Peace, Lynda

Response:

Hello all, I like to learn much about Remeron. could you help me out by suggesting websites? I found something about it on RxList.

Response:

http://biopsychiatry.com/mirtaz.html http://www.druginfonet.com/faq/faqremer.htm http://www.neuropharmacology.com/ (remeron=mirtazapine) – Hide quoted text — Show quoted text – >Hello all, >I like to learn much about Remeron. could you help me out by suggesting >websites? I found something about it on RxList.

Response:

i had a very bad experience, and went from 145 to 185lbs in 2 weeks. I could not wake up in the morning. joe – Hide quoted text — Show quoted text – > Hello all, > I like to learn much about Remeron. could you help me out by suggesting > websites? I found something about it on RxList.

Response:

I have Absolutely nothing positive to say about Remeron. I took it about a year ago and it only made my depression worse. I tried it over a long time in different doses 15-45 mg.

– Hide quoted text — Show quoted text -> i had a very bad experience, and went from 145 to 185lbs in 2 weeks. > I could not wake up in the morning. > joe > Hello all, > I like to learn much about Remeron. could you help me out by suggesting > websites? I found something about it on RxList.

Response:

A doctor once gave me Remeron to help me sleep (before the ADD thing).  I liked it, and it worked.  There were about three days after starting n 30mg that it was really hard to get out of bed.  You want to stay there, and its easy to sleep the day away.  After this passed, I had no problems at all with it.  I fell asleep at a normal time and woke up very refreshed at a normal time. Also, I’ve experimented with the dose after being off of it for a while.  I found that taking about 7.5 mg gave me one day of feeling tired, and I could take 15 to 30 mg on other days without feeling tired the next day.  I think Remeron is a good med.  I don’t know how effective it is for depression, but it works wonders for insomnia.  Trazadone was effective at 50mg until recently.

– Hide quoted text — Show quoted text -> I am new to this group.  Been battling depression just over 1 1/2 > years. > I’ve tried Prozac, Paxil, Effexor and Luvox and a couple other > medications I can’t even remember.  Crashed majorly 3 times in 6 > months.  Anyway, I have been taking Serzone for a year.  I liked it at > first but I don’t know that I am completely satisfied.  For the last 9 > months I have been cycling (first at 400 mg./day…now at 600).  I > will have 3-4 days of survival/some productivity and 3-4 days of rage. > I have just now started to seriously track it, but have definite > agreement from my husband. > I don’t like being on this roller coaster anymore.  Have started to > investigate a new AD called Remeron.  Came up with very little…my > pharmacist has never even heard of it.  Is there anyone out there who > knows anything about this drug?  All help appreciated.

Response:

less sexual side effects than ssri’s, but may cause sedation or weight gain

– Hide quoted text — Show quoted text -> I am new to this group.  Been battling depression just over 1 1/2 > years. > I’ve tried Prozac, Paxil, Effexor and Luvox and a couple other > medications I can’t even remember.  Crashed majorly 3 times in 6 > months.  Anyway, I have been taking Serzone for a year.  I liked it at > first but I don’t know that I am completely satisfied.  For the last 9 > months I have been cycling (first at 400 mg./day…now at 600).  I > will have 3-4 days of survival/some productivity and 3-4 days of rage. > I have just now started to seriously track it, but have definite > agreement from my husband. > I don’t like being on this roller coaster anymore.  Have started to > investigate a new AD called Remeron.  Came up with very little…my > pharmacist has never even heard of it.  Is there anyone out there who > knows anything about this drug?  All help appreciated.

Response:

hi, does anyone know if welbutrin would go well with remeron. remeron by itself is too sedating for me?  also looking into paxil

Response:

I just started Remeron, and it is a bit sedating, which for me is a good thing.    And, interestingly enough, after all the anti depressants I’ve tried (including Wellbutrin) I’m not smoking as much. Wellbutrin did make me very jittery and did not help me quit smoking…..if anything, I was so damn jittery I smoked more. So, for me right now, if it ain’t broke I’m not gonna try to fix it.  I ‘ve done some research on Remeron and found out that it can affect some blood lab numbers, but this is working much faster than any other anti dep I’ve ever tried, and I was one pretty desperate person the last few weeks, taking Effexor and still feeling lousy. I’m hearing horror stories about Paxil……I was told it was sedating, and it made my daughter sleep all day.  For me it didn’t do anything. Guess it takes info from NG’s and doing some internet research. Good luck, Tispe

– Hide quoted text — Show quoted text -> hi, does anyone know if welbutrin would go well with remeron. remeron > by itself is too sedating for me? >  also looking into paxil

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>hi, does anyone know if welbutrin would go well with remeron. remeron >by itself is too sedating for me? > also looking into paxil

I don’t intend to discourage you but I’m afraid the anwers you’ll get to that kind of questions shall not have any scientific foundation , or stuff.

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However…. its just possible she might…. PLUS she’ll get real life experiences.   For instance, I was put on Remeron to boost my Wellbutrin.  It didn’t work for me. YBMV Linda – Hide quoted text — Show quoted text ->hi, does anyone know if welbutrin would go well with remeron. remeron >by itself is too sedating for me? > also looking into paxil >I don’t intend to discourage you but I’m afraid the >anwers you’ll get to that kind of questions shall not >have any scientific foundation , or stuff.

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- Hide quoted text — Show quoted text – > However…. its just possible she might…. PLUS she’ll get real life > experiences.   > For instance, I was put on Remeron to boost my Wellbutrin.  It didn’t > work for me. YBMV > Linda >>hi, does anyone know if welbutrin would go well with remeron. remeron >>by itself is too sedating for me? >> also looking into paxil >I don’t intend to discourage you but I’m afraid the >anwers you’ll get to that kind of questions shall not >have any scientific foundation , or stuff.

  I hear the higher remeron dosage, the lesser the sedation. I was on 15 and 30mg, and helped great with sleep, but still groggy next day, needing a couple cups of joe, but then i feel anxious. Im looking into trying 45mg remeron, after a few days if i still feel too sedated, adding welbutrin, which also may help my smoking and mood. Studies show dopamine cotrolles alot of addictions, and mood. Then take xanax or klonopin AS NEEDED, say for panic feeling or something very dramatic that may make you anxious.   Im currently taking  10mg ambien along with 100mg of 5htp, and .25 xanax 2 times a day which helps, but not giving me the satisfaction i want. formerlly addicted to g, so my sleep patterns and mood and anxiety are out of wak

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For those who haven’t try Remeron yet (and are still hunting for a med that works for you) you might ask the doc about it. I have been on it (30mg) for a month and have had pretty good results. Depression has been minimal thus far (will probally be going to 45 mg soon). I have had more anxiety mania than normal but doc says may or may not be the Remeron. Two weeks ago he added Lorazepam to be taken as need for mania and yesterday added a climbing doseage of Paxil 20 mg to 40mg over next 3 weeks (he is doing his best to keep me off Lithium). Remeron gave me the munchies bad for the first 2 to 3 weeks but that seems to be letting up quite abit. Rocky www.angelfire.com/tn2/justme/

Response:

> For those who haven’t try Remeron yet (and are still hunting for a med > that works for you) you might ask the doc about it. I have been on it > (30mg) for a month and have had pretty good results. Depression has been > minimal thus far (will probally be going to 45 mg soon). I have had more > anxiety mania than normal but doc says may or may not be the Remeron.

i tried remeron before i knew i needed a mood stabiliser too….. it put me in jail 4 days  for assault….. :-( ( but, it gave me nice dreams…. it was several months before it really hit me, and i went hypo REAL bad. other than that i liked it a lot. anna > Two weeks ago he added Lorazepam to be taken as need for mania and > yesterday added a climbing doseage of Paxil 20 mg to 40mg over next 3 > weeks (he is doing his best to keep me off Lithium). > Remeron gave me the munchies bad for the first 2 to 3 weeks but that > seems to be letting up quite abit. > Rocky > www.angelfire.com/tn2/justme/

– ‘the softest of all soft things overrides the hardest of things….’ — i ching "blessed am i to dwell in this beautiful temple"

Response:

Your & Anna’s reaction to the same drug is so opposite!  My boyfriend has recently started taking it & he really likes it, so far.   The downside is that he needs about 12 hours of sleep daily & sometimes has nightmares.   The good part is that he seems to feel really happy & more productive.   Does anyone else out there have anything to report on this med? (Including  sexual difficulties i.e. "anorgasmia") …Or on Wellbutrin?…. (I’m still new to this…)   Why are the drugs switched around so often?

Response:

Hi Leslie, > Your & Anna’s reaction to the same drug is so opposite!  My boyfriend > has recently started taking it & he really likes it, so far.   > The downside is that he needs about 12 hours of sleep daily & sometimes > has nightmares.   > The good part is that he seems to feel really happy & more productive. > Does anyone else out there have anything to report on this med? > (Including  sexual difficulties i.e. "anorgasmia") > …Or on Wellbutrin?…. > (I’m still new to this…)   Why are the drugs switched around so often?

Remeron is a tetracyclic AD and can cause somnolence in some users as well as abnormal dreams. Anorgasmia is not listed as a side effect. Wellbutrin can cause impotence in some  male users. Med adjustments are indicated when  the selected meds lose their effectiveness. Peace, — Lynda

Response:

I’ve taken 30 mg of Remeron for a couple years (My diagnosis is dysthemia — mild cyclic depression). I used to get a little sleepy and very hungry, but have never minded it much. I now take about 25 mg of ritalin daily with it. I should add that I had a very, very anxious reaction to prozac, so an anti-depressant that is sedative rather than stimulating was much better for me. On the sexual side, I can’t really tell. As a 51-year-old male, I’m certainly experiencing less sexual interest and reliable performance than I used to, but how much of that is Remeron, I couldn’t tell you. If anything really unusual happened, my doctor suggested viagra, but it’s pretty acceptable so far. –Mark – Hide quoted text — Show quoted text – > Your & Anna’s reaction to the same drug is so opposite!  My boyfriend > has recently started taking it & he really likes it, so far. > The downside is that he needs about 12 hours of sleep daily & sometimes > has nightmares. > The good part is that he seems to feel really happy & more productive. > Does anyone else out there have anything to report on this med? > (Including  sexual difficulties i.e. "anorgasmia") > …Or on Wellbutrin?…. > (I’m still new to this…)   Why are the drugs switched around so often?

Response:

Does anyone have any experiences with this drug?Does it help the depression?Sleep?Thanks

Response:

> Does anyone have any experiences with this drug?Does it help the > depression?Sleep?Thanks

It helps me with depression and sleep (it makes me sleepy and drowsy, not too much during the day, though). It doesn’t seem to have the kick that paroxetine (paxil, seroxat, deroxat, etc) gave me, but on the other hand, it doesn’t have the lousy side effects and withdrawl effects I experienced from seroxat. GreetinX from Amsterdam            X            X          Bas

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Hi Bas, Boy is it good to heard from you…I really missed you and tried to email you several times but they all bounced. How are you doing? It has been over 6 months at least!! I hope yu will stay around…. Yours, Lynda — Lynda

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Hi, > Does anyone have any experiences with this drug?

I have not taken it but it works well for some people. >Does it help the > depression?Sleep?Thanks

It is a tetracyclic AD.It has the potential side effect of somnolence and is better if taken at bedtime. Peace, — Lynda

Response:

I’ve been taking 30 mg of Remeron at bedtime for almost 20 months now. The first night I took Remeron I slept like a baby. I had’nt done that in a long while, always had trouble falling asleep and once I finally did I was constantly waking. I noticed that that doom and gloom feeling I used to wake up with was gone. The only side effect for me was constant appetite which at first was O.K. because I was slightly underweight. I am just now considering not taking it anymore because I have put on 25lbs over 20 months and I am uncomfortable at my present weight, However, I would not hesitate going back on it if those old feelings come back. It really worked wonderfully for me.

Response:

> I’ve been taking 30 mg of Remeron at bedtime for almost 20 months now. > The first night I took Remeron I slept like a baby. I had’nt done that > in a long while, always had trouble falling asleep and once I finally > did I was constantly waking.

remeron made me sleep well too…. and have reaaaallly really interesting dreams…. i really liked that part… mood-wise it made me really agitated and i actually freaked out on it after a few months. :-( ( but, i wish i could take it cause the dreams were great. it upped my appetite too which could have been a downside if i gained tons of weight. didnt have time to see. peace anna I noticed that that doom and gloom feeling > I used to wake up with was gone. The only side effect for me was > constant appetite which at first was O.K. because I was slightly > underweight. I am just now considering not taking it anymore because I > have put on 25lbs over 20 months and I am uncomfortable at my present > weight, However, I would not hesitate going back on it if those old > feelings come back. It really worked wonderfully for me.

– ‘the softest of all soft things overrides the hardest of things….’ — i ching "blessed am i to dwell in this beautiful temple"

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when i had insomnia from my mania, i used remeron for sleep, and it actually worked for a little while.  i had taken trazadone, ambien, valium, clonipin, atavan, all for sleep at other times and they too failed after some time. good luck

Response:

Is there anyone else on remeron?? Does it make you tired as hell??  I am so tired all the time, but I am afraid to even tell my pdoc, because he made me suffer a debilitating depression for almost a month before he would even consider putting me on it because he is of the "antidepressants-make-bipolars-manic" school of thought and he is so overly cautious I am worried that he wouldn’t put me on another one and I suffer from major depression all the time w/o an antidepressant. Remeron works really well to alleviate the depression, and so I am afraid he will take me off of it if he knew how somnolent it makes me—sometimes I can barely drive.  I need a couple of double latte`s to counteract it and I already have to go to substance abuse counselling for caffeine abuse so who knows what they will say about that. Michelle

Response:

Hi Michelle, I never took Remeron, BUT – when I was having trouble sleeping my old PDOC gave me a sample packet to use if I couldn’t sleep. She said to only use when I really couldn’t get to sleep since it leaves you hung over the next day.   Did your Pdoc instruct you to take the Remeron at bedtime? If your Pdoc thinks ADs make BPs "manic" – then he might read the BP 101 handbook – prescribe a mood stabilizer with the AD. In my EXPERIENCE, Effexor made me a bit hypomanic wo a mood stabilizer after a few months (at a higher dosage) BUT it did lift a totally debilitating depression. I am taking 60mg of Celexa now as my AD + 200mg Lamictal and 600mg Tegretol. So far so good. It took a while (4-6 weeks and a higher dose) of Celexa to notice any results. The only side-effect is "pregnancy-time" acne and flatuance (the farts) HA Ki – Hide quoted text — Show quoted text – >Is there anyone else on remeron?? Does it make you tired as hell??  I >am so tired all the time, but I am afraid to even tell my pdoc, >because he made me suffer a debilitating depression for almost a month >before he would even consider putting me on it because he is of the >"antidepressants-make-bipolars-manic" school of thought and he is so >overly cautious I am worried that he wouldn’t put me on another one >and I suffer from major depression all the time w/o an antidepressant. >Remeron works really well to alleviate the depression, and so I am >afraid he will take me off of it if he knew how somnolent it makes >me—sometimes I can barely drive.  I need a couple of double latte`s >to counteract it and I already have to go to substance abuse >counselling for caffeine abuse so who knows what they will say about >that. >Michelle

Response:

My pdoc just switched me to Remeron.  I was taking tegretol and paxil and am now taking tegretol and Remeron.  I had a brief period of mania and have been haveing trouble sleeping for quite awhile.  Thats why he switched me to Remeron.  I must say, it is certainly putting me to sleep. Anyway, I’m looking for any input anyone might have on Remeron.   Positive, negative and side effects. Much appreciated, Melanie

Response:

I am taking lithium, Remeron and Effexor. The Remeron has definately caused a ton of sedation- I was sleeping 12 hours a day. However, Remeron is the first anti-depressant that has been able to do anything for the current depression I am in and I have been on MAOI’s, SSRI’s, tricyclics etc etc. My doc told me that the sedation should ware off over time. So, I am waiting. Martha

Response:

Martha, thanks for your reply…  I seem to be sedated no matter what I am taking!  The Remeron so far seems to have caused diabetic/hypoglycemic type reactions:  dizziness, extreme thirst, extreme hunger, major sugar cravings.  My stomach is also very upset.  The dizziness is wearing off, but I have been cycling bad all week long.  (Nine cycles a day!) I have been on Nortryptaline, Serzone, Zoloft, Trazodone, Paxil and now Remeron.  Hope this works! :)  Good luck to you with this drug. Moira

Response:

Hi, I just got off of Remeron after almost three months. It was ineffective and I gained 25-30 lbs. while taking it. Most people I speak to that have taken it say the same…no big deal. Jes Sharai — Cor ad Cor Loquitur Heart Speaketh to Heart "Your Key to Mental Health on the Internet" http://www.sstar.com/jsharai/index.htm – Hide quoted text — Show quoted text -> My psychiatrist has recently prescribed anti-depressant Remeron because > the Effexor I have been on seems to be making me manic and I am turning > into a more and more rapid cycler. The problem is that after one dose > (actually a quarter of one dose) I fell sound asleep for fourteen hours > and could barely function the next day. I have searched the internet for > info but since Remeron is new, it’s hard to get. If anyone else has been > or is on it, can you please let me know what your reaction was and if such > sleepiness might pass eventually. My psychiatrist and I agreed it was best > to wait a few days, after the holidays, to continue this trial run. > Thanks. > JW

Response:

My psychiatrist has recently prescribed anti-depressant Remeron because the Effexor I have been on seems to be making me manic and I am turning into a more and more rapid cycler. The problem is that after one dose (actually a quarter of one dose) I fell sound asleep for fourteen hours and could barely function the next day. I have searched the internet for info but since Remeron is new, it’s hard to get. If anyone else has been or is on it, can you please let me know what your reaction was and if such sleepiness might pass eventually. My psychiatrist and I agreed it was best to wait a few days, after the holidays, to continue this trial run. Thanks. JW

Response:

Hi JW, I’ve been on Remeron for about 2 months, prescribed at 15 mg, but I only take half that.  I had the heavy sedative effect too, even at 7.5mg I have to make sure I can sleep 7 hours or so before having to awaken.  My pdoc  said that he would actually prescribe MORE than less to correct the sleepiness.  I just laughed.  7.5 has the needed AD effect. (I am bipolar with occasional moderate depressive episodes). I have found my sex drive to be way up and my digestive tract to be a mess.  This is the extent of it for me.  I can tell if I don’t take it for 3 or 4 days.  I wonder what your doc thinks about increasing the dosage to cure the sleepiness. BTW I have chronic insomnia and was having to take Ambien to sleep, so this has really helped me.  Of course, YMMV.  And frankly most people that take this drug don’t seem to like it. Best of luck, Trish – Hide quoted text — Show quoted text – >My psychiatrist has recently prescribed anti-depressant Remeron because >the Effexor I have been on seems to be making me manic and I am turning >into a more and more rapid cycler. The problem is that after one dose >(actually a quarter of one dose) I fell sound asleep for fourteen hours >and could barely function the next day. I have searched the internet for >info but since Remeron is new, it’s hard to get. If anyone else has been >or is on it, can you please let me know what your reaction was and if such >sleepiness might pass eventually. My psychiatrist and I agreed it was best >to wait a few days, after the holidays, to continue this trial run. >Thanks. >JW

Response:

Hey everyone.  I have a q about Remeron. I know it often causes weight gain.  I’m wondering, for people who have tried it, did it make you gain weight?  If so…how long were you taking the R for? How much weight did you gain?  Did it increase your appetite or make you crave sweets, or was it something else?  And if you _didn’t_ get weight gain or increased appetite from R, I’d like to hear about that as well. Looking for as many data points as I can find. -elizabeth

Response:

Hi Elizabeth I am currently taking Remeron, and have been for about the past month. I am naturally very thin and extremely underweight (5′11" and 115 lbs.) so I thought that taking Remeron would not only help with the depression and PD, but also cause me to put on a few pounds. Not so, I have gained only but a couple of pound since I started taking Remeron and have yet to see any increase in appetite. Good luck and take care. > Hey everyone.  I have a q about Remeron. > I know it often causes weight gain.  I’m wondering, for people who have tried > it, did it make you gain weight?  If so…how long were you taking the R for? > How much weight did you gain?  Did it increase your appetite or make you crave > sweets, or was it something else?  And if you _didn’t_ get weight gain or > increased appetite from R, I’d like to hear about that as well. > Looking for as many data points as I can find. > -elizabeth

– Jason M. Carroll                     Motorola Tech Support fly.hiwaay.net/~jason

Response:

I feel heavier and my abdomen looks bigger but I only get weighed once a month (I’m in a wheelchair and can’t weigh myself) and I’ve only been on Remeron for three weeks so I don’t know if I’ve gained weight or not.  It did not increase my appetite or make me crave sweets – it made me crave carbohydrates, like even just plain pieces of bread sometimes.  Even as I was eating these things (coookies, crackers and tec.) I would be thinking: "Why am I eating this?  It doesn’t taste all that good and it will just make me gain weight."  I took one 15 mg pill each night before bed.  I’ve heard weight gain problems are reduced or eliminated at higher doses, like 45 mg each night. – Hide quoted text — Show quoted text – >Hey everyone.  I have a q about Remeron. >I know it often causes weight gain.  I’m wondering, for people who have tried >it, did it make you gain weight?  If so…how long were you taking the R for? >How much weight did you gain?  Did it increase your appetite or make you crave >sweets, or was it something else?  And if you _didn’t_ get weight gain or >increased appetite from R, I’d like to hear about that as well. >Looking for as many data points as I can find. >-elizabeth

Response:

My doctor put me on Remeron at the beginning of the summer.  I am a school teacher so I wanted to wait to try something new until school was over. After taking it for a few weeks, I started to get numbness in my hands and feet and I gained 20 pounds over the summer.  Needless to say, I stopped taking the medication and the feeling came back in both my hands and feet. Now I am going to try and get the weight off.  I believe that the numbness was from the weight gain in my hands and feet.  I was unable to wear any of my shoes. Maybe things will be different for you.  Just wanted to let you know what happened to me!!

Response:

Does anyone know anything about Remeron for depression? Like where to find info that isn’t in German.

Response:

elizabeth: I have gained much weight since starting remeron but wasn’t sure it was connected. I know that I do crave sweets tho more than I used to. It’s depressing to me to see my stomach get larger, as if I’m pregnant. ray

Response:

Elizabeth, Remeron was about the best med I ever tried.  I gave it up because of the weight gain.  It definitely increased my appetite, especially for sugar and carbs.  However, while on it, I went on the Atkins diet very strictly, and began to exercise every day.  After two months of this, I hadn’t lost a pound.  So my guess is that Remeron has metabolic effects that contribute to weight gain, as well as appetite-increasing effects. Soon afterward, I went back on it.  I am now taking it together with Wellbutrin and that seems to be offsetting the weight gain.  All in all, this combo is really good. – Hide quoted text — Show quoted text – >Hey everyone.  I have a q about Remeron. >I know it often causes weight gain.  I’m wondering, for people who have tried >it, did it make you gain weight?  If so…how long were you taking the R for? >How much weight did you gain?  Did it increase your appetite or make you crave >sweets, or was it something else?  And if you _didn’t_ get weight gain or >increased appetite from R, I’d like to hear about that as well. >Looking for as many data points as I can find. >-elizabeth

Response:

Hi Does anyone out there take Remeron for their bipolar depression and if so how does it work for you? Thanks Doug

Response:

Hi Doug, I took Rameron 60mg at bedtime. It knocked me out. It helped the depression some, but not enough and it didn’t help the hypomania. I’m BP2. Thank U! Diane

Response:

<Posted and Mailed to Diane> >I took Remeron 60mg at bedtime. It knocked me out.

Try dividing your total dose up into 3-4 equal portions to be taken 8 or 6 hours apart. That should greatly reduce the zombie effect as well as enhancing your mood stability. IMO it is definitely worth a shot! >It helped the depression >some, but not enough and it didn’t help the hypomania.

Since Remeron (like Effexor) is prescribed to elevate your serotonin and norepinephrine levels, I’m not at all surprised that it wouldn’t help with your hypomania. In fact I am surprised that it didn’t make it worse. Why not talk to your pdoc about this? >I’m BP II.

I’m James. But I do HAVE BP. >Thank U! >Diane

Best regards from, James

Response:

It’s good that you are tracking it. Your notes will be quite helpful in follow-ups.

Response:

A doctor once gave me Remeron to help me sleep (before the ADD thing).  I liked it, and it worked.  There were about three days after starting n 30mg that it was really hard to get out of bed.  You want to stay there, and its easy to sleep the day away.  After this passed, I had no problems at all with it.  I fell asleep at a normal time and woke up very refreshed at a normal time. Also, I’ve experimented with the dose after being off of it for a while.  I found that taking about 7.5 mg gave me one day of feeling tired, and I could take 15 to 30 mg on other days without feeling tired the next day.  I think Remeron is a good med.  I don’t know how effective it is for depression, but it works wonders for insomnia.  Trazadone was effective at 50mg until recently.

– Hide quoted text — Show quoted text -> I am new to this group.  Been battling depression just over 1 1/2 > years. > I’ve tried Prozac, Paxil, Effexor and Luvox and a couple other > medications I can’t even remember.  Crashed majorly 3 times in 6 > months.  Anyway, I have been taking Serzone for a year.  I liked it at > first but I don’t know that I am completely satisfied.  For the last 9 > months I have been cycling (first at 400 mg./day…now at 600).  I > will have 3-4 days of survival/some productivity and 3-4 days of rage. > I have just now started to seriously track it, but have definite > agreement from my husband. > I don’t like being on this roller coaster anymore.  Have started to > investigate a new AD called Remeron.  Came up with very little…my > pharmacist has never even heard of it.  Is there anyone out there who > knows anything about this drug?  All help appreciated.

Response:

less sexual side effects than ssri’s, but may cause sedation or weight gain

– Hide quoted text — Show quoted text -> I am new to this group.  Been battling depression just over 1 1/2 > years. > I’ve tried Prozac, Paxil, Effexor and Luvox and a couple other > medications I can’t even remember.  Crashed majorly 3 times in 6 > months.  Anyway, I have been taking Serzone for a year.  I liked it at > first but I don’t know that I am completely satisfied.  For the last 9 > months I have been cycling (first at 400 mg./day…now at 600).  I > will have 3-4 days of survival/some productivity and 3-4 days of rage. > I have just now started to seriously track it, but have definite > agreement from my husband. > I don’t like being on this roller coaster anymore.  Have started to > investigate a new AD called Remeron.  Came up with very little…my > pharmacist has never even heard of it.  Is there anyone out there who > knows anything about this drug?  All help appreciated.

Response:

Leave a Comment June 25, 2002

TOP 200 Rx's (Compulsive Medicators substance of abuse RANKED)

Question:

Prostate Cancer – Hide quoted text — Show quoted text -> look at all those estrogen replacement drugz.. scary shit.. they have NO FUCKING > clue what it really does when they give estrogen.

Response:

> http://www.rxlist.com/top200.htm

Who cares? Really.

Response:

> > http://www.rxlist.com/top200.htm > Who cares? Really.

The victims and family and friends of victims whose lives were lost or ruined on toxic medicines

Response:

http://www.rxlist.com/top200.htm The Top 200 Prescriptions for 2001 by Number of US Prescriptions Dispensed Generic name link leads to Drug Monograph information where available. Based upon more than 3.1 billion prescriptions: Data furnished by NDC Health Brand Name Manufacturer  Generic Name Hydrocodone w/APAP  Various Hydrocodone w/APAP 001. Lipitor          Parke-Davis  Atorvastatin 002. Premarin      Wyeth-Ayerst  Conjugated Estrogens 003. Atenolol        Various    Atenolol 004. Synthroid        Knoll  Levothyroxine 005. Zithromax        Pfizer  Azithromycin 006. Furosemide      Various Furosemide 007. Amoxicillin        Various Amoxicillin 008. Norvasc            Pfizer  Amlodipine 009. Alprazolam        Various Alprazolam 010  Albuterol Aerosol  Various  Albuterol 011   Claritin  Schering  Loratadine 012   Hydrochlorothiazide  Various Hydrochlorothiazide 013    Prilosec  AstraZeneca  Omeprazole 014    Zoloft  Pfizer  Sertraline 015    Paxil  SK Beecham  Paroxetine 016    Triamterene/HCTZ  Various Triamterene/HCTZ 017    Prevacid  Tap Pharm  Lansoprazole 018    lbuprofen  Various Ibuprofen 019    Celebrex  Searle  Celecoxib 020    Zocor  Merck  Simvastatin 021    Cephalexin  Various Cephalexin 022    Glucophage B-M Squibb  Metformin 023    Vioxx  Merck  Rofecoxib 024    Zestril  Zeneca  Lisinopril 025    Augmentin  SK Beecham  Amoxicillin/Clavulanate 026    Propoxyphene N/APAP  Various   SAME 027    Prempro  Wyeth-Ayerst  Conj. 028  Estrogens/Medroxyprogesterone 029 Prednisone Various  Prednisone 030 Ortho Tri-Cyclen  Ortho Pharm Norgestimate/Ethinyl Estradiol 031  Acetaminophen/Codeine  Various 032   Zyrtec  Pfizer  Cetirizine 033  Allegra  Hoech Mar R  Fexofenadine 034   Levoxyl Jones Medical Ind Levothyroxine 035   Trimox  Apothecon  Amoxicillin 036   Metoprolol Tartrate Various Metoprolol 037   Lorazepam  Various Lorazepam 038   Toprol-XL  AstraZeneca  Metoprolol 039   Prozac  Lilly  Fluoxetine 040   Ranitidine HCl  Various Ranitidine 041   Ambien  Searle  Zolpidem 042   Celexa Forest Pharm  Citalopram 043   Amitriptyline  Various Amitriptyline 044 Fosamax  Merck  Alendronate 045  Accupril  Parke-Davis  Quinapril 046  Viagra  Pfizer  Sildenafil Citrate 047  Pravachol  B-M Squibb  Pravastatin 048  Naproxen  Various Naproxen 049 Neurontin  Parke-Davis  Gabapentin 050  Coumadin  Dupont  Warfarin 051 Cipro  Bayer Pharm  Ciprofloxacin 052  Verapamil HCl Various  Verapamil 053  Lanoxin  Glaxo Wellcome  Digoxin 054  Albuterol Sulfate Various  Albuterol 055 Wellbutrin SR  Glaxo Well  Bupropion HCL 056  Prinivil  Merck  Lisinopril 057  Clonazepam  Various Clonazepam 058 Ultram  McNeil  Tramadol 059 Cyclobenzaprine  Various  Cyclobenzaprine 060  Trazodone  Various Trazodone 061 Flonase  Glaxo Wellcome  Fluticasone 062  Singulair  Schein  Montelukast 063 Diazepam  Mylan  Diazepam 064 Isosorbide Mononitrate  Various Isosorbide Mononitrate S.A. 065  Glyburide  Various Glyburide 0666  Effexor XR  Wyeth-Ayerst  Venlafaxine 067  Levaquin  McNeil  Levofloxacin 068 Medroxyprogesterone  Various Medroxyprogesterone 069 Amoxil  SK Beecham  Amoxicillin 070  Diflucan  Pfizer  Fluconazole 071 Potassium Chloride  Various  Potassium Chloride 072  Enalapril  Various  Enalapril 073  Warfarin  Various  Warfarin 074  Carisoprodol  Various Carisoprodol 075 K-Dur  Key Pharm  Potassium Chloride 076 Cotrim Teva Trimeth/Sulfameth 077 Flovent  Glaxo Wellcome Fluticasone Propionate 078 Lotensin  Novartis  Benazepril 079 Nasonex  Schering  Mometasone 080 Doxycycline Hyclate Various  Doxycycline 081  Estradiol Various  Estradiol 082 Allopurinol  Various  Allopurinol 083 Avandia SK-Beecham Rosiglitazone maleate 084 Plavix  Sanofi  Clopidogrel 085 Propranolol  Various  Propranolol 086 Lotrel  Novartis Amlodipine/Benazepril 087 Methylprednisolone  Various  Methylprednisolone 088 Diovan  Novartis  Valsartan 089 Cozaar  Merck  Losartan 090 Humulin N Lilly  Human Insulin NPH 091 Clonidine  Various  Clonidine 092 Diltiazem HCl Various Diltiazem 093 Claritin D 24HR  Schering  Loratidine/Pseudoephedrine 094 Xalatan  Pharmacia/Upjohn  Latanoprost 095 Actos  Takeda Pioglitazone 096 Claritin D 12HR  Schering  Loratidine/Pseudoephedrine 097 Risperdal  Janssen Risperidone 098 Allegra-D  Hoech Mar R  Fexofenadine / Pseudoephedrine 099 Adderall Shire Rchwd Amphetamine Mixed Salts 100 Doxazosin  Various  Doxazosin 101 Evista  Lilly  Raloxifene 102 Ortho-Novum  Ortho Pharm  Norethindrone/Ethinyl Estradiol 103 Folic Acid  Various Folic Acid 104 Penicillin VK Various Penicillin VK 105 Oxycontin  Purdue  Oxycodone 106 Temazepam  Various Temazepam 107 Cartia XT Andrx  Diltiazem 108 Serevent  Glaxo Wellcome  Salmeterol 109 Monopril  B-M Squibb  Fosinopril 110 Oxycodone/APAP  Various  Oxycodone/APAP 111 Altace  Monarch  Ramipril 112 Promethazine  Various  Promethazine 113 Terazosin  Various  Terazosin 114 Zyprexa  Lilly  Olanzapine 115  Gemfibrozil  Various Gemfibrozil 116 Levothroid  Forest Levothyroxine 117 Loestrin Fe  Parke Davis Norethindrone / Ethinyl Estradiol 118 Imitrex Oral Glaxo Wellcome  Sumatriptan 119 Hydroxyzine HCl Various Hydroxyzine 120 Meclizine  Various Meclizine 121 Hyzaar  Merck  Losartan/HCTZ 122 Aciphex Eisai Rabeprazole 123 Dilantin  Parke-Davis  Phenytoin 124 Biaxin  Abbott  Clarithromycin 125 Amaryl  Hoech Mar R Glimepiride 126 Protonix Wyeth Pantoprazole 127 Klor-Con  Upsher-Smith  Potassium Chloride 128 Spironolactone Various  Spironolactone 129 Combivent Boehr lngel Ipratropium / Albuterol 130 Flomax  Abbott Tamsulosin 131 Veetids  Apothecon  Penicillin VK 132 Zestoretic  Zeneca Lisinopril/HCTZ 133 Metoclopramide Various Metoclopramide 134 Minocycline Various  Minocycline 135 Bisoprolol/HCTZ  Various  Bisoprolol/HCTZ 136 Digitek  Bertek  Digoxin 137 Diovan HCT Novartis  Valsartan / HCTZ 138 Metronidazole Various Metronidazole 139 Cefzil  B-M Squibb  Cefprozil 140 Triamcinolone Acetonide Various  Triamcinolone 141 Glipizide Various  Glipizide 142 Humulin 70/30 Lilly  Human Insulin 70/30 143 Necon  Watson  Ethinyl Estradiol / Norethindrone 144 Alesse 28  Wyeth-Ayerst Levonorgestrel/Ethinyl Estradiol 145 Ceftin  Glaxo Wellcome  Cefuroxime 146 Nystatin Various Nystatin 147 Captopril  Various Captopril 148 Promethazine / Codeine Various  Promethazine / Codeine 149 Acyclovir Various Acyclovir 150 Ortho-Cyclen  Ortho Pharm  Norgestimate/Ethinyl Estradiol 151 Roxicet  Roxane  Oxycodone/APAP 152 Avapro  B-M Squibb  Irbesartan 153 Serzone  B-M Squibb  Nefazodone 154 Remeron Organon Mirtazapine 155 Valtrex Glaxo Wellcome Valacyclovir 156 Methylphenidate Various Methylphenidate 157 Baycol** Bayer  Cerivastatin 158 Fluoxetine  Various  Fluoxetine 159 Macrobid  Procter & Gamble  Nitrofurantoin 160 Concerta Alza Methylphenidate XR 161 Claritin Reditabs Schering  Loratadine 162 Glucovance B-M Squibb  Glyburide / Metformin 163 Glucophage XR B-M Squibb  Metformin 164 Tiazac  Forest Diltiazem 165 Mircette Organon  Desogestrel/Ethinyl Estradiol 166 Bactroban  SK Beecham  Mupirocin 167 Triphasil  Wyeth-Ayerst  L-Norgestrel/Ethinyl Estradiol 168 Lescol  Novartis  Fluvastatin 169 Aspirin Various Aspirin 170 Biaxin XL Abbott  Clarithromycin 171 Clindamycin Various Clindamycin 172 Nexium  AstraZeneca  Esomeprazole 173 Skelaxin Elan  Metaxalone 174 Nortriptyline  Various  Nortriptyline 175 Cimetidine Various Cimetidine 176 Tricor  Abbott  Fenofibrate 177 Atrovent Boehr lngel Iprotropium Bromide 178 Tamoxifen  Various Tamoxifen 179 Miacalcin Novartis  Calcitonin Salmon 180 Plendil  AstraZeneca Felodipine 181 Trivora-28 Watson  Levonorgestrel / Ethinyl Estradiol 182 Advair Diskus Glaxo Wellcome Salmeterol / Fluticasone 183 Theophylline Various Theophylline 184 Tetracycline Various Tetracycline 185 Detrol Pharmacia-Upjohn  Tolterodine 186 Tequin B-M Squibb  Gatifloxacin 187 Nifedipine ER  Various  Nifedipine 188 Diclofenac Various Diclofenac 189 Nasacort AQ Hoech Mar R Triamcinolone Acetonide 190 Phenergan  R.P.R.  Promethazine 191 Indomethacin Various Indomethacin 192 Benzonatate  Various  Benzonatate 193 Phenobarbital Various Phenobarbital 194 Naproxen Sodium Various Naproxen Sodium 195 Elocon Schering Mometasone 196 Vicoprofen Knoll Hydrocodone / Ibuprofen 197 Glucotrol XL  Pfizer  Glipizide 198 Depakote  Abbott  Divalproex 199 Nitroglycerin Various Nitroglycerin 200 Phenazopyridine Various Phenazopyridine Previous Years: 2000 1999 1998  1997  1996   1995 **Removed from US Market – 2001

Response:

Leave a Comment May 22, 2002

Sleepwalking

Question:

Hello Everyone,  I have been trying very hard to keep a low profile in here and post only when I have to. I have a problem and I tried to do a deja search on it without any luck. I had a weird thing happen to me last night and I was wondering what if any of my meds could cause me to do something like this:  I fell asleep on the couch. I have not been getting much sleep lately because I feel bad (sick) and I have been sleeping on the couch to avoid waking my husband up during my nightly trips for water for the sore throat, the porcelin Gods for hehe other things ( yup ewwwwww) and what have you. I remember dreaming last night about something that had to do with fire. I thought I might have been dreaming about buring trash in a barrel but I am not sure. I wake up because my hands are hurting. I look down and there I am standing in the living room of my home with a wad of toilet paper on fire in my hand. I did not know what else to do so I dropped it and stomped the fire out. This completely scared me to death, besides burning a hole in my carpet. I have two small children and I have to look out for them. I am currently taking the following: Oxycontin 40mg 2X per day OxyIr up to 10mg 1X per day Neurontin 400mg 3X a day Tofranil PM 300mg 1X a day I have been prescribed Trazadone to help me sleep. I have not taken it in the last few days because I did not want to be really out of it if I woke up and had to go to the bathroom. Everything that I am on except the Trazadone and the OxyIR, the dosages have been doubled on as of my last visit less than a week ago to my doctor. I called her today on her day off and asked about this happening. She said she would call me back but I guess she got busy or could not find the information on which drug could be causing this. I don’t know what happened really or why she did not return my call. Maybe it was because I was using someone elses’ phone. All I know is that I am sitting here at 11:22 at night with my eyes trying to close on me and I am to scared to go to bed. I am afraid of what I might do in my sleep. If anyone happens to be out there right now please answer as soon as possible if you have had same trouble and been on any of these same medications. I apologise for my bad punctuation and everything. I am so tired I am barely paying attnetion to spelling and grammar just watching the time hoping I get to go to bed soon. Thank you Tammy

Response:

Tammy, At the risk of waking your husband, I would suggest that you try to sleep near him so that you do wake him up if you get up. At least until your doc calls you back. The Oxycontin gave me small spasms in my back and legs, but nothing has made me sleep- walk yet. I have some strange dreams, but I think it’s because I have a terrible habit of eating right before I go to sleep. It might be in my head, but I like to think that it helps calm my upset stomach for the night. Maybe I’m wrong, but the dreams are entertaining for the most part. For you kids sake, sleep next to your husband and hope he wakes up if you get up. John D. —> yes, it’s me. JDOD28, turning over a new leaf. You can e-mail me if you wish.

– Hide quoted text — Show quoted text -> Hello Everyone, >  I have been trying very hard to keep a low profile in here and post only > when I have to. I have a problem and I tried to do a deja search on it > without any luck. I had a weird thing happen to me last night and I was > wondering what if any of my meds could cause me to do something like this: >  I fell asleep on the couch. I have not been getting much sleep lately > because I feel bad (sick) and I have been sleeping on the couch to avoid > waking my husband up during my nightly trips for water for the sore throat, > the porcelin Gods for hehe other things ( yup ewwwwww) and what have you. I > remember dreaming last night about something that had to do with fire. I > thought I might have been dreaming about buring trash in a barrel but I am > not sure. I wake up because my hands are hurting. I look down and there I am > standing in the living room of my home with a wad of toilet paper on fire in > my hand. I did not know what else to do so I dropped it and stomped the fire > out. > This completely scared me to death, besides burning a hole in my carpet. I > have two small children and I have to look out for them. I am currently > taking the following: > Oxycontin 40mg 2X per day > OxyIr up to 10mg 1X per day > Neurontin 400mg 3X a day > Tofranil PM 300mg 1X a day > I have been prescribed Trazadone to help me sleep. I have not taken it in > the last few days because I did not want to be really out of it if I woke up > and had to go to the bathroom. Everything that I am on except the Trazadone > and the OxyIR, the dosages have been doubled on as of my last visit less > than a week ago to my doctor. I called her today on her day off and asked > about this happening. She said she would call me back but I guess she got > busy or could not find the information on which drug could be causing this. > I don’t know what happened really or why she did not return my call. Maybe > it was because I was using someone elses’ phone. All I know is that I am > sitting here at 11:22 at night with my eyes trying to close on me and I am > to scared to go to bed. I am afraid of what I might do in my sleep. If > anyone happens to be out there right now please answer as soon as possible > if you have had same trouble and been on any of these same medications. I > apologise for my bad punctuation and everything. I am so tired I am barely > paying attnetion to spelling and grammar just watching the time hoping I get > to go to bed soon. > Thank you > Tammy

Response:

Babygirl:  CYM-Hope it got out. Mama Deanie – Hide quoted text — Show quoted text -> Tammy, > At the risk of waking your husband, I would suggest that you try to sleep > near > him so that you do wake him up if you get up. At least until your doc calls > you back. > The Oxycontin gave me small spasms in my back and legs, but nothing has made > me sleep- > walk yet. I have some strange dreams, but I think it’s because I have a > terrible habit of > eating right before I go to sleep. It might be in my head, but I like to > think that it > helps calm my upset stomach for the night. Maybe I’m wrong, but the dreams > are entertaining > for the most part. > For you kids sake, sleep next to your husband and hope he wakes up if you > get up. > John D. —> yes, it’s me. JDOD28, turning over a new leaf. You can e- mail > me if you wish. > Hello Everyone, >  I have been trying very hard to keep a low profile in here and post only > when I have to. I have a problem and I tried to do a deja search on it > without any luck. I had a weird thing happen to me last night and I was > wondering what if any of my meds could cause me to do something like this: >  I fell asleep on the couch. I have not been getting much sleep lately > because I feel bad (sick) and I have been sleeping on the couch to avoid > waking my husband up during my nightly trips for water for the sore > throat, > the porcelin Gods for hehe other things ( yup ewwwwww) and what have you. > I > remember dreaming last night about something that had to do with fire. I > thought I might have been dreaming about buring trash in a barrel but I am > not sure. I wake up because my hands are hurting. I look down and there I > am > standing in the living room of my home with a wad of toilet paper on fire > in > my hand. I did not know what else to do so I dropped it and stomped the > fire > out. > This completely scared me to death, besides burning a hole in my carpet. I > have two small children and I have to look out for them. I am currently > taking the following: > Oxycontin 40mg 2X per day > OxyIr up to 10mg 1X per day > Neurontin 400mg 3X a day > Tofranil PM 300mg 1X a day > I have been prescribed Trazadone to help me sleep. I have not taken it in > the last few days because I did not want to be really out of it if I woke > up > and had to go to the bathroom. Everything that I am on except the > Trazadone > and the OxyIR, the dosages have been doubled on as of my last visit less > than a week ago to my doctor. I called her today on her day off and asked > about this happening. She said she would call me back but I guess she got > busy or could not find the information on which drug could be causing > this. > I don’t know what happened really or why she did not return my call. Maybe > it was because I was using someone elses’ phone. All I know is that I am > sitting here at 11:22 at night with my eyes trying to close on me and I am > to scared to go to bed. I am afraid of what I might do in my sleep. If > anyone happens to be out there right now please answer as soon as possible > if you have had same trouble and been on any of these same medications. I > apologise for my bad punctuation and everything. I am so tired I am barely > paying attnetion to spelling and grammar just watching the time hoping I > get > to go to bed soon. > Thank you > Tammy

Response:

A similar incident happened to me a couple of weeks ago. I’ve been on 20mg bid of Methadone for about 3 months now and have never been a sleepwalker prior to taking this med. Now in recent weeks my girlfriend reports that I frequently sleep with my arms in the air..very bizarre. Anyhow, on this particular night I was dreaming that I was in a church passing around the collection plate. When I awoke (came to?) I was standing in the corner of my bedroom holding out a large glass ashtray which I then dropped and shattered into a million pieces in my surprise.  Needless to say I was wide awake then! All I can recommend is what the others have said. Sleep in the bedroom so that your husband can keep an eye on you if you happen to go firefighting in the middle of the night again. It seems like the stronger time-released narcotics can bring on these sleepwalking instances. Best to have someone available to steer you back to bed. BTW, I’ve always heard that you should never wake up a sleepwalker. Why is that? Anyone know? TIA TK – Hide quoted text — Show quoted text -> Hello Everyone, >  I have been trying very hard to keep a low profile in here and post only > when I have to. I have a problem and I tried to do a deja search on it > without any luck. I had a weird thing happen to me last night and I was > wondering what if any of my meds could cause me to do something like this: >  I fell asleep on the couch. I have not been getting much sleep lately > because I feel bad (sick) and I have been sleeping on the couch to avoid > waking my husband up during my nightly trips for water for the sore throat, > the porcelin Gods for hehe other things ( yup ewwwwww) and what have you. I > remember dreaming last night about something that had to do with fire. I > thought I might have been dreaming about buring trash in a barrel but I am > not sure. I wake up because my hands are hurting. I look down and there I am > standing in the living room of my home with a wad of toilet paper on fire in > my hand. I did not know what else to do so I dropped it and stomped the fire > out. > This completely scared me to death, besides burning a hole in my carpet. I > have two small children and I have to look out for them. I am currently > taking the following: > Oxycontin 40mg 2X per day > OxyIr up to 10mg 1X per day > Neurontin 400mg 3X a day > Tofranil PM 300mg 1X a day > I have been prescribed Trazadone to help me sleep. I have not taken it in > the last few days because I did not want to be really out of it if I woke up > and had to go to the bathroom. Everything that I am on except the Trazadone > and the OxyIR, the dosages have been doubled on as of my last visit less > than a week ago to my doctor. I called her today on her day off and asked > about this happening. She said she would call me back but I guess she got > busy or could not find the information on which drug could be causing this. > I don’t know what happened really or why she did not return my call. Maybe > it was because I was using someone elses’ phone. All I know is that I am > sitting here at 11:22 at night with my eyes trying to close on me and I am > to scared to go to bed. I am afraid of what I might do in my sleep. If > anyone happens to be out there right now please answer as soon as possible > if you have had same trouble and been on any of these same medications. I > apologise for my bad punctuation and everything. I am so tired I am barely > paying attnetion to spelling and grammar just watching the time hoping I get > to go to bed soon. > Thank you > Tammy

Response:

TK I do that too! Sleep with my arms in the air. My husband says when he asks me about it I tell him that they are more comfortable and I’m in balance:) I guess sometimes tho my arms fall and smack him, lol. I’ve always thought sleeping would be far more comfortable if I could just unscrew my arms and set them on the floor beside the bed for the night. It’d be tricky getting them back on tho I’ll bet. love, catherine

– Hide quoted text — Show quoted text -> A similar incident happened to me a couple of weeks ago. I’ve been on > 20mg bid of Methadone for about 3 months now and have never been a > sleepwalker prior to taking this med. Now in recent weeks my girlfriend > reports that I frequently sleep with my arms in the air..very bizarre. > Anyhow, on this particular night I was dreaming that I was in a church > passing around the collection plate. When I awoke (came to?) I was > standing in the corner of my bedroom holding out a large glass ashtray > which I then dropped and shattered into a million pieces in my surprise. >  Needless to say I was wide awake then! All I can recommend is what the > others have said. Sleep in the bedroom so that your husband can keep an > eye on you if you happen to go firefighting in the middle of the night > again. It seems like the stronger time-released narcotics can bring on > these sleepwalking instances. Best to have someone available to steer > you back to bed. > BTW, I’ve always heard that you should never wake up a sleepwalker. Why > is that? Anyone know? TIA > TK > Hello Everyone, >  I have been trying very hard to keep a low profile in here and post > only > when I have to. I have a problem and I tried to do a deja search on it > without any luck. I had a weird thing happen to me last night and I > was > wondering what if any of my meds could cause me to do something like > this: >  I fell asleep on the couch. I have not been getting much sleep lately > because I feel bad (sick) and I have been sleeping on the couch to > avoid > waking my husband up during my nightly trips for water for the sore > throat, > the porcelin Gods for hehe other things ( yup ewwwwww) and what have > you. I > remember dreaming last night about something that had to do with fire. > I > thought I might have been dreaming about buring trash in a barrel but > I am > not sure. I wake up because my hands are hurting. I look down and > there I am > standing in the living room of my home with a wad of toilet paper on > fire in > my hand. I did not know what else to do so I dropped it and stomped > the fire > out. > This completely scared me to death, besides burning a hole in my > carpet. I > have two small children and I have to look out for them. I am > currently > taking the following: > Oxycontin 40mg 2X per day > OxyIr up to 10mg 1X per day > Neurontin 400mg 3X a day > Tofranil PM 300mg 1X a day > I have been prescribed Trazadone to help me sleep. I have not taken it > in > the last few days because I did not want to be really out of it if I > woke up > and had to go to the bathroom. Everything that I am on except the > Trazadone > and the OxyIR, the dosages have been doubled on as of my last visit > less > than a week ago to my doctor. I called her today on her day off and > asked > about this happening. She said she would call me back but I guess she > got > busy or could not find the information on which drug could be causing > this. > I don’t know what happened really or why she did not return my call. > Maybe > it was because I was using someone elses’ phone. All I know is that I > am > sitting here at 11:22 at night with my eyes trying to close on me and > I am > to scared to go to bed. I am afraid of what I might do in my sleep. If > anyone happens to be out there right now please answer as soon as > possible > if you have had same trouble and been on any of these same > medications. I > apologise for my bad punctuation and everything. I am so tired I am > barely > paying attnetion to spelling and grammar just watching the time hoping > I get > to go to bed soon. > Thank you > Tammy

Response:

      I have had similar incidents of "sleepwalking" since I was prescribed methadone in 1993.  While the doctor was titrating my dosage upwards to control the pain, I did not have any problems, however, once I reached a maintenance level of about 80 – 90mg per day, I began to do some really weird things at night – its like you are in a fog.  One incident involved a large glass bowl of wooden fruit on my kitchen table – I poured honey nut cheerios on top of the fruit – added milk  & sat down to eat.  As I was sitting at the table – my brain is telling me that something doesn’t quite look right & thankfully I went back to bed.  (that could have been a nasty dental bill)  Once I opened a can of cat food – placed it in the toaster oven – the smell was horrendous – that was enough to jar me fully awake. I’ve fallen asleep in the bathroom while sitting on the "hopper/commode/john/toilet" – & even taken a couple of tumbles off – now that was truly embarassing. In addition to being comical at times – it was serious concern for both of us.  In my case, it was a simple solution as we divided up my dosage of methadone – currently I am at 140 mg & take 70 mg around 6 am or 7 am & then 70 mg around 4 pm or 5 pm plus roxicodone 5 mg for breakthrough pain prn.        Hang in there – talk to your doctor – your husband has probably become a "light sleeper".  (any noise out of the ordinary brings my hubby to check on me) Take care! Deborah

Response:

I >remember dreaming last night about something that had to do with fire. I >thought I might have been dreaming about buring trash in a barrel but I am >not sure. I wake up because my hands are hurting. I look down and there I am >standing in the living room of my home with a wad of toilet paper on fire in >my hand. I did not know what else to do so I dropped it and stomped the fire >out.

Tammy,please be sure to test your smoke alarms,often ;-) Lem

Response:

I know what you mean about trazadone putting you out.  It sure knocks me out.  Maybe sleeping near your husband is the answer.  I know I’d want to know if my wife was trying to burn the house down while snoozing.  Good luck. John K. – Hide quoted text — Show quoted text -> Hello Everyone, >  I have been trying very hard to keep a low profile in here and post only > when I have to. I have a problem and I tried to do a deja search on it > without any luck. I had a weird thing happen to me last night and I was > wondering what if any of my meds could cause me to do something like this: >  I fell asleep on the couch. I have not been getting much sleep lately > because I feel bad (sick) and I have been sleeping on the couch to avoid > waking my husband up during my nightly trips for water for the sore throat, > the porcelin Gods for hehe other things ( yup ewwwwww) and what have you. I > remember dreaming last night about something that had to do with fire. I > thought I might have been dreaming about buring trash in a barrel but I am > not sure. I wake up because my hands are hurting. I look down and there I am > standing in the living room of my home with a wad of toilet paper on fire in > my hand. I did not know what else to do so I dropped it and stomped the fire > out. > This completely scared me to death, besides burning a hole in my carpet. I > have two small children and I have to look out for them. I am currently > taking the following: > Oxycontin 40mg 2X per day > OxyIr up to 10mg 1X per day > Neurontin 400mg 3X a day > Tofranil PM 300mg 1X a day > I have been prescribed Trazadone to help me sleep. I have not taken it in > the last few days because I did not want to be really out of it if I woke up > and had to go to the bathroom. Everything that I am on except the Trazadone > and the OxyIR, the dosages have been doubled on as of my last visit less > than a week ago to my doctor. I called her today on her day off and asked > about this happening. She said she would call me back but I guess she got > busy or could not find the information on which drug could be causing this. > I don’t know what happened really or why she did not return my call. Maybe > it was because I was using someone elses’ phone. All I know is that I am > sitting here at 11:22 at night with my eyes trying to close on me and I am > to scared to go to bed. I am afraid of what I might do in my sleep. If > anyone happens to be out there right now please answer as soon as possible > if you have had same trouble and been on any of these same medications. I > apologise for my bad punctuation and everything. I am so tired I am barely > paying attnetion to spelling and grammar just watching the time hoping I get > to go to bed soon. > Thank you > Tammy

Response:

- Hide quoted text — Show quoted text – >Hello Everyone, > I have been trying very hard to keep a low profile in here and post only >when I have to. I have a problem and I tried to do a deja search on it >without any luck. I had a weird thing happen to me last night and I was >wondering what if any of my meds could cause me to do something like this: > I fell asleep on the couch. I have not been getting much sleep lately >because I feel bad (sick) and I have been sleeping on the couch to avoid >waking my husband up during my nightly trips for water for the sore throat, >the porcelin Gods for hehe other things ( yup ewwwwww) and what have you. I >remember dreaming last night about something that had to do with fire. I >thought I might have been dreaming about buring trash in a barrel but I am >not sure. I wake up because my hands are hurting. I look down and there I am >standing in the living room of my home with a wad of toilet paper on fire in >my hand. I did not know what else to do so I dropped it and stomped the fire >out. >This completely scared me to death, besides burning a hole in my carpet. I >have two small children and I have to look out for them. I am currently >taking the following: >Oxycontin 40mg 2X per day >OxyIr up to 10mg 1X per day >Neurontin 400mg 3X a day >Tofranil PM 300mg 1X a day >I have been prescribed Trazadone to help me sleep. I have not taken it in >the last few days because I did not want to be really out of it if I woke up >and had to go to the bathroom. Everything that I am on except the Trazadone >and the OxyIR, the dosages have been doubled on as of my last visit less >than a week ago to my doctor. I called her today on her day off and asked >about this happening. She said she would call me back but I guess she got >busy or could not find the information on which drug could be causing this. >I don’t know what happened really or why she did not return my call. Maybe >it was because I was using someone elses’ phone. All I know is that I am >sitting here at 11:22 at night with my eyes trying to close on me and I am >to scared to go to bed. I am afraid of what I might do in my sleep. If >anyone happens to be out there right now please answer as soon as possible >if you have had same trouble and been on any of these same medications. I >apologise for my bad punctuation and everything. I am so tired I am barely >paying attnetion to spelling and grammar just watching the time hoping I get >to go to bed soon. >Thank you >Tammy

Well, from http://www.mentalhealth.com/drug/p30-t03.html Adults: Initial dosage: 25 mg 3 times daily. This should be increased gradually as required and tolerated up to 150 mg/day. Dosages over 200 mg/day are not recommended. 300mg might be a bit high. I’m not sure this has anything to do with what happened to you, but all the other medical doses are well within a reasonable and accepted range. It also adds (under dosage): In severely ill, hospitalized patients, initially 100 mg/day in divided doses, gradually increasing to 200 mg/day, if required. If no significant response is observed after 3 weeks, dosage may be increased up to 250 to 300 mg/day. Elderly and debilitated patients: 30 to 40 mg/day, in divided doses, gradually increasing dosage if necessary, and tolerated; it is generally not necessary to exceed 100 mg/day. Maintenance dosage: Dosage during maintenance therapy should be kept at the lowest effective level. Medication should be continued for the expected duration of the depressive episode in order to minimize the possibility of relapse following clinical improvement. When a maintenance dosage has been established as described above, imipramine may be administered in a single daily dose at bedtime, provided such a dosage regimen is well tolerated. So, it says that 300mg *can* be taken, but that seems to definitely be the upper ceiling dose. Maybe a high dose like this, combined with the other meds, contributed to your episode. I’d alert my physician and let him(her) know exactly what occured to you. Good luck. ~alex      

Response:

– Hide quoted text — Show quoted text ->Hello Everyone, > I have been trying very hard to keep a low profile in here and post only >when I have to. I have a problem and I tried to do a deja search on it >without any luck. I had a weird thing happen to me last night and I was >wondering what if any of my meds could cause me to do something like this: > I fell asleep on the couch. I have not been getting much sleep lately >because I feel bad (sick) and I have been sleeping on the couch to avoid >waking my husband up during my nightly trips for water for the sore throat, >the porcelin Gods for hehe other things ( yup ewwwwww) and what have you. I >remember dreaming last night about something that had to do with fire. I >thought I might have been dreaming about buring trash in a barrel but I am >not sure. I wake up because my hands are hurting. I look down and there I am >standing in the living room of my home with a wad of toilet paper on fire in >my hand. I did not know what else to do so I dropped it and stomped the fire >out. >This completely scared me to death, besides burning a hole in my carpet. I >have two small children and I have to look out for them. I am currently >taking the following: >Oxycontin 40mg 2X per day >OxyIr up to 10mg 1X per day >Neurontin 400mg 3X a day >Tofranil PM 300mg 1X a day >I have been prescribed Trazadone to help me sleep. I have not taken it in >the last few days because I did not want to be really out of it if I woke up >and had to go to the bathroom. Everything that I am on except the Trazadone >and the OxyIR, the dosages have been doubled on as of my last visit less >than a week ago to my doctor. I called her today on her day off and asked >about this happening. She said she would call me back but I guess she got >busy or could not find the information on which drug could be causing this. >I don’t know what happened really or why she did not return my call. Maybe >it was because I was using someone elses’ phone. All I know is that I am >sitting here at 11:22 at night with my eyes trying to close on me and I am >to scared to go to bed. I am afraid of what I might do in my sleep. If >anyone happens to be out there right now please answer as soon as possible >if you have had same trouble and been on any of these same medications. I >apologise for my bad punctuation and everything. I am so tired I am barely >paying attnetion to spelling and grammar just watching the time hoping I get >to go to bed soon. >Thank you >Tammy > Well, from > http://www.mentalhealth.com/drug/p30-t03.html > Adults: > Initial dosage: > 25 mg 3 times daily. This should be increased gradually as required and > tolerated up to 150 mg/day. Dosages over 200 mg/day are not recommended. > 300mg might be a bit high. > I’m not sure this has anything to do with what happened to you, but all the > other medical doses are well within a reasonable and accepted range. > It also adds (under dosage): > In severely ill, hospitalized patients, initially 100 mg/day in divided doses, > gradually increasing to 200 mg/day, if required. If no significant response is > observed after 3 weeks, dosage may be increased up to 250 to 300 mg/day. > Elderly and debilitated patients: > 30 to 40 mg/day, in divided doses, gradually increasing dosage if necessary, > and tolerated; it is generally not necessary to exceed 100 mg/day. > Maintenance dosage: > Dosage during maintenance therapy should be kept at the lowest effective level. > Medication should be continued for the expected duration of the depressive > episode in order to minimize the possibility of relapse following clinical > improvement. > When a maintenance dosage has been established as described above, imipramine > may be administered in a single daily dose at bedtime, provided such a dosage > regimen is well tolerated. > So, it says that 300mg *can* be taken, but that seems to definitely be the > upper ceiling dose. > Maybe a high dose like this, combined with the other meds, contributed to your > episode. > I’d alert my physician and let him(her) know exactly what occured to you. > Good luck. > ~alex >I read the insert to the medication. It lists all of the usual

possible side effects – and more as usual.      Then in smaller type at the bottom;  * a small percentage of patients have experienced awakening with a  flaming roll of toilet paper in their hands. Please consult your  physician immediately. Seriously Tammy please let us know what he says, that’s pretty scary. codeee

Response:

I have also had unusual "dreams" like this periodically even before I was on all the meds. My walking around in the room really scared my sister when we were younger! I recently read about this in a sleep book my hubby got at the library, but I can’t remember what the exact term is. It isn’t regular sleepwalking and it isn’t regular dreaming, meaning that it occurs at a different level of sleep than REM. During REM, our muscles are paralyzed, so to speak, so that we DON’T act out the things in our dreams. But at other levels of sleep, it can happen. And during regular sleepwalking, we don’t usually remember a dream or doing anything. I really wish I could remember the term for this type of thing. I think it has something to do with improper arousal from deeper sleep stages. Rather than going up slowly, we go from stage 4 directly to stage 2 or something like that. It isn’t sleep terrors or nightmares, either. Perhaps a posting on the Sleep Disorders group can help. If I’m not mistaken, some antidepressants can cause weird dreams. Acting them out is another story. I wish all of you the best luck in finding out what’s happening. And I hope that nothing serious happens in the meantime. But definitely let your doctor know! Good luck! Carly – Hide quoted text — Show quoted text – >A similar incident happened to me a couple of weeks ago. I’ve been on >20mg bid of Methadone for about 3 months now and have never been a >sleepwalker prior to taking this med. Now in recent weeks my girlfriend >reports that I frequently sleep with my arms in the air..very bizarre. >Anyhow, on this particular night I was dreaming that I was in a church >passing around the collection plate. When I awoke (came to?) I was >standing in the corner of my bedroom holding out a large glass ashtray >which I then dropped and shattered into a million pieces in my surprise. > Needless to say I was wide awake then! All I can recommend is what the >others have said. Sleep in the bedroom so that your husband can keep an >eye on you if you happen to go firefighting in the middle of the night >again. It seems like the stronger time-released narcotics can bring on >these sleepwalking instances. Best to have someone available to steer >you back to bed. >BTW, I’ve always heard that you should never wake up a sleepwalker. Why >is that? Anyone know? TIA >TK > Hello Everyone, >  I have been trying very hard to keep a low profile in here and post >only > when I have to. I have a problem and I tried to do a deja search on it > without any luck. I had a weird thing happen to me last night and I >was > wondering what if any of my meds could cause me to do something like >this: >  I fell asleep on the couch. I have not been getting much sleep lately > because I feel bad (sick) and I have been sleeping on the couch to >avoid > waking my husband up during my nightly trips for water for the sore >throat, > the porcelin Gods for hehe other things ( yup ewwwwww) and what have >you. I > remember dreaming last night about something that had to do with fire. >I > thought I might have been dreaming about buring trash in a barrel but >I am > not sure. I wake up because my hands are hurting. I look down and >there I am > standing in the living room of my home with a wad of toilet paper on >fire in > my hand. I did not know what else to do so I dropped it and stomped >the fire > out. > This completely scared me to death, besides burning a hole in my >carpet. I > have two small children and I have to look out for them. I am >currently > taking the following: > Oxycontin 40mg 2X per day > OxyIr up to 10mg 1X per day > Neurontin 400mg 3X a day > Tofranil PM 300mg 1X a day > I have been prescribed Trazadone to help me sleep. I have not taken it >in > the last few days because I did not want to be really out of it if I >woke up > and had to go to the bathroom. Everything that I am on except the >Trazadone > and the OxyIR, the dosages have been doubled on as of my last visit >less > than a week ago to my doctor. I called her today on her day off and >asked > about this happening. She said she would call me back but I guess she >got > busy or could not find the information on which drug could be causing >this. > I don’t know what happened really or why she did not return my call. >Maybe > it was because I was using someone elses’ phone. All I know is that I >am > sitting here at 11:22 at night with my eyes trying to close on me and >I am > to scared to go to bed. I am afraid of what I might do in my sleep. If > anyone happens to be out there right now please answer as soon as >possible > if you have had same trouble and been on any of these same >medications. I > apologise for my bad punctuation and everything. I am so tired I am >barely > paying attnetion to spelling and grammar just watching the time hoping >I get > to go to bed soon. > Thank you > Tammy

Response:

Kinda stupid, but it might work: I was watching a Pokemon episode, where Brock had to put a bell around his little sisters wrist so he could hear her when she would sleepwalk. I don’t know how someone could hear a little bell, but if nothing else works, maybe this will. Gee, I watch too much tv. (sigh) Sara

Response:

> Kinda stupid, but it might work: I was watching a Pokemon episode, where > Brock had to put a bell around his little sisters wrist so he could hear > her when she would sleepwalk. I don’t know how someone could hear a > little bell, but if nothing else works, maybe this will. Gee, I watch > too much tv. (sigh) > Sara

lol  And it says a lot that you only watch kid’s shows too.  :-} It might not be a bad idea to tie a bell or something to the door knob of the child’s room. That way if they get the door open you would hear it.  (See, it wasn’t so silly after all Sara. :-}) Sharon

Response:

Coming in a week late on this, sorry.  But My brother did the same thing.  He was a BIG one for talking in his sleep, too.   One night my dad was up late watching TV, and My brother Kenny (I think about 7 or 8 yrs old then) came out of his room, down into the utility room, opened the upright freezer, and peed into it.  Then promptly went back to bed, and didn’t remember a thing in the morning.  My Dad was too dumbfounded to stop it while it was happening.   I think he grew out of the sleep walking, (he passed away at age 19 — not related to sleep walking) but he never did stop talking and yelling in his sleep.  I also recall that he was a VERY heavy sleeper. I would make certain that she cannot leave the house during her evening strolls, and that your home is basically safe.  Maybe you could put a gate at the kitchen, or any other room that would be particularly dangerous for a less than alert child to stumble into.  Maybe a talk with your Ped would be comforting to you, and provide information. Krystal If evolution really works, then why do mothers have only two arms?       Eat the "treat" in my address to e-mail me.

Response:

My son has ended up in some weird places as well…the bathtub, corners, etc. Most generally, the living room somewhere.  My pediatrician said that some of it is caused by stress.  Although it doesn’t seem possible for a child to have stress, they do.  Namely, school.    You aren’t supposed to wake them up.  Just redirect them into bed and most generally, they won’t do it again that night. Just make sure paths are clear of any obstructions.  Of course, keep doors unaccesible. Michelle…mommy of 3

Response:

>If it were my child, I’d at least get deadbolts locks (the kind with both >sides >needing a key) for the doors, so she never ended up outdoors

I have thought of this as well.  I make sure the alarm is on every night so it will go off if the door is opened.  I also put a deadbolt up at the top of the door that goes to the back yard because we have a pool. I tried the monitor thing but since she talks so much in her sleep, I was not getting any sleep. You had some great suggestions.  Thanks Jackie "Single parent…..who not only is happy about it, but proud of it…."

Response:

>Do you notice that she sleepwalks when she is really really tired, and is >sleeping >soundly?

I do think she is more "active" when she is more tired.  She goes to bed at 7:30 on school nights and 8:30 otherwise.  She is up between 6:30 and 7:00 am. Some nights she sleeps soundly though.   Tonight this just concerned me because it was so dramatic. I hadn’t thought about calling her doctor….i will in the morning. Jackie "Single parent…..who not only is happy about it, but proud of it…."

Response:

- Hide quoted text — Show quoted text – >My 6 yr old has been a sleepwalker since she could walk ;-) ! She is also very >"vocal" while sleeping, sometimes even shouting out. >When she sleepwalks, usually I just redirect her into bed and there is no >problem. Tonight I heard a crash in the laundry room and go in to find that >she >is in the laundry basket that was on the floor, peeing!  She was complaining >that there was no toilet paper!  She finished, got up, pulled up her panties, >looked around puzzled for a minute and then went to bed. >I am now concerned that she could actually do something to hurt herself and >that I may not wake up in time.  Our house is a one story so I don’t ahve to >worry about the stairs. >Anyone have anything to tell me about sleep walking?  Anything I should be >concerned about?? >Thanks >Jackie

I really don’t know what to tell you because I’ve never had this problem or known anyone who has. I would be quite concerned though, if I were you…I saw on an Unsolved Mysteries show once where a young man in his twenties was sleepwalking and went outdoors and was killed by a train. I’m not trying to frighten you, honestly…but I would be worried. If it were my child, I’d at least get deadbolts locks (the kind with both sides needing a key) for the doors, so she never ended up outdoors. I would also get a baby moniter for her room and keep it turned up as high volume as it can go, so you can hear her rustling around and getting out of bed maybe. It might not work, but it’s worth a try. Josie–mommy to Sarah (10), Lynne (6), and Parker (4)….. (by the way, the name is Dieu Vous Garde)…… I hope that someday we can put away our fears and prejudices,and just laugh at

Response:

Hi.  I don’t know if this topic has been covered before or not…so here goes. My 6 yr old has been a sleepwalker since she could walk ;-) ! She is also very "vocal" while sleeping, sometimes even shouting out. When she sleepwalks, usually I just redirect her into bed and there is no problem. Tonight I heard a crash in the laundry room and go in to find that she is in the laundry basket that was on the floor, peeing!  She was complaining that there was no toilet paper!  She finished, got up, pulled up her panties, looked around puzzled for a minute and then went to bed. I am now concerned that she could actually do something to hurt herself and that I may not wake up in time.  Our house is a one story so I don’t ahve to worry about the stairs. Anyone have anything to tell me about sleep walking?  Anything I should be concerned about?? Thanks Jackie "Single parent…..who not only is happy about it, but proud of it…."

Response:

Do you notice that she sleepwalks when she is really really tired, and is sleeping soundly? I use to sleepwalk as a child, and I ended up doing silly stuff, like talk on the phone, bring my parents a toy and then walk back to bed, ect… My parents just made me go to bed earlier if they noticed that I was tired than normal, that way I wouldn’t sleepwalk. I grew out of it by age 12 or 13. You might ask your doctor what he would suggest. Momalot – Hide quoted text — Show quoted text – > Hi.  I don’t know if this topic has been covered before or not…so here goes. > My 6 yr old has been a sleepwalker since she could walk ;-) ! She is also very > "vocal" while sleeping, sometimes even shouting out. > When she sleepwalks, usually I just redirect her into bed and there is no > problem. Tonight I heard a crash in the laundry room and go in to find that she > is in the laundry basket that was on the floor, peeing!  She was complaining > that there was no toilet paper!  She finished, got up, pulled up her panties, > looked around puzzled for a minute and then went to bed. > I am now concerned that she could actually do something to hurt herself and > that I may not wake up in time.  Our house is a one story so I don’t ahve to > worry about the stairs. > Anyone have anything to tell me about sleep walking?  Anything I should be > concerned about?? > Thanks > Jackie > "Single parent…..who not only is happy about it, but proud of it…."

Response:

Leave a Comment February 7, 2001

Remeron Dosage—90mg?????

Question:

I’m not responding to remeron 45 mg. Pdoc wants to push me up gradually to 90 mg before switching meds. I am concerned about going up to that level. Can anyone with either experience or expertise please advise?

Response:

Never heard of anyone going that high.  I’d get a second opinion.  Also, don’t do it without having your liver function checked periodically, not to mention your cholesterol.  Are you sure he said 90? –Frel. – Hide quoted text — Show quoted text – >I’m not responding to remeron 45 mg. Pdoc wants to push me up gradually >to 90 mg before switching meds. I am concerned about going up to that >level. Can anyone with either experience or expertise please advise?

Response:

>I’m not responding to remeron 45 mg. Pdoc wants to push me up gradually >to 90 mg before switching meds. I am concerned about going up to that >level. Can anyone with either experience or expertise please advise?

I think one should be very cautios when taking stuff whose mechanism of action is unknown, see e.g: http://www.citizen.org/eletter/labeling/remeron.htm

Response:

>>I’m not responding to remeron 45 mg. Pdoc wants to push me up gradually >to 90 mg before switching meds. I am concerned about going up to that >level. Can anyone with either experience or expertise please advise? >I think one should be very cautios when taking stuff whose mechanism >of action is unknown, see e.g: >http://www.citizen.org/eletter/labeling/remeron.htm

PS. Here’s the part that seems to be relevant in your case: OVERDOSAGE Human Experience There is very limited experience with REMERON

Leave a Comment August 21, 2001

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