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About mikl_pls

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  • Birthday 09/11/1987

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    Alabama, US

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  1. Gabapentin does enhance sleep quality insofar as it increases slow wave sleep (I believe), but it doesn't really help you get to sleep any better. There are better choices for sleep induction than gabapentin.
  2. There's a new sleep med called Belsomra that may help. Some insurance companies don't like to pay for it though. But it worked wonders for me before my insurance yanked coverage for it from under me. Some of the tricyclic antidepressants are pretty sedating in low doses: amitriptyline (Elavil), nortriptyline (Pamelor) imipramine (Tofranil), especially doxepin (Sinequan/Silenor) and trimipramine (Surmontil). Interesting note about about Surmontil, it actually enhances sleep architecture and increases REM sleep rather than suppressing it like other antidepressants. Mirtazapine (Remeron) is sedating in low doses (7.5-15 mg), but it is very prone to causing weight gain, so that may be off the table. Low dose quetiapine (Seroquel) (25-50 mg) is pretty sedating for many.
  3. mikl_pls

    Too Energizing??!

    Consult your prescriber about this, but this could either be the "over-activation" that is so common with the starting of SSRIs, especially Zoloft, or this could be activation of hypomania or mania, which may mean you could be bipolar. If you're bipolar, you may need an atypical antipsychotic or mood stabilizer or both. Please watch your mood carefully and go to the doctor if you continue to have these side effects for more than three or so weeks I'd say (I'm not a professional though, just my personal experience).
  4. mikl_pls

    Insomnia! Does it get better?

    Yes, "over-activation" is a common start-up side effect of SSRIs, especially with Zoloft. It usually subsides within the first few weeks of treatment. Please stick with it, the therapeutic benefits of Zoloft should be setting in soon. It's a good thing you have the Vistaril and Ativan!
  5. mikl_pls

    Vibryd not working for me.

    Definitely, talk to your doctor.
  6. mikl_pls

    Just moved to 30mg. Questions.

    I would discuss these symptoms with your pdoc. I personally never experienced those symptoms on Viibryd.
  7. You probably meant 37.5 mg. 37.5 mg is the smallest dose of Effexor XR, and is, at that dose, essentially an SSRI. It doesn't become an SNRI until around 150-225 mg, so you'd need to go up on the dosage a good bit to get the norepinephrine benefits from it. If you want to mitigate the sexual side effects, you could try asking for a prescription for low dose trazodone (to help you sleep), nefazodone (watch out for liver toxicity), Remeron (watch out for weight gain), or just go straight for a PDE5 inhibitor like Viagra or Cialis.
  8. Maybe you just need an additional 37.5 mg...
  9. mikl_pls

    Abilify caused hypomania

    Low doses of Abilify can be activating while higher doses tend to be calming. Chances are you were on a low dose and it activated you into a hypomanic state. If you had stuck with it and increased your dose, you would have evened out. Maybe you might try something like Lamictal as an add-on? It's an anticonvulsant but it acts as an antidepressant mood stabilizer.
  10. mikl_pls

    Major life event, not doing well.

    What's your Viibryd dose? Are you all the way up to 40 mg? My pdoc said some people need as much as 80 mg... I'm not a professional, so please take this with a grain of salt, but it sounds like it could be situational. You might want to discuss it with your pdoc and ask for their opinion, maybe even start seeing a therapist—it could be that seeing a therapist would be more beneficial than switching or tweaking your meds. Wishing you the best!
  11. mikl_pls

    Will Remeron help with SSRI apathy???

    Abilify is very activating for most people in low doses (2-5 mg) and even 10-15 mg for some people, but any higher than that (20-30 mg) it will likely become a bit calming or even sedating. For some people, even the 10-15 mg doses can be calming/sedating, but in my experience, it was stimulating all the way up to 15 mg, but I got akathisia at 15 mg and had to discontinue it. I wish you the best of luck with Abilify! If Abilify happens to poop out on you, you might check out Rexulti or Vraylar because they act in a similar manner, but are less stimulating than Abilify (well, they were for me anyway).
  12. That's an awfully long time until your next appointment and an awfully long time to deal with a medicine at the max dose which doesn't seem to be working. If you've been on Celexa since the beginning of this year... 7 months... if it would work for you, it should've worked by now. At the very most, SSRIs take about 6-8 weeks to work, but usually a little less than that. I don't understand why she refused to switch antidepressants for you, that seems almost atrocious, especially with your appointments so spaced out. Is there any way you can get a work-in appointment with her? If so, if it were me, I would insist on changing medicines, citing that SSRIs should take, at the most, up to 6-8 weeks to start working, and it is well past time for it to have started working. I don't know which antidepressants you've tried before, but Lexapro is the S-enantiomer of Celexa, which basically means it's more potent (Lexapro 10 mg = Celexa 40 mg, Lexapro 20 mg = Celexa 80 mg—beyond max dose of Celexa). Lexapro is a general run of the mill SSRI and is generally well-tolerated with minimal, innocuous side effects. Zoloft was pretty good for me (but pooped out rather quickly since I'm bipolar), but has worked wondrous miracles for my one of my best friends. It does very well for atypical depression, characterized by symptoms like excessive fatigue/oversleeping, excessive appetite, apathy, but it tends to be a little stimulating though, so if you're a high-anxiety person, you might want to start at a low dose and go up slowly (Celexa 40 mg ~ Zoloft 50 mg, so you might want to ask for enough 50 mg tablets to titrate up to somewhere around 100 mg and break them in half for 25 mg and go up by 25 mg increments; otherwise, if you don't have an issue with anxiety or want to titrate faster, you could go up in 50 mg increments). In the end, though, it is highly beneficial for anxiety. Prozac is another one that tends to be good for depression associated with atypical depression, but is also stimulating, probably more so than Zoloft (Celexa 40 mg ~ Prozac 20 mg). But it does well for anxiety, too, if you can tolerate the starting side effects. Paxil is great if you have anxiety as it tends to be rather calming (although I've never taken it so I can't speak with personal experience). I've read that it tends to cause weight gain, though, and has a bad withdrawal syndrome should you ever chose to switch or stop taking it. Luvox is indicated for OCD, and Luvox CR for social anxiety disorder, but it's commonly used off-label for depression. I didn't have a good experience with this one, but your mileage may vary. If you've taken most or all of these, you might want to try an SNRI, which also tend to be somewhat stimulating. This includes Effexor XR, Cymbalta, Pristiq, and Fetzima. The first three are generic, but the last one is brand-name only. There are also the SMSs, but they are brand-name only. These include Viibryd and Trintellix. One caveat is that these are associated with GI side effects (which I didn't experience when I took them except for Trintellix, which cause quite a bit of nausea while I was on it). For the antidepressants that are brand-name only, there are copay coupons on their websites, but your pdoc should have copay coupons available to give to you, even samples to get you started on them. I hope you can get some relief soon! Take care!
  13. mikl_pls

    Hand Tremors

    Yes, when I was on Wellbutrin my hands tremored quite a bit. Also, for some reason, Lamictal makes me hands tremor like crazy, like, enough to where strangers ask "are you okay?" It's really embarrassing... lol.
  14. mikl_pls

    Get back on abilify after 3 weeks?

    Verey nice! I'll probably ask about that next time I see my gdoc.
  15. mikl_pls

    Hand Tremors

    Propranolol or nadolol ought to do the trick for the tremors. Either that or primidone. Or both.