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Re: Wellbutrin insomniac (3)

Posted by Tony P on September 8, 2001, at 6:45:15

In reply to Re: Wellbutrin insomniac, posted by Tony P on September 8, 2001, at 5:15:47

4 AM - still wakeful, skin feels like it's burning but extremities cold (judging by my nose, if I were a dog I'd be very healthy< g >), general anxiety, shivery now that I'm out of bed - is this the dreaded Serotonin Syndrome? Not meaning to sound flippant, know it can be serious if severe. For the techy types, body temp 97.4F, about right for this time of night, sorry no sphygmomanomter at hand.

Tempted to take 1st Wellbutrin of day early, but no - would throw off schedule, and if indeed suffering serotonin crisis, would make worse.

Took 2mg clonazepam - well within max daily limits I think, and least I can be a sedated serotonin syndrome victim! Maybe some restful music will help - undoubtedly better than sitting typing at computer.

I know probably nobody but me is live on this BB at this hour of the AM, but thanks for being there just to let me type this and feel a little better ....

Tony P

> Did my last post sound smug? Well, may Hypnos and Morpheus forgive me.
>
> Different experiment this time: Wellbutrin dose #2 at supper time, i.e. ~11 hr. after 1st dose. Spent a calm evening and fell asleep OK (11PM+? not sure) with prescribed dose of 1 mg clonazepam, 7.5 mg zopiclone.
>
> Awoke after skimming the surface of sleep for a while at 1 AM. Tomorrow's Saturday, I don't have to get up, so another .5 mg clonazepam, 7.5 mg zopiclone with some kava-kava in cocoa. Back to bed & try meditative techniques. Dozed for a maybe 10 minutes in a 40 min period, then fully wakeful. Took (somewhat regretfully) 200 mg Serzone - I was hoping for a longer period of trial just on WB without mixing the two. I feel the familiar gentle sleepiness from the Serzone as I type this, so here's hoping!
>
> Tony P
>
> > I'm on day 14 of Wellbutrin SR (1st time), day 7 at 150 x 2 per day. I also have noticed that it can make me sleepy, rather than wakeful.
> >
> > My first few days at b.i.d. I was taking the 2nd dose exactly 8 hrs. after the first. By the evening, I was almost manic, I just couldn't stop going, like that bunny! So I decided to experiment, took my second dose an hour or so before bedtime - that seems to work for me right now. This first 2 weeks have been quite a roller-coaster ride, though, so I'm prepared for it to change.
> >
> > My Dr. has given me clonazepam (think that's same as Klonopin), 2 x .5 mg at night, plus Zopiclone/Imovane. The Zopiclone works fast but only really lasts about 4 hours, the clonazepam is slow and long acting, so it seems to be a good combination. I think the doc wants to wean me from the clonazepam fairly quickly, which I am a bit nervous about, but on the other hand don't want to stay on it so long that I have a hard time coming off it ... life's a balancing act sometimes!
> >
> > I was having insomnia and taking the zopiclone already for a month or two before I started on the Wellbutrin, waking and getting up 2-3 times a night when it was worst. I was making it worse by rebound from the OTC drugs I was taking (especially Robaxin). I was also on Serzone (long-term) which seemed to have lost some of its sleep-stabilizing effect - so it's a bit complicated comparing then and now. But I've had 2 nights now where I more or less slept right through, and if I did waken, got back to sleep without taking anything extra. So I'm cautiously optimistic at this point!
> >
> > Tony P
> >


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poster:Tony P thread:78130
URL: http://www.dr-bob.org/babble/20010907/msgs/78245.html