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Re: Help! Need advice on being afraid to go to sleep

Posted by paulb on February 22, 2002, at 13:31:47

In reply to Help! Need advice on being afraid to go to sleep, posted by genelowery on February 22, 2002, at 11:48:25

It sounds to me that you have developed a problem with insomnia and consequently panic too. This is understandable I think considering what you wrote.
I think all the SSRI's can cause insomnia and sometimes they can cause hypersomnia. One important question is has the insomnia got worse since being on Celexa? If it is being used for depression or other mental health problem and causing insomnia perhaps you could suggest to your doctor augmetinmg with Serzone, a low dose of a Tricyclic AD or Mirtazapine The TCA's antidepressants have anti-histamine effects. Elavil is the most potent in the class of TCA's for its anti-histamine effects. Serzone blocks the serotonin receptors that cause insominia. Mirtazapine is a combination of both the beneficial effects Serzone and the TCA's have on sleep and I have read is effective for mixed anxiety and depression.

Of course the benzodiazepines and the newer non-benzodiazepine hypnotics-Ambien, Zaleplon, are very effective but their is debate and controversy as to their addictive potential. I am not saying these medications are or not addictive. At this site there is mixed opinions. Certainly occasional use is commmon for transient insomnia and anxiety.

Caffeine, especially if you drink a lot can cause insomnia? Perhaps other aspects of your life-style are causing problems with sleep as anxiety and tension can be a problem and it sounds as if you have mixed anxiety and insomnia. Hope some of this advice helps you.
paulb


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poster:paulb thread:95099
URL: http://www.dr-bob.org/babble/20020222/msgs/95118.html