Posted by utopizen on February 18, 2004, at 17:50:34
In reply to Re: Straterra makes anyone more energetic/alert? » utopizen, posted by Chairman_MAO on February 18, 2004, at 7:30:02
Chairman,
thanks for reitterating that rational voice in my head, "don't mention it, don't babble, keep cool." It would be nice to think if I brought it up I could just as easily ask not to try it, or that I could ask to augment it with Desoxyn, but it's too much of a risk, and too few docs bother augmenting meds with it.
I haven't tried mixing extended release stims with Desoxyn (which USE to be sold by Abbott as an extended release, 12-hr., the only true all-day stim ever made until 2000). The Journal of Sleep Medicine in 1994 issued guidelines for the use of stimulants in narcolepsy.
It said Vivactil had no established basis for helping anyone's viligance during the day. It's typically used for narcolepsy patients with cataplexy, because cataplexy requires the use of an antidepressant and Vivactil apparently isn't sedating.
I need to find a journal abstract making it clear to my p-doc before the 22nd when I see him that narcolepsy patients typically require a non-benzo hypnotic like Ambien or Sonata, for sleep archiecture reasons (versus, say, Trazodone or other trycyllics which will mess with my sleep and make me feel groggy as a result).
If you could help me or come across such an abstract, I'd greatly appreciate it. I've already found one that came out a week ago, titled like, "Patients presenting with insomnia not drug-seeking."
poster:utopizen
thread:314938
URL: http://www.dr-bob.org/babble/20040218/msgs/315276.html