Posted by Phoenix1 on June 18, 2008, at 19:38:53
In reply to appointment with pdoc tomorrow...ideas?, posted by Crotale on June 18, 2008, at 18:46:18
Hi Crotale,
I experiened bad insomnia on Nardil. I started out with zopiclone 7.5mg (Same as Lunesta 3mg roughly) but it quicly lost it's effectiveness. It was increased to 15mg, which also quickly lost effectiveness.
Adding 50-75mg of Seroquel did the trick. No more tolerance issues, no more insomnia.
Side effects were minimal at that low dose. So you might want to ask about adding a small dose of Seroquel to the Ambien?I know there's at least one other poster on Parnate who has also had good success with this combination.
Hope that helps.
Phoenix
> Hi everyone. I'm seeing my pdoc tomorrow. I've been having ECT with some success, but my insomnia is still causing problems. Only thing that seems to work is Ambien (benzos, antihistamines, etc. stop working after a few days resulting in dosage creep).
>
> I've had problems in the past with REM sleep behaviour disorder (that's physically acting out one's dreams; doesn't happen now b/c I'm on Parnate, and MAOIs suppress REM sleep almost completely).
>
> Needless to say I've tried many things, but I haven't tried some of the newer ones (Mirapex, NMDA antagonists, etc.). I had a seizure (they think) on desipramine, which is too bad because it actually worked pretty well.
>
> Anyway...anyone have any ideas? I've been considering asking for a higher dose of Ambien but I'm already taking 20mg which is higher than the recommended dose. Ambien is the only sleeping pill I've ever taken to which I don't become tolerant. It also seems to have some anti-anxiety effect (which I know it's not *supposed* to...)
>
> Anyway...ideas for the treatment-resistant?
>
> Thanks....
poster:Phoenix1
thread:835335
URL: http://www.dr-bob.org/babble/20080617/msgs/835344.html