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Sleep Disorders Message Board


Sleep Disorders Board Index


I'm a Newbie to this message board. Boy can I relate to this message! About 5 years ago I had a serious nervous breakdown (financial reasons) and had this overwhelming thought all the time. IF I COULD JUST SLEEP!!! Fortunately my doctor is very understanding and prescribed 3 different sleep meds that I've been taking for 5 years. I take Temazepam 30mg, Seroquel 25mg and Ativan 2mg each night. Actually I'm trying to go off the Ativan which is why I started to post on this board. Maybe Seroquel isn't for sleep (I think it's an anti-depressant) but who cares? I found this combo works great. But now my personal circumstances have changed so much I am trying to go off the Ativan. As for the crying. I spent the whole time with the shrink crying and telling him how I was going to commit suicide. But now I've had 5 years of decent (if not always perfect) sleep and I feel fine 90% of the time.
[QUOTE=jonnstar;4694406]Seroquel is an antipsychotic drug, used for psychosis - mania, schitzophrenia etc

it has antihistamine activity, and this is how it produces its sedative effects.

>I've been taking Seroquel, Temazepam and Ativan for years. Trying to go off Ativan now. Using smaller doses gradually. Down to 2/3mg Ativan now - feel OK.
Thats great!

Not sure why your doctor would have prescribed Temazepam and Ativan, as they are both benzodiazepaies (eg, more or less the same drug)

Cut the ativan back nice and slow, and you'll do fine, half or quater of a pill per week.

The dose of Seroquel used for sleep (25-50mg) isnt likely to have serious side effects, as it is much lower than the usual antipsychotic dose, but there are definatly better sleep drugs avaliable for most cases.
About 5 years ago when I was going 5 nights without ANY sleep at all my doctor started me on 1mg Ativan, no effect! Then 2mg Ativan - still no effect. I finally saw a Psychiatrist who prescribed the Seroquel. My doctor prescribed some sleep med (can't remember the mane now) which worked OK but was really expensive. Since my deep depression was caused by my serious financially woes having a sleep med that was too expensive just made my financial worries greater. So she put me on the Temazipam. I could finally sleep! For years I just kept up the Ativan eventhough she told me the same thing that Ativan and Temazipam were very similar. I was frankly scared to death to go back to that horrible sleeplessness. But now I'm fine and can allow myself to try and go off the Ativan. So far it OK. Don't sleep nearly as long as with the Ativan, but maybe I don't need to sleep that long.
I've hit a bit of a set back with my attempt to go off 2mg Ativan. I never dreamed that this would be so hard. I was doing OK but getting less sleep than I have been for the past 5 years. So I decided to back up a bit and take a larger dose (which is still smaller than the 2mgs I had been taking). Sure enough, I got a really good sleep last night for the first time in 20 days. So now I'm not sure what to do. I think I'll just go back to the much lesser dose (about 2/3mg Ativan) dose tonight and see what happens tomorrow. I have to work tomorrow so I'm a bit nervous. The switch to the lesser dose made me a real "space cadet" at my job at first but gradually improved as I think I was getting used to the new dose.
Going off Ativan is progressing OK. After 32 days of taking smaller and smaller doses of Ativan (2mg) I have been completely off Ativan for 3 nights now. Had a terrible sleep 2 nights ago (2 hours only). But last night I got 7 hours. There may be a connection with caffeine. I have 2 huge cups of coffee in the morning - I get headaches if I don't have it. But I had tea at 12:00 noon that day and it was followed by that terrible sleep. So I'm cutting out any caffeine after my morning coffee.
[QUOTE=jonnstar;4712126]You could try taking a Unisom every second night (not every night, or it will quickly lose its effect) to help cover the period you're comming off of ativan[/QUOTE]

Thanks for your advice. Frankly, I'm so "spaced out" with this coming off the Ativan completely (which I've already done) that I can't even think about doing something completely different than I've been doing for 5 years. Eventhough I felt like a zombie a few days ago, I feel OK now and have gotten 7 hours of sleep for the past 3 nights. So, I'll just proceed with Plan A right now. :)
[QUOTE=jonnstar;4712976]Molly, thats great, congratulations!

Nochange, what dose of clonazepam and doxepin were you on? I seem to remember you used to take 4mg clonazepam...... did you try taking your 4mg clonazepam with some doxepin, say 20 - 50mg, depending on what your doctor recomended?

You should also probably take an analgesic at bedtime, 2 Tylenol or Advil, because sleeping pills dont work very well when we are in pain

So sorry to hear it didnt work out as hoped, very best of luck though.[/QUOTE]

Thanks again for your input. You must be getting me mixed up with another Newbie :)
I was and still am on 30mg Temazepam and 25mg Seroquel (Quetiapine). I just went off the Ativan 2mg.
I must have written something wrong because the whole "going off Ativan" thing was a complete mystery to me (withdrawal symptoms, etc.) before I actually did it. My doctor has casually mentioned to me before that I may want to go off the Ativan because Ativan is similar to Temazepam. But I was so afraid that I would go back to those terrrible sleepless nights like I had 5 years ago that I just put it off.
[QUOTE=Molly1949;4713707]Thanks again for your input. You must be getting me mixed up with another Newbie :)
I was and still am on 30mg Temazepam and 25mg Seroquel (Quetiapine). I just went off the Ativan 2mg.
I must have written something wrong because the whole "going off Ativan" thing was a complete mystery to me (withdrawal symptoms, etc.) before I actually did it. My doctor has casually mentioned to me before that I may want to go off the Ativan because Ativan is similar to Temazepam. But I was so afraid that I would go back to those terrrible sleepless nights like I had 5 years ago that I just put it off.[/QUOTE]

Had a setback "going off Ativan 2mg" last night. Woke up at 2:00am and didn't get back to sleep. The reason I went off Ativan was to see what I actually needed to get a decent sleep after 5 years of 3 meds (Ativan 2mg, Temazepam 30mg and Seroquel 25mg). Since going completely off Ativan I feel OK in the mornings but "fall apart" around 3pm. I have to go to work today after a bad sleep - so I'll see what happens. My next move now is to take just the Temazepam and Seroquel (no Ativan) for a while to determine what happens and then if things don't improve I'll hopefully get my doctor to prescribe Remeron 30mg and take that instead of the Temazepam.
Remeron and Seroquel both produce their sedative effect by the same mechanism (antihistamine) - if you do need 2 pills, you're better of using temazepam and Seroquel or temazepam and Remeron, not Remeron and Seroquel together.

It ight take a couple of weeks for your body to get used to no Ativan, but it will get used to it. best way is to cut the dose back by 0.5mg per week...... if you have been taking 2mg at night, cut it back to 1.5mg for a week, then 1mg for a week, then 0.5mg for a week, then stop - this is less of a shock to your system than stopping suddenly.

Nochange, have you tried taking 2 Advil PM with your clonazepam, they will boost the sedative effect of the clonazepam, and also releive pain, so you can rest on the pillow. Two tabs at night would be the usual dose.
[QUOTE=jonnstar;4714809]Remeron and Seroquel both produce their sedative effect by the same mechanism (antihistamine) - if you do need 2 pills, you're better of using temazepam and Seroquel or temazepam and Remeron, not Remeron and Seroquel together.

It ight take a couple of weeks for your body to get used to no Ativan, but it will get used to it. best way is to cut the dose back by 0.5mg per week...... if you have been taking 2mg at night, cut it back to 1.5mg for a week, then 1mg for a week, then 0.5mg for a week, then stop - this is less of a shock to your system than stopping suddenly.

Nochange, have you tried taking 2 Advil PM with your clonazepam, they will boost the sedative effect of the clonazepam, and also releive pain, so you can rest on the pillow. Two tabs at night would be the usual dose.[/QUOTE]

I am just trying to find out which meds are the best for me. All I know now is that my doctor prescribed Remeron 5 years ago but I couldn't take it then because it was too expensive thus making my financial worries that I had at the time - don't have them now - worse. About the Ativan 2mg. Going off it a bit at a time has clearly not worked for me. I went off slowly for 34 days. On day 38 I had a terrible sleep (woke at 2am and couldn't go back to sleep). The result was a terrible day at work. So I went back on the Ativan (about 3/4mg) last night and I was OK today. Tonight I'm taking about 1/2mg Ativan until I can figure out what approach will work best for me. I'm going to my doctor when I have a clearer idea of what to do about all this. Your 2 Advil PM might work. Am in the dark now as to what to do.
[QUOTE=nochange;4714338]Remeron - This one? I would not touch it again. Many people put on weight on it.

Me, who hates to eat, let me put it that way. I eat only when I am hungry, I was eating all the time - none stop craving for food 24/7. That was worse than doxepin.
Doctor also did not warned me on that one. When I told him, I started to put on weight and all day was eating, he told me that would be good for you. Problem is, you never feel full.

Doxepin is a little bit better but weird feeling. Also makes you eat. It worked in the beginning but after 6 days stopped working. I was on 50mg doxepin. Who knows? perhaps one day will be back with it. Still have some pills left. I hate it when a medication makes you crave for food, I never ever craved for food in my life, only eat when I am hungry and that freaked me out.

Have you checked your thyroid??? If you do not suffer from chronic pain I would think your problem would be your thyroid and not your depression and/or anxiety.

I have heard if thyroid does not function properly it can cause insomnia. Do the TSH + T4 + T3 testing(blood test) and please let me know....

Yesterday I was only able to sleep 3 HOURS. I am getting really upset of all this situation. Never ending story.

Financial problems? is that what you have? we all have those problems....but it cannot make you not being able to fall asleep and stay asleep for so many years, guarantee.

Tamazepam is restoril, I know somebody who took it in the past and was really happy with it. Why do you need to add Serequl to it? Restoril is pretty powerful.

Also, you know, Remeron, is called the "happy pill". I felt so weird on it. You be better off with Doxepin which I stopped for now. Cause as I said before, it worked and then stopped working plus made me eat - craving. I hated it. See what next.

Drink the sleepy time tea perhaps that will help you. I used to drink Chamomile tea when I have been a student and it really helped me sleeping, though I rarely had sleeping problems back then and that was only when I needed to do exams.

You just do not want to be me, I cannot rest my neck on the pillow at all times, so how can I ever sleep naturally.

I did not lose hope yet. Hope is all I have left with.
Let me know how you are doing.[/QUOTE]

No "natural" cures (Melatonin, Sleepy Time Tea, etc.) have ever worked for me. I have a history of Chronic Insomnia from my Mother's side of my family. Thanks for the warning about Remeron - makes you put on weight. At the time that my doctor prescribe it, I was in the midst of my serious nervous breakdown and had no appetite at all. The Seroquel was prescribed by a Psychiatrist. My doctor has said that I may want to go off the Ativan (it's similar to Temazepam) but she has never recommended that I go off the Seroquel. About the thyroid. I vaguely remember her prescribing pills for thyroid. I was in such a state during those horrible times my memory of them is vague.
Big news about Ativan. My Pharmacist told me today that going off Ativan is VERY HARD and I will not feel completely OK for 3 - 6 months. This made me feel better. I've been doing the gradual withdrawal thing for 50 days now and I still feel lousy. But now that I know that it's really hard to go off Ativan I'll just hang in there, take no more Ativan even for work. So there. Today is the first day of the rest blah, blah, blah....





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