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574118 tn?1305135284

sleepy all day any clue

My cocktail is:

risperidone 1mg
seroquel 50mg
stelazin 2mg
xanax 0.375mg

as you might have known i added to the above lexapro/cipralex 5mg as i was starting to be depressed again. I am OK now the depression went away supposidely yet I am SLEEPY all day long.

The 1st time i started cipralex it was a month ago but nothing of the sort happened, it helped me tremendously but i had to cut it after 2 weeks as i had anxiety and slept one day a little. So fearing from catching mania,  i've given myself a break but then became depressed again the day before yesterday and with 3 hrs in the morning of motor activity and restlesness so restarted yesterday the cipralex based on pdocs view. Again the depression lessened directly but today i am very sleepy on and off (2 hrs asleep and 2 hrs awake all day long in addition to the 10 hrs at night).

could you please tell me why i am so sleepy?. Is it because i was tired the day before i.e. extra effort of restlesness so this is the result, or a side effect of cipralex. My parents phoned both pdocs, they said i could be tired. But tired from what if i am at home not at work. Upon asking is it from cipralex they said not from cipralex

Any clues? many thanks
ezz


12 Responses
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Avatar universal
Anxiety can be a stand alone issue, it is a natural human reaction to times of stress or new situations.

With regard to whether it is part of depression or mania:   In the case of depression I would say that anxiety may be worse because of other feelings.  In the case of mania then anxiety can be a "sign" of mania/hypomania, as can rage.  In other words anxiety can be part of or a symptom of virtually anything.

I can understand that you are trying to narrow things down a little as you are worried that it may a)be a result of the AD or b)a sign that your mood is changing/swinging to a higher degree.

I have a similar school of thought to monkeyc in that I have pesonally not had a good relationship with ADs (even alongside a mood-stabilizer).

I have lost track of why you were put on the AD - sorry :(  If you were put on it because of depression symptoms (I have a feeling this was the reason) then I would suggest that it is your mood stabilizing drugs that need to be looked at in the first instance, to try and control this.  

You need to be careful not to over-analyze things.  Although it is good to have as much information as possible in order to manage the illness, it is detrimental to become too over analytical.

As I said before "hopping on and off" a medication is not good - as you shouldn't take yourself off a medication without the approval of your psych.  From experiences I have had, and have seen others have, you would know within a week whether an AD was seriously impacting on your well-being and I'm talking quite extreme reactions.  

You run the risk of "talking" yourself into an agitated or anxious state if you are not careful - as in looking for side effects (if that makes sense).

So to summarise:  Anxiety is a natural response, it can be a stand alone issue or it can be part of a bigger picture whether that be depression, BP, PTSD, BPD etc

I hope I haven't warbled so much as to cause confusion!!!
Helpful - 0
574118 tn?1305135284
you may be a genius because 3 days before i had cough, sore throat and cold but no fever. Could it be an extrapolation of that. I correlated it with the cipralex because it happened directly after it. of course i had virus, but during this cold i wasn't sleepy only after the new restart on cipralex

could be that.

i posted a title "just confirm" about anxiety. It went away directly after the cipralex because i slept one whole day and felt relaxed, so anxiety is adjunct to my depression and when the last disappeared the first went away too. So is anxiety associated in your view with mania or depression? because in one booklet of the canadian health service it says anxiety can be treated with AD provided it doesn't cause mania. So rage is not mania but extreme anxiety. I wish you give me your view on my post
thanks ezz
Helpful - 0
Avatar universal
It may have nothing at all to do with the meds, you may have a slight virus???

I have phases of extreme fatigue, some last weeks, some only days and then I can have a week where I feel ok.

It could just be your body reacting to your new routine - you've gone back to work after a prolonged break, am I right?  So it stands to reason that once you begin to settle into your routine (ie, you are no longer running on the adrenaline caused by starting a new job) that your body will start to tell you when it is tired.

I found this after returning to work after 18 months, I was great for the first 4 weeks and then the tiredness came, then the insomnia, then the anxiety etc etc - I no longer had the adrenaline keeping me going.
Helpful - 0
599945 tn?1240382354
that is a v. low doze of xanax so it really shouldn't make you sleepy! might be the lexapro? ask your pdoc or google meds you're on to see what side effects they could have, or talk to your pharmacist about it.

Helpful - 0
574118 tn?1305135284
no i take xanax in 2 doses in the morning half of 0.25mg and at night 0.25 so a total of 0.375.mg
I'm OK now and thanks for being kind and considerate. Perhaps it was not alarming except that i fear so much to lose my job so i panick very quickly.

BP is so complicated. Quote me in the future with this:

IF BIPOLARITY WAS A PERSON I WOULD HAVE STRANGLED HIM

Good luck to all of us  
ezz
Helpful - 0
599945 tn?1240382354
of those meds if find 2mg of xanax would knock me right out!! do you take it in one dose? i take .5 mg three times/day as needed but it still sometimes makes me very tired, good for sleep at night with klonopin but during the day if tired from it i take a 20 min nap - sometimes also two hours if v. tired. abilify also knocked me out the first to days when i increased from 5 to 10 but now i take another 5 in evening and it does help with depression at night. hopefully this will continue.

i hope you get to figure out which med does make you tired. although if depressed it is part of it to sleep more. i found that i spent more time in bed just to get rid of some of the hours in the day.

am also glad to see you posting!!!
Helpful - 0
574118 tn?1305135284
Unbelievable
>>>there are two different issues. If a person has untreated depression they may feel depressed and lose interest in life and want to sleep all day. That's common. If an anti-depressent helps to relieve the symptoms of depression but a person feels tired afterwards then that's sedation from medication, a very common side effect of many medications""
EXACTLY the case. It's the 2nd part which applied to me. Actually my mother thought so too. Because i am not depressed only tired and sleepy so this is sedation from medications. Right.

>>>Its rarely used anymore for a variety of reasons
Yes because of TD and so forth since it's a typical AP.

>>>then you are having some form of idiosyncratic side effect
I'll look it up in google. But my mother when she was completing her Ph.D. here in egypt her GP put her on stelazin so she became alert and it helped her a lot in fact. She discontinued right away.

Thanks very very much
the good news is that i woke up today alright and i'm writing from my work
grateful ILADVOCATE. I wonder what to do without the nice people here. GOD rewards you
Ezz
Helpful - 0
585414 tn?1288941302
Yes some anti-depressents can cause sedation. The site "Depression Central" could explain better. Anyway, there are two different issues. If a person has untreated depression they may feel depressed and lose interest in life and want to sleep all day. That's common. If an anti-depressent helps to relieve the symptoms of depression but a person feels tired afterwards then that's sedation from medication, a very common side effect of many medications. I remember Stelazine. I was on it for a brief period. I slept practically the whole day. Its rarely used anymore for a variety of reasons. If its activating for you then you are having some form of idiosyncratic side effect. Anyway, I know I have some knowledge of medications but as a consumer its best not to think of me as a source to quote. The sites on the links page have some cogent information and incidentally its sites like these where I get my information from. They would be of more help for you in general although I appreciate that you find use in my or any other person's advice but "Depression Central" is run by a well known mood disorders specialist so its clinically valid as are the rest of the sites on the links page.
Helpful - 0
574118 tn?1305135284
incidentally there is a person who wrote a similar letter like mine and said she is sleepy all the time but you told her depression. is it because her letter carries the title "sad but sleepy". Whereas i am not sad only sedated, meaning no depression. Since cipralex is an AD so it should make me alert not sleepy unless a side effect
Helpful - 0
574118 tn?1305135284
but no because this combo i have it for a very long time now, the only new thing is the lexapro. Unless i was already plunging down for depression and this a kind of depression, but i am not feeling sad so i gathered this is not depression. I take the seroquel+risperidone at night only. Stelazin in fact makes me alert and never sedates me. Even this combo i tried a month ago with the cipralex for 2 weeks and i wasn't sedated.

However ILADVOCATE used the terminology saying "sedating" i never thought about this, i thought this is due to depression alone and related issues.

eventually i shall have to think it over about my meds, but right now it's my job which worries me most because i am absent for 3 days saying i have a cough a running nose and aching throat  
Helpful - 0
Avatar universal
It could also be the stelazine and your new meds, stelazine could tranquilize a horse.
Helpful - 0
585414 tn?1288941302
Well you already made a decision as to changing psychiatrists who you said will be changing your medications to a different combination. So the sedation should decrease as should the motor restlessness that comes from that combination of medications as well and also disrupts your sleep. Once things are adjusted if you still feel sedated at that point in a way that interferes with your life think about it then as its bound to happen now.
Helpful - 0
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