Hi,
I've managed quite well since age 18 (now 40) on 20mg Paroxetine. Until a few bad things culminated into a mid life crisis Nov 16 which put me up to 40mg and gave me insomnia. It's cyclic so if I feel positive and latch onto some hope I'll sleep ok for a week or two then relapse. It's now come to the point where the relapses have just stolen the hope from me. This is after trying sleep restriction, CBT, slow release circadin melatonin (worked for 2 weeks but ended up making me depressed).
I went 4 days with no sleep and ended up in the crisis centre. They gave me some positive vibes and options and I slept again for a week. Now I've relapsed again and I've started trying OTC antihistamine sleeping tablets which worked OK but affect my mood the next day. Not necessarily tired, more up and down with a fuzzy head.
Anyway, I've basically coerced a Pscyh Doc to prescribe me 15mg Mirtazapine to go with my 40mg Seroxat/Paroxetine. My GP wouldn't prescribe it and the Psych was unwilling for the same reason of there being a chance of serotonin syndrome. It's not unheard of though and eventually the Psych doc relented. I just want to sleep though and get a lift on my mood to get to live my life again.
Has anyone took these 2 together? Does anyone else feel their SSRIs get sent out of kilter with Promethazine or Diphenhydramine sleeping tablets?