Hello, I had a long time to post. Excuse me in advance for the long post. Male, around 50, with daily heavy alcohol consumption in the past.
After stopping alcohol, but also during the heavy drinking phase and for the last 25 years, I had problems falling asleep, especially the days before long voyages, Sundays, days before working trips etc. Obviously related to anxiety problem, with a mild depression. I was for a year (after cutting whiskey) in most SSRIs,
- zoloft 1 year, didn't help falling asleep but crushed any depression I had - mild weight gain
- lexapro 1 year, helped falling asleep in most cases but I had concentration issues and more than 5kgr weight gain
- paxil for 2 years, not so hungry as lexapro but still hungry and reinstated alcohol in moderation but almost daily, helped to fall asleep, except for stressful situations or if I return late at home I couldn't fall asleep, but needed some help like half valium or half zolpidem
- switching from half paxil dose to cymbalta 60mg, no cross tapering. At 60 mg it made me kind of obsessive with daily minor bothering things and not so understanding to other people. Eating less food than half paxil, but still more than my normal eating patterns, it brought me some sugar carving after couple of hours of taking it. Continued alcohol consumption in moderation and not daily. ABSOLUTELY no difficulty falling asleep with 60mg, "cured" a very old annoyance. I was so satisfied because of this.
I also have a herniated disk in the neck that causes me daily pain, chronic pain for decades. Cymbalta did nothing for that.
As the pain, especially the numbness from the nerve pinching made me stop going to the gym or cycling, I visited neurologist after 2 orthopedics, massage, chiropractor, physiotherapy etc. At that time I was taking 30 mg (slowly reduced 60 to 50 to 30).
So she prescribed (of course) lyrica, to start with 75 and titrate to 150. Cymbalta was prescribed by a PSY doc, so the neuro doc told me to simply stop using it, lol.
I didn't listen to her, but instead dropped from 30 mg cymbalta capsule to 20 mg yentreve capsule, both made by Lilly. I had brain zaps but controllable, as the lyrica started getting effect, also made me a tad more relaxed. Now the neuro prescribed the 150 mg lyrica, but I am reluctant to start.
My biggest problem, now on yentreve 20 mg, returned: the lack of falling asleep. I am two weeks into 20mg, but since I have to wake at 7, if by 01:00 am not asleep I take zolpidem. Yesterday, for example, I hadn't taken any lyrica until around 23:00, when I returned home from a friend. I took besides the lyrica a clonazepam pill, as i wanted to sleep the soonest possible. However, I had some noise from inside the house and up to 01:30 I wasn't asleep, so I took half zolpidem additionally to the clonazepam.
Tomorrow I have an appointment with my PSY, as the zolpidem run off. I only have now clonazepam, which more helps me recreationally rather falling asleep. As I talk about difficulty falling asleep with my neurologist, she prescribed additionally to lyrica, remeron 30mg, to begin with 15mg to help with my sleep.
1) I am also reluctant to begin remeron, but not if it can be used on demand, so if I take 10 or 15 mg occasionally, is it going to work? Do you have any experience about that, remeron to be used on demand for sleep?
2) With 30mg but the cymbalta pill (not yentreve), I had no problems with my sleep cycle, just occasionally an Atarax the night before a trip for example. If I manage to wean off cymbalta, I KNOW that I will have to take sleeping pills. Not daily, but some times per week. I understand that members had huge trouble withdrawing from cymbalta, but is it better for me personally, to take a 30mg dose daily at afternoon and avoid the occasional use of sleeping pills?