Lex FAQs
Friday, January 28th, 2005Howdy from a chilly (45! brrr!) Texas…
We should get together and post an FAQ on the group somewhere…
Just wanted to reply to a few posts:
1) Alcohol + Lex = a recipe for a disaster in side effects, not in liver
metabolism. Lex basically intensifies the effects of alcohol, from
speed-of-drunkenness to blackouts, etc. You would likely pass out and fall
asleep before you
drank enough to cause liver damage. While you should always check out herbal
remedies with a doctor before mixing them with Lex, vitamins and minerals are
fine (I take tons of them every day). Valerian and St. John’s Wort remain two
of the most potent agents to be careful of, because of the way they are
metabolized in the liver. If you have any history of liver problems, be careful
even
with Lex alone.
2) Suicide — my thoughts are with you after that attempt. I’m glad to hear
you had the courage to get the help you needed. Interestingly enough, Lexapro
is to be admistered only with caution to patients at high risk of suicide. But
I also am glad you were brave and kind enough to share your story with others,
because it is NEVER a good idea to quit a psychotropic drug cold turkey. The
results are unpredictable — you are messing with brain chemistry.
3) Insomnia — This is a known side effect of Lex, and all side effects
increase the higher in dosage you go beyond 10. I actually had insomnia of
Herculean proportions (sleeping three hours a night, maybe?) with Lex when I
started.
Took an Rx of Restoril 30mg qhs (a benzo) to get me to sleep. Ambien isn’t a
benzo, but it works the same way. My doc and p-doc agreed with me that using a
benzo would be fine, even if I took it every day, because we were treating a
side effect, and canceling something out, rather than just using it to alter
brain chemistry to induce sleep. Might be worth discussing with a p-doc. At any
rate, until you can find an Rx sleep agent, try 50mg of Benadryl (or its
store-brand equivalent — you’re looking for diphenhydramine). It’s interesting
that this everyday antihistamine is also sold under about 10 different names as
an OTC sleeping pill, usually for twice the cost
All the best,
Brian in Houston