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Posted by student on February 02, 2002 at 15:09:11:

Hey everyone~

So, I saw my sleep doc here in Boston, for the first time since I had my MSLT.

He had gotten a copy of my MSLT report (from home), and what he told me was that I had indeed exhibited a lot of REM sleep in the naps (particularly soREMs and REM upon being woken up). There were also some hypopneas visible in the study, and an occasional PLM. However, what the doc told me was that while the data corresponded with N, he was very "iffy" about formally declaring it N.

The reason is because I'd only been off my SSRIs (Effexor) for 3 days before the study, and some of the results may possibly be effects of SSRI-withdrawl. The doctor explained that he couldn't 100%-totally declare it N, but he says that it's extremely likely to be N...and I'll be classified and treated for N.

So as for treatment, I'm still on my 150mg Effexor XR BID (for depression/anxiety and C). And I'm also currently at 30mg Adderall XR in the AM (I think this is too little; but I'm not a doc). Anyway, the doc is having me suppliment these meds with provigil, starting with 200mg/AM...and every 4 days going up 100mg.

As the doctor said, every case of N is different, and as such we all need treated differently. Some people need more meds....some are fine on less....and we also need to figure out the optimal dosage interval spacing. Sounds fair, no?

And I submitted a letter to the school health center yesterday, but no respone yet.....

Well...off to grab a bite to eat... :)

Student

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