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Best antidepressant for sleep?

Discussion in 'General Treatment' started by EMilo, May 19, 2013.

  1. WillowJ

    WillowJ Senior Member

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    Elizabeth Milo possibly this might help: http://www.cfstreatmentguide.com/1/...nd-cfs-99-of-patients-not-getting-better.html

    everyone is very individual. unfortunately I agree that you might have to try a few things before finding something that works. If you have a really smart doctor or pharmacist, they might be able to suggest something based on your case history (e.g. specific symptoms and what medications you have not tolerated in the past). I have this one doc who is a genius like that.
  2. EMilo

    EMilo Elizabethmilo.com

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    Thanks, WillowJ. I don't suppose your genius doctor is in Seattle, is he/she?
  3. WillowJ

    WillowJ Senior Member

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    sadly, not near Seattle, and a pulmonologist (so kind of limited application anyway)
  4. Scott White

    Scott White beammeupscotty

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    Believe it or not I’m thinking about trying Advil PM and/or Unisom Sleep Gels next. The most effective for me thus far is Amitriptyline 25mg and Temazepam 30mg for the last 7 years. However, it’s has lost its luster of late…I usual try to go solo with the Temazepam only because of the hangover effect with Amitriptyline. If I use Amitriptyline/Temazepam together I do sleep through the night. I have tried other prescription sleep aids and get NO effect, especially with popular Ambien. I can take three Ambien 10mg and be up all night. Trazodone keeps we awake all night too.
  5. EMilo

    EMilo Elizabethmilo.com

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    I've never heard of that AD. I would consider my insomnia weapons-grade, also. Thanks for the support. :)
  6. EMilo

    EMilo Elizabethmilo.com

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    My doc just gave me an Rx for trazodone. I haven't got the nerve to try it yet. Do you know if you can only take it sporadically? I would love to just take something every few days. I am also taking gabapentin for sleep ~any idea if the two can be taken together? Thank you!!
  7. EMilo

    EMilo Elizabethmilo.com

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    I've never heard of remeron, either! Thanks for the tip.
  8. EMilo

    EMilo Elizabethmilo.com

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    I have not tried 5HTP. Do you recommend that before something like trazodone? I have tried melatonin, valerian, benadryl, unisom, tizanidine, valerian, PS, magnesium... I just need something to keep me asleep. It's the constant waking that might kill me.
  9. EMilo

    EMilo Elizabethmilo.com

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    I'm sensitive to drugs, too, and not depressed. Amitriptyline was top of my list and I'm really glad I asked because I have horrific IBS-C already and don't need any more gut trouble.
  10. EMilo

    EMilo Elizabethmilo.com

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    Did I never answer this? Sorry! Ok, my biggest problem is constant waking. And god forbid I have to get out of bed for any reason, I will NOT go back to sleep no matter what time it is. EVERYTHING wakes me. We have gone to great lengths to noise- and sound-proof my room. If anything wakes me, I'm awake. If nothing wakes me, I still spend most of the night in awake brain activity (according to the sleep study and my Zeo headband).

    I have pain issues, too, and some trouble falling asleep and my mind definitely races, but none of that is a major concern. I do take 2 grams of fish oil. I'll look into NAC. Thanks for the help!
    Valentijn likes this.
  11. EMilo

    EMilo Elizabethmilo.com

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    I don't think I have been tested for bartonella!Thank you!
  12. EMilo

    EMilo Elizabethmilo.com

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    WOW. SO sorry you experienced all this. I truly don't think I can have a marginally happy life until I get the sleep under control. It rules my life and dictates how bad my symptoms will be. Everything would change if I could sleep. Maybe I'd be able to leave the house again!
    The Spitfire likes this.
  13. peggy-sue

    peggy-sue

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    I'm another who could not tolerate amitriptyline. (the low dose, normally used for bed-wetting in 7-year olds).
    It put me on a different planet (my feet seemed to be miles away if I tried to look down at them) my guts went crazy, I got non-stop cystitis and I kept passing out. It took a long time for these effects to wear off after I stopped taking it - several weeks/months.
    I didn't mind the side-effects too much when I was cheerful, (it was a bit like being drunk), but when I was in a bad mood or upset, it was unbearable.

    But I do know of others (with ME) who swear by it.

    How are you with alcohol? I know a lot of PWME can't drink; (I've been sober for 22 years and ain't about to start that again) but maybe a "nightcap" might help you?

    I sometimes use a mix of valerian, passion flower, hops and lettuce extract, an OTC preparation that sometimes helps a bit.

    Nothing much does help though. When I'm going through a really bad patch of insommnia, I find the only way to cope with it is to at least rest all night - to try not to let my brain get out-of-control fretting about not sleeping.

    I do try a bit of self-hypnosis too.
    Concentrate on breathing slowly and deeply in to a count of 10, hold it for a count of 10, then slowly breathe out to a countdown from10.
    Do this 10 times, while staring at a point high up on the wall/ceiling, and DO NOT allow yourself to blink.

    On the last breath out, you are allowed to shut your eyes when you get to the end, allow all your muscles to relax with the last breath out.

    If it doesn't help, you can start at the beginning again. Or do it 100 times.
    All the concentrating and counting helps to stop your brain racing.

    Another thing I use to stop my brain racing is to go through the alphabet, listing 3 vegetables for every letter, or 5 boys' names or 5 girls' names, or 3, or 5, or even 10 of whatever takes your fancy.

    Much sympathy. The worst of it is actually having to consciously exist while feeling utterly vile for up to 22 hours out of every 24. Sleep is such a joyous escape from it!
  14. Abha

    Abha Abha

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    Hi Elizabeth et al,

    I'm on amitriptyline at present.I take 10 mgs and it puts me to sleep.I was supposed to increase it to two tabs per night but as 1 tablet is working ok I'll continue with this dose in the meantime.I'm an OP(malathion)affected patient and Dr Myhill uses it with such patients(according to her website).Over the past 40+years I have had various sleeping tablets.Some work for a very short period and then seem to make things worse.I used lithium orotate too and it seemed to work for a while.I never feel refreshed when I waken up....and it takes me ages to get going.I see others have had mixed experiences but then no drug is perfect.I'd prefer to do without but at present this is what I have to do.
  15. Mij

    Mij Senior Member

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    Absolutely for sleep you can take as needed. The best part is that when you no longer need it for sleep you can just stop with no withdrawal type symptoms.

    The best person to ask as far as taking gabapentin together with Trazodone is a pharmacist.
    EMilo and The Spitfire like this.
  16. Misfit Toy

    Misfit Toy Senior Member

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    Years ago, I used to just take an antidepressant here and there. Elavil helped with sleep so much, I would literally lick the pill and go to sleep. Trazadone too. My friend takes Trazadone as needed. Not every night. You should try it. Pharmacists know you can do this. The meds aren't issued out like that, but if it's for sleep only, I wouldn't worry about it too much.

    Elizabeth Milo-SLEEP is the most important thing in my book, It helps me handle things and get out. However, there have been times I sleep great and still feel like dog. But still, not sleeping makes one nuts.
    EMilo likes this.
  17. heapsreal

    heapsreal iherb 10% discount code OPA989,

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    I have used sedating antidepressants sporadically and this helps them to keep working by reducing tolerance. Regular use is needed if one is using them for depression or pain?
  18. heapsreal

    heapsreal iherb 10% discount code OPA989,

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    I have used both with no issues. Both work on different receptors probably increase sedation. Always check with your doctor.
  19. WillowJ

    WillowJ Senior Member

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    did they look at your respiratory activity in connection to your sleep? my sleep doc decided I could be starting to stop breathing and this could cause me to wake up to prevent this (even though by traditional assessment I have no apnea at all). Trial with a CPAP did find breath stoppage events to fix.

    do you ever wake up breathless or with the sensation you've not been breathing recently?
  20. Firestormm

    Firestormm Senior Member

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    I have the same problems Elizabeth. I do take several prescription drugs, none specifically for sleep however, but one is an anti-depressant. I hadn't realised Gabapentin can be prescribed for sleep - seems strange - but if it helps then cool as I'm on that one too but for pain. Similarly, as was mentioned, I hadn't realised Baclofen was another aide to sleep - another drug I take that helps take the edge off of the muscular aches and twitching. I guess the combination of several drugs will all serve to help the body and brain enter a relaxed state.

    I do take Sominex in addition to my prescribed meds. Just half a pill each night, every night. I find that if I take it an hour before I would hope to retire, then it really does begin to send me under. You can of course 'push through' this should you wish - but I find it is enough to get me into sleep-mode.

    I have altered by day-time routines in an attempt to improve my 'sleep-hygiene' and rarely now fall asleep during the day. My activity in the afternoon and evening is flat - other than cooking dinner - but I try and stay awake until about 10pm. I have found this means I fall asleep quicker and for longer - but still encounter many of the previous issues. Although it is easier now to get back to sleep. When I do wake, I get up and move environments, and if I know I won't return easily to sleep I might read in the lounge on the sofa for a bit. If sleep is obviously not going to return, then I will begin my day - whatever the time.

    Other things I can now do, and try to do each day, include getting outside for some fresh air and gentle exercise and ensuring I have some fresh air in my room at night if I can. Also that the temperature is comfortable for me - I still sweat heavily at night. I purchased a good mattress some time ago and that changed things noticeably. Though I am sure you have done all that you can in this respect.

    I am about to embrace a sleep study at hospital over 2 days (1 night), and wanted to ask if they specifically prescribed anything for you based on the observations they made? What were their conclusions?

    Personally I was disappointed they will not be running my study over 3 nights at least - as my neurologist had said they really needed to do. I get these 'seizures' at night sporadically, though often a couple a week I suppose, and it was really those that they are trying to get a handle on. I think the chances of building up an accurate picture during one night are significantly reduced.

    Thanks.

    Edit:

    I forgot to say, my Antidepressant - now Moclobemide - was not prescribed for sleep. Unless a doctor is associating anxiety as a possible cause of sleep-distress I suppose, which none of my own ever have; I can't see the association. I have been through double-digit prescriptions of different Antidepressants over the past 14 years. Each doctor I see has his own preference it would seem. This one though doesn't seem to disagree with me. And if you read the link - perhaps it helps explain why. I was told it was 'an old one' which I took to mean not one of these newer 'trendy' pills. But it works for the primary diagnosis which was associated depression of course.

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