What is the best sleep medication for CFS patients?

[Husband of]

Mirtazapine has worked for my wife but she hasn't tried the others so can't really vote on what works best

 

[hmnr asg]

Mirtazapine has worked for my wife but she hasn't tried the others so can't really vote on what works best

I really should have formulated my post differently. I should have asked : "do you believe any one particular sleep medication would be particularly appropriate for CFS patients, either from personal experience or just theoretically"...

Or similarly: "is there a particular sleep med that you would think is detrimental to CFS patients..."

 

[Vladimir]

I use seroquel when my sleep is in a rut but if I use it consistently I get RLS, from it or just tight back muscles especially in-between shoulder blades

Tight neck and back muscles between shoulder blades - this is exactly what I had when I was on Seroquel too - 2-3 nights and it became intolerable.

Seroquel lowers your dopamine level, so my guess this is the reason for the muscles spasms.

 

[heapsreal]

Tight neck and back muscles between shoulder blades - this is exactly what I had when I was on Seroquel too - 2-3 nights and it became intolerable.

Seroquel lowers your dopamine level, so my guess this is the reason for the muscles spasms.

Sounds like it. I could use it once a week and be fine but I couldn't use it nightly.

 

[heapsreal]

I really should have formulated my post differently. I should have asked : "do you believe any one particular sleep medication would be particularly appropriate for CFS patients, either from personal experience or just theoretically"...

Or similarly: "is there a particular sleep med that you would think is detrimental to CFS patients..."

I don't think so. To many individual variances.

 

[heapsreal]

I have a similar thread I posted a while back. The last 2 nights, to give me a break from sleep medications and help lower some tolerance, I've just taken high dose melatonin 20mg tablets, 80mg at night and 1 zolpidem, which is a significant reduction in my Z-drug/benzo's I use. So the last 2 nights I've slept well. I will continue this until it stops working I guess, than add the sleep meds at a lower dose hopefully.