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  • BDD Moderators: Keif’ Richards | negrogesic

Sleeping pill suggestions

s2k1099

Bluelighter
Joined
Nov 3, 2010
Messages
119
Location
Kansas, USA
The sleeping pills ive been on and results-

Eszoplicone (Lunesta) 10mg - worked great but insurance doesnt cover it.
Zaleplon (Sonota) 10mg - Too short acting to be effective.
Zolpidem (Ambien 10mg) Sleepwalking after prolonged use.
Trazodone 50-100mg - Severe morning headaches

and my most recent failure -

Seroquel 25mg - SEVERE aggression, rapid heart rate and irritability upon awakening.

Does anyone know any other suggestions as to a sleeping pill that may work?

After the experience with seroquel I refuse to take another off label dose of any anti-psychotic, so I'm hoping to go in with a suggestion to bring up to him.

Any info is appreciated
 
Melatonin, or an antihistamine like Diphenydramine maybe? Usually available OTC too, worth a try.
 
Melatonin, or an antihistamine like Diphenydramine maybe? Usually available OTC too, worth a try.

Seroquel at low doses (like 25mg) works as an antihistamine instead of beta blocker - so i think that was what my doctor was thinking as well. Unfortunately it doesn't work for me.

I've heard a lot about melatonin but i have yet to try it due to the fact that it's a hormone. I'd rather try something else that doesnt have the possibility of decreasing my already lacking natural production of it.
 
Dipenhydramine - it really does make me drowzy. And i've had alot of more hard hitting hypnotics to sleep before (mainly zimovane)
Dph 15 minutes before bed and i'll be snoozing nicely along. Give it ago - the side effects are minimal
 
The sleeping pills ive been on and results-
Eszoplicone (Lunesta) 10mg - worked great but insurance doesnt cover it.

If this worked then Zopiclone should work just as well if not better.
There are about a dozen generics so your insurance should cover it, but it is so cheap you could just pay cash for it.
 
try pregabalin or gabapentin. they work well for sleep and dont inhibit REM sleep
 
try pregabalin or gabapentin. they work well for sleep and dont inhibit REM sleep
True, forgot about those. There is some stuff I got in the UK called Phenergan. That stuff knocks me out. Its for motion sickness mainly but it makes you drowsy alright
 
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Doxlyamine succinate or something like that,
75-100mg will help me sleep through the night.
Otherwise
zopiclone is just as effective as eszopiclone at 2x the dosage. (eszopiclone is the active in zopIclone)

whenever i hear bad stories about ambien , the first thought that comes to mind is "what a pussy", no offence op. Those are my go-to, could take 3 and not have any fear of sleepwalking.
 
Phenergan is one of the brand names for promethazine and needs a prescription unfortunately. It worked well for me. I hate not being able to sleep and I've tried over-the counter herbal supplements (blah) diphenhydramine worked for a couple hours but woke up with rebound effects. My doctor didn't want to refill Ambien. The trick with that is take it right before you go to bed, just like Sonata and Lunesta- they work similiarly and hit you quickly. If I had the choice any of those three are great. I personally hate seroquel because I had a bad reaction to it. That's one on my list of drugs I would never use again.
 
whenever i hear bad stories about ambien , the first thought that comes to mind is "what a pussy", no offence op. Those are my go-to, could take 3 and not have any fear of sleepwalking.

HAHA. Allow me to elaborate, pal - That particular night i dropped 5 of them, and was coming off a 3 day amphetamine binge. I also made the mistake (according to my friend) of getting up from a lying position to standing up way too fast. I imagine the mix of lingering amphetamines, sleep deprivation, the ambien and a rapid change in blood pressure all contributed to this.

I may have a biased outlook on it too because during my sleep walking episode i walked outside and then dumped all my adderall on my car, proceeded to pick it up and put it back in the bottle, then i gave away like 10 for free. That was a horrible experience in itself.

Also the effect from lunesta was 5x more desirable in every way then ambien. In high doses the ambien would put me in a clear delusional state which honestly was confusing and unpredictable. With the lunesta i feel more loopy, but I'm able to make rational decisions even given that fact.. Minus the absent mindedness and occasional lapse in memory.

Thank you all for the suggestion of zopiclone. I'm literally fucking super excited. If it works like eszopiclone, it will work for me. I was trying to avoid benzos too so this is great
 
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If I had the choice any of those three are great. I personally hate seroquel because I had a bad reaction to it. That's one on my list of drugs I would never use again.

I totally understand. Seroquel is marketed for severe schizophrenia and it makes me want to commit violent crimes after i wake up from the over sedative effects. I'm tired of getting prescribed off label dosages of meds like that... unless its klonopin or something.. then im all in
 
zopiclone is just as effective as eszopiclone at 2x the dosage. (eszopiclone is the active in zopIclone)

The point I was trying to make was that zopiclone might be covered by his insurance and/or might be cheaper than lunesta.
He did say that Lunesta worked, so he should see if he is covered for zopiclone.
 
What other drugs, if any, do you take on a regular basis? AND, do you need a hypnotic everynight or as needed, if as needed, please explain? What is the primary cause driving your insomnia (anxiety, worrying, racing thoughts etc.), or is it just plain old insomnia? I will give some advice, but I don't know your exact situation, and I asked those questions so I could better understand the nature of your condition, and what might help it best.

I have read good things about Doral (quazepam), a seemingly lesser prescribed hypnotic benzo with a long half-life and long half-lives of its active metabolites, too. If you were to dose it nightly, the effects of the drug would likely be felt throughout the day, because of these long half-lives and accumulation of the drug and its metabolites. This, however, is not necessarily a bad thing, for if you do need a hypnotic to take every night, this one would likely become more effective until a steady plasma level is reached, where the effects would plateau (about a week, from what I read on rxlist.com). There is also mention that it has been studied in insomnia for dosing up to 28 days, every night, with retention of efficacy, and what seems to be a less serious w/d scenario than could be with some benzos. It is also stated that it improves sleep in all ways desirable, without really any noted effect on REM sleep. I have no personal experience with it, but to me it sounds like a good hypnotic as far as benzos go.

There is Restoril (temazepam), too, which I am not so sure I'd be that keen to recommend over other hypnotics first, but it is a hypnotic which is not that short-acting and can help with sleep in certain cases. It is often reported to be especially pleasant as far as benzos go with respect to recreational use, and there was a time when it was very widely abused (in the UK, I think) on an almost epidemic level. So, it is potentially more "addictive" than some other options, but it varies from person to person.

There is Ativan (lorazepam), which can be used for insomnia. It tends to be subtle for a lot of people as far as benzos go, but sedating and hypnotic as far as the benzos marketed for anxiety and panic (not just as hypnotics) go. It is not too short-acting, but not that long-acting, either. It is a commonplace benzo, which some doctors lean towards because of "alprazolam-phobia" or even "clonazepam-phobia".

There are Valium (diazepam) & Librium (chlordiazepoxide), both benzos and very closely related in effect. I think they have been forgotten about a bit, and might seem "outdated" to prescribe for some doctors, but these two benzos are fairly sedating, act pretty quickly, and have good muscle-relaxant properties. They were the first two benzos to be put on the market, first Librium, then Valium. Both have long half-lives and long half-lives of their metabolites, but tend not to last (if given as a single dose, once) that long, though they will build up and accumulate to an extent if taken on a daily or nightly, in your case, basis. Still, that is not necessarily a bad thing. I would not count these out.

For NON-benzo options, I might suggest simple melatonin - surprisingly effective for me, and I suspect it may have some neuroprotective benefits based on what I have read. 3 mg is a good dose. If you need more, up the dose. When nightmares ensue, you know you are at too high a dose. I don't know if a TCA (tricyclic anti-depressant) would help you at a low dose or not, but a low dose of certain TCA's once before bedtime can cause a good deal of sedation, however with TCA's there is a bunch of different ways it effects you - including how an anti-psychotic might effect you or an anti-histamine might effect you. TCA's are "dirtier" drugs, because of their muddle mechanisms of action, but can, like I said, be VERY sedating and hypnotic esp. Elavil (amitriptyline) and Sinequan, with Sinequan (doxepin) being probably the most out of all of them. They may cause effects during the day, though, such as drowsiness and possibly more interfering ones like motor issues, for example, though to try them might be worth it. Diphenhydramine, the anti-histamine, has been mentioned, and I will say that I think it serves best to be used as needed, however it is a good hypnotic, on the whole, when it is used as needed. I have heard of people often becoming quite tolerant to the sedation after continuous use, but this happens to an extent with pretty much any drug, although I think with anti-histamines like diphenhydramine a bit more quickly. Doxylamine, another anti-histamine, sold OTC like diphenhydramine, can be of potential help, too, though with no personal use I can recall. I don't really know much of doxylamine. I don't know how severe you insomnia is, for it could possibly warrant other drugs that have a higher risk that come with them, often with the increased risk of addiction and/or dependence, but BENZOS ARE ADDICTIVE AND CAUSE DEPENDENCE with chronic use. Z-drugs like Ambien and Lunesta, though, have the potential to cause dependence and addiction, too, for they are rather like benzos in the way they work.

I know this is a lot, but I hope it serves some purpose. Also, practice good sleep hygiene - sleep in a comfortable place with maximum darkness, unwind before going to bed without stimulating activity, do not let the television on as you sleep etc. You can learn a bunch more on that online, and it is truly important to follow to better sleep itself and sleep quality.
 
What other drugs, if any, do you take on a regular basis? AND, do you need a hypnotic everynight or as needed, if as needed, please explain? What is the primary cause driving your insomnia (anxiety, worrying, racing thoughts etc.), or is it just plain old insomnia? I will give some advice, but I don't know your exact situation, and I asked those questions so I could better understand the nature of your condition, and what might help it best.

Adderall 30mg IR's twice a day is the only other pill im prescribed and ive been taking it since dec 2010 off and on. Generally I cannot achieve sleep without a substance of some sort influencing it. For instance they tried me on Seroquel 25mg, as I mentioned, and since that's not working, i currently don't take anything to help me sleep until i see my doctor again. I have to stay up for about 48 hours to naturally acquire sleep but even then sometimes ill have a strange '2nd wind' and not be able to sleep once night arrives. I've always had insomnia as far as i could remember however i believe some ptsd issues may be restricting my ability even more but i am no doctor.

I heard 20mg of lunesta is the equivalent to one dose of vicodin? If this is true, i'm familiar with the effects so to speak.
Ativan is a strange pill for me. I don't feel much of anything when i take it before bed.

Thanks for the post. very helpful
 
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