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  • BDD Moderators: Keif’ Richards

whats the last line of insomnia treatment?

K'd-OUT-in-AZ said:
Well its obvious you haven't tried Seroquel. Seroquel is far from mild. Most potent atypical antipsychotic. I wouldn't really call it sedating either, it just knocks you out.
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Potency and strength are not the same. And it's obvious you haven't tried Olanzapine.
 
Olanzapine was worse than speed, for me. I just couldn't sleep more than 10 minutes at a time on it.
 
K'd-OUT-in-AZ said:
What does Olanzapine have to with anything? I was prescribed that for over a couple months. Not nearly as strong "or" potent as Seroquel.
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Olanzapine is like Seroquel's younger brother.

Olanzapine was worse than speed, for me. I just couldn't sleep more than 10 minutes at a time on it.
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Maybe you were so sedated that you couldn't sleep...
 
Seroquel should knock out a first time user who's taking it for insomnia. There have been reports though that tolerance to the sedative effects of Seroquel increases with continued use. I myself took Seroquel for 3 months back in 2005 to help me sleep as my shrink at the time didn't want to prescribe me benzos or z-drugs. From what I remember, I ended up having to increase my dosage from 25mg taken once at bedtime to 100mg taken once at bedtime to be able to fall and stay asleep. I hated the morning after feeling. I remember trying to take a shower one morning after taking Seroquel to help me sleep and I felt like a vegetable (couldn't smile, laugh, cry, yell, etc.). Completely apathetic.
 
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I would say give seroquel a shot despite how much you might not enjoy it. Low doses arent dangerous at all really and it only acts as a anti-histamine at low doses as it's anti-psychotic effects don't kick in until you hit higher doses. You may also want to try a few really sedating anti-depressants such as amitriptyline, doxepin or remeron (mirtazapine). Ive tried everything but the doxepin myself. Amitriptyline is great for sleep and so is remeron. They should both knock you out at pretty low doses. Also i hear doxepin makes amitriptyline look like a stimulant which is saying alot 8o
 
IMO, its probably not the best clinical practice but a couple carisoprodol or meprobamate have knocked me out when most nothing else would. Its addictive and, like benzos, have severe withdrawals including seizures and such.
 
In the field of sedative tricyclics, trimipramine (Surmontil) is a good choice too, it's the big brother of amitriptyline, sedative-wise.
 
I would stay away from seroquel and all atypical anti-psychotics for that matter. The long term and short term side effects are incredible, Ive worked with people who drugs like seroquel have basically scared for life. Xyrem would probably work great but no one prescribes it and its supposedly incredibly expensive. Amazingly Phenibut has worked pretty well for me in the past and its legal, it maybe worth a try.

Have you tried any non-pharmacological treatments for insomnia? Ive heard good things about some treatments for insomnia that don't involve drugs.
 
loulou reed said:
In the field of sedative tricyclics, trimipramine (Surmontil) is a good choice too, it's the big brother of amitriptyline, sedative-wise.
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I just looked up trimipramine and if the wki page is right that would be the mother of all sleep aids. Related to imipramine and nozinan 8o . Ive never had imipramine but i have got some nozinan (methotrimeprazine) laying around and holy fuck is that shit ever drowsy. 20mg's is enough to put me out for a good while.

Actually nozinan wouldnt be a bad choice either. It's a anti-psychotic that is really sedating and is half as potent as chlorpromazine but it's used in lower doses for sleep. And sleep you will. It's actually not a bad drug for sleep at all.
 
trimipramine... Is this available as a generic?

Is it simply backwards to be looking for something that is heavily sedating but will also leave me refreshed in the morning? I have been using mirtazipine, which works well as a sedative but the next morning can range from fine to horrendous in terms of after affects. This morning I must have "woken up" about 5 times. I kept dreaming about waking up and doing one thing or another then actually waking up horribly confused as to why I was still in bed, only to fall asleep again fairly quickly and repeat.
 
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