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  • AADD Moderators: Tronica

insomnia help

buffachino said:
Cannabis.

don't know why it hasn't been said yet...
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Well there's the small issue of legality. Also it doesn't suit everyone. Cannabis gives pretty much instant-psychosis for me :(

To the original poster, do you have a regular GP that you trust that you can discuss this with? Keeping a written record of your insomnia will really help. Also I advise against just asking for drugs straight out (in particular benzos) as that'll set off all kinds of alarm bells from the Dr's point of view. You said you've been to a few doctors already, have you been given anything from them yet? (I think) the usual first-line meds prescribed would be temazepam or zolpidem.

Have you tried all of the OTC options: valerian, doxylamine, diphenhydramine etc. How are your diet and general fitness? Do you exercise in the evenings?
 
My methadone has always been good to help me sleep, i sleep like a new born baby on it lol. Thankgod! only drug that works.
 
I have been given anti-depressants (short term) for sleep far more often that those two belarki as apparently they help to induce a pattern
 
^ interesting, the only antidepressant I've been on that helped with sleep was mirtazapine. I've yet to try seroquel but am somewhat cautious of it... it is first and foremost an anitpsychotic after all and the side effect profile isn't to be taken lightly.

I can see the benefit of a medication that can induce a pattern of sleep and be used long-term though. I built a reasonable tolerance to temazepam very quickly.
 
That is probably the only thing antipsychotics have going for them, is that they never seem to lose that ability to knock you out. But that is exactly what I hated about them as well.

Belarki, which other antidepressants have you tried for sleep? The tricyclics and tetracyclics are usually pretty good; some of them are very strong histamine 1 receptor antagonists.
 
Mr Blonde; said:
9290154Belarki, which other antidepressants have you tried for sleep? The tricyclics and tetracyclics are usually pretty good; some of them are very strong histamine 1 receptor antagonists.
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That's what I was gonna say, they worked for a short time for me, like every thing else and then stopped. Doctor refuses to give me any benzo's or stillnox, seroquel etc as he knows my history of drug abuse, although the last one doesn't really make sense. It's the only effective sleep aid I've had over long periods and it doesn't leave me hungover at all.
 
I have been through so many that I have just given up, he's the only one who hasn't treated me like a junkie scumbag for being a user so he gets the job, and I just sleep once I get so tired I start hearing voices.
 
Deptran 50mg is non addictive and does not build tolerance but it takes abt 1half hr to two hrs to come on effect which is not really a problem because you will get use to it and know when to drop the pill.
 
I was on that and built up tolerance to it, or it stopped working, dunno. Mirtazapine isn't meant to build up tolerance according to the doctor.

According to wiki you can still get discontinuation syndrome from tricyclics such as Deptran (Doxepin). I took it for 3 months, before it stopped having an effect on my sleep and didn't give me a routine sleep pattern as the doctor said it would, I didn't suffer any discontinuation syndrome.
 
i was on deptran for a little while, but didn't find it as effective as stilnox. None the less it does make you drowsy. it has a strong histamine reaction. though not as strong as restavit.

they generally give low doses for insomnia, so the side effect profile will be reduced as will the risk of discontinuation syndrome. none the less, these are something to consider as both are part and parcal when using an antidepressant.

I found it gave me a really dry mouth though, plus it wasn't that effective - so it was back to the stilnox.
 
Mr Blonde said:
^ That is really weird... time to find another doctor? I mean, it's just fucking seroquel. It's non abusable.
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seroquel is easy to get go to a doc u dont know say u cant get into your psych today (look up dr names online) and say u ran out of your 300mg seroquel and act all bugged out and maybe say what did you say a few times when no one is talking
 
^ Lol... that makes for an amusing mental image.

I was on that and built up tolerance to it, or it stopped working, dunno. Mirtazapine isn't meant to build up tolerance according to the doctor.
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I haven't heard that about mirtazapine before... might do some research when I get back from work this afternoon.
 
lagger said:
seroquel is easy to get go to a doc u dont know say u cant get into your psych today (look up dr names online) and say u ran out of your 300mg seroquel and act all bugged out and maybe say what did you say a few times when no one is talking
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That could work, except this doctor knows me well and I'd rather go through all the processes properly and try every thing I can for my insomnia.

Mr Blonde said:
I haven't heard that about mirtazapine before... might do some research when I get back from work this afternoon.
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Im pretty sure he was full of shit
 
^ Ha ha, sounds like it... assuming that most of the sedation is coming from H1 antagonism, it's easy to find several articles talking about tolerance development with antihistamines.
 
OK.

Here's a list of medications that you should try out before resulting to benzodiazepine and Z-drugs:
Deptran
Mirtazipine
Seroquel 50 mg (psychiatrist will definitely most have to prescribe this shit to you)
Melatonin
Valerian root
Exercise
Red and blue Tuinals/lipstick red Seconal's.
Unisom
Phenergan
Restavit

If all else fails go and see a sleep specialist. Get a referral from your doctor.
 
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