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Re: Dalmane Mitch

Posted by Elizabeth on December 16, 2001, at 11:59:32

In reply to Re: Dalmane Elizabeth, posted by Mitch on December 16, 2001, at 9:01:50

> You might ask your doc about adding a low-dose of a sedative TCA at bedtime (10mg amitripytline, doxepin) or try a little Remeron (3-4mg).

I may end up taking Remeron with the Effexor, in an AD dose (60 mg +). But anyway, all of those drugs are antihistamines, and every time I've tried to use an antihistamine as a hypnotic (e.g., atypical antipsychotics, trazodone, hydroxyzine), I've always rapidly become tolerant to the sedative effect.

> I know what you mean about the tolerance issue with benzos. The Klonopin I take at bedtime helps, but I just don't get as drowsy as I used to, though it keeps panic at bay just as effectively.

Klonopin, at the doses I take (1-2 mg), isn't sedating for me (I never found benzos very sedating), but it does help with sleep continuity which is really more what my problem is. It prevents "active dreaming" which is good since I don't know if Effexor will (it might even make it worse).





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