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Re: Insomnia? Elavil, Remeron, Trazodone, Oh My!

Posted by zeugma on February 10, 2004, at 17:55:41

In reply to Insomnia? Elavil, Remeron, Trazodone, Oh My!, posted by utopizen on February 10, 2004, at 15:40:56

Elavil is a little less antihistaminic than Remeron, it is a lot more anticholinergic, so it will probably not give you a stuffy nose, it will likely dry you out.

I find Elavil's metabolite, nortriptyline, to be a great treatment for my insomnia. The trick with nortriptyline is that it's in effect a slow-release med: it has an average half life of 31 hours, and it reaches peak plasma concentrations after eight, so if I want to be asleep by twelve, I take it around seven pm. Years ago I gave up on nortriptyline because I was instructed to take it at bedtime, so I took it at 11, couldn't sleep, then was wiped out the next morning and lost a lot of jobs because I couldn't move out of bed. I would think elavil is similar. The lower the dose, the earlier you should take it. It's worth a try.


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