Posted by yxibow on December 27, 2005, at 1:59:52
In reply to Re: Problems with SLEEP, posted by med_empowered on December 27, 2005, at 1:37:55
> You could try..Ambien/Ambien CR, Sonata, Resotril, Ativan, xanax (not my 1st pick), Neurontin/Lyrica, nite-time Klonopin, Vistaril....if its really bad, a barbiturate could be used short-term.
>
>I would definately leave out the barbiturates.
But Ambien and its patent extender Ambien CR both can be used long term irregardless of what might be said about them. Tolerance might build slightly but I dont think it nearly as significant as certain benzodiazepines such as xanax. Sonata is a fairly weak agent of the new pure sleep agents. Lunesta is a little weaker but about the same as Ambien especially at its highest dosage -- the only thing is that metallic taste, which for most wears off in minutes to hours, although some claim it lasts into the next day.
I think that for sleep, the first line should be sleep agents, and not crude antihistamine receptor agents. They promote REM sleep better. I suppose the exception might be Remeron, there is some evidence I think that it does promote better sleep hygiene, at the cost of being very vigilant about one's diet -- it can cause noticeable weight gain.
tidings and good sleep
poster:yxibow
thread:592356
URL: http://www.dr-bob.org/babble/20051221/msgs/592365.html