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Re: What do you take for insomnia?

Posted by yxibow on April 7, 2006, at 2:41:22

In reply to Re: What do you take for insomnia? » Maxime, posted by ed_uk on April 6, 2006, at 15:08:16

Well, I'm a lifelong insomniac as is my mom.


Chloral Hydrate is a mickey finn even before it is mixed with anything, its a cheap way to go to sleep from what I've heard and probably will be phased out anyhow as it uses chlorocarbons to manufacture. But I can't speak for my own personal use, I haven't tried it and I am scared of a compound that puts you out that fast.


Dalmane (flurazepam) is the most scariest hypnotic benzodiazepine I've ever tried. It sucks you under and you feel like you're dying.


Restoril (temazepam) is a much more gentle "Dalmane", but you can't use either of the above long term -- well maybe you can, but hypnotic benzodiazepines are easier to acclimate to.


Trazodone I can say from my own personal experience is a psychiatrist's disdain from giving a depressed patient anything remotely benzodiazepine related. It is also a horrible, hypotensive (dizzy) way to go to sleep. It causes priapisms (unwanted erections in the male, and rarely some syndrome in females I think, but I dont recall) more than the black box would tell you. And it is just as bad of an acclimator as short term benzodiazepines. Before long the 50mg becomes 150mg and soon you're on an adult antidepressant dose of Trazodone, with mCPP in your system. If you're at all borderline psychotic or have symptoms mimicing that, mCPP, the metabolite is contraindicated.


Doxepin (Sinequan) is also a nasty way to go to sleep unless you acclimate to it. I took it over a weekend as a substitute in college for priapism induced by Trazodone. I was in a daze for 18 hours. I went back to Trazodone despite the problems. I once drank cider and thought it was out of my system. Took Trazodone and woke up on my friend's bathroom floor 2 hours later, apparently I guess in an attempt to use the loo.
So, those two definately do not mix.


Serzone does nothing for sleep like Trazodone and can damage your liver.


Sonata did nothing for me... it is a weak compound and probably would have to be dosed considerably above its PI. Some people report changes in their color vision.


Lunesta at its highest 3mg did do something for me but that shiny crisp metallic taste is something else. Mine just indicated I was going to fall asleep -- some people claim the lovely nickel mouth lasts until the morning after. I'm not quite sure why we went back to Ambien, either really would work I guess.


I now currently take 20mg of Ambien. As tested with Ambien CR, Ambien can be dosed long term, depending on the patient. But the Ambien mostly is an adjunctive to keep me asleep. The Seroquel I take, in a large dose for non-psychotic reasons is what really actually puts me to sleep. And it does similarly have an effect of hypotension, so I have to hit the hay before I faint.


 

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