Posted by SLS on December 29, 2011, at 7:48:57
In reply to Re: Thumb twitches on AAP » SLS, posted by floatingbridge on December 29, 2011, at 7:06:13
> Kinda like this. Fall asleep early. Awaken around 3:00 a.m. Unless I take various sleep aides.
If the insomnia were related to MDD, early morning awakenings and morning worsenings of depression are usually associated with melancholic endogenous depression. TCA is often effective for treating this subtype. The best schedule to keep is 11:00pm to 7:00am. Maintaining a healthy circadian rhythm can be important to achieving mood stability. You could wait for your 3:00am awakening to take a short-acting hypnotic. Sonata (zaleplon) might be a good choice. I read recently that having a 1 - 2 hour break in sleep midway through the night is normal for some people, and is not necessarily unhealthy.
How do you treat your insomnia currently?
I wonder if doxepin or trimipramine taken at night might help with depression and insomnia.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1005750
URL: http://www.dr-bob.org/babble/20111226/msgs/1005786.html