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Re: Halcion For Sleep? » jono_in_adelaide

Posted by SLS on November 26, 2013, at 6:37:31

In reply to Re: Halcion For Sleep?, posted by jono_in_adelaide on November 26, 2013, at 2:47:29

> I wasn't actualy thinking of treating the insomnia SLS, more checking out whether she had any bipolar type thing happening.

Good thought.

> If I were a chronic insomniac, I think I'd want to treat with a benzo (say temazepam)

Temazepam (Restoril) sucks for sleep initiation. I was on a combination of triazolam (Halcion) for sleep initiation and lorazepam (Ativan) for sleep maintainance for well over a year. This treatment did not lead to tolerance and was not a horror to discontinue. Clonazepam (Klonopin), on the other hand, was a horror to discontinue. If sleep initiation is not an issue, then temazapam is a good choice. It has some weird pharmacokinetics, though, that believe are biphasic. Its half life is unpredictable. I like Ativan because I do not experience a hangover the next day. I tried temazepam. It was okay for sleep maintenance. I find lorazepam more effective for sleep initiation, as long as you take it about an hour before bedtime.

> alternated with an H1/5HT2A blocker (say quetiapine or doxepin) to prevent tolerance, take each med for 2 nights in rotation

Interesting protocol.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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