Posted by yxibow on November 9, 2006, at 20:46:55
In reply to Re: Help!!! I CANT SLEEP--Yep, you, posted by fca on November 8, 2006, at 14:02:36
> can most certainly take Trazodone--it has a different mechanism of action than SSRIs--theoretically, if you were taking therapeutic doses of each you could possibly experience serotonin syndrome but you will be taking a very small dose (sub-therapeutic)of trazodone.
Personally Trazodone is a revolting way to go to sleep, you faint when it starts to work and priapisms are more common than it states. Also, dose escalations are common, when 50 doesn't cover it, 75, 150, and you've arrived at a serotonergic state which you have to back down to 50 and up again. My experience with it anyhowIf for some reason it does not work you can stop it abruptly--no tolerance or dependence. I used it regularly and then PRN for years with a SSRI.
> You might also consider Seroquel prn (low dose) at bedtime
Low doses of Seroquel are probably harmless.
I guess I still believe in taking sleep medicines for sleep but maybe there is a reason for others. I dunno -- Remeron does promote REM a bit but it bloats your weight at any dose if you don't watch it.
How much Lunesta (ignoring the taste, which a number of people experience, and some will the day after though that number is much lower -- I've never felt it but I can sympathize) were you taking? It is weaker than Ambien and people are taking 4 (personally) mg or more these days actually from what I have seen here.I was taking Ambien before at 20 mg.
There is also Sonata but that is even weaker and you would probably require a double dose of it I'm sure.
I hope you find a solution
-- tidings
Jay
poster:yxibow
thread:701491
URL: http://www.dr-bob.org/babble/20061104/msgs/702175.html