Posted by yxibow on October 7, 2008, at 2:21:38
In reply to Re: Seroquel, enough said. Let's talk about it. RS, posted by rjlockhart04-08 on October 6, 2008, at 21:56:35
> Yea, its "main" stream now for sleep. Back in 1990's ambien was the thing.
>
> Now's its Seroquel or Trazadone.
>
> -rjThere are other choices. I take a small (10mg) dose of amitriptyline (that's the general dose for sleep, around 10-20 and you really don't want to be taking more) because the Seroquel I take for other reasons is not enough these days. Whether one or the other is working enough I don't know.
TCAs can be rather powerful for some. I guess I'm sort of used to the antihistamine receptors and in general I have sleep problems.
Doxepin I find too weak, but an initial dose for someone not used to it might find it rather strong. If it doesn't last for staying asleep it also might help going back to sleep.
And there's 7.5 or even lower of Remeron, but the problem for most is weight gain. Otherwise it may actually promote some structure of sleep, just as some believe 25mg doses of Seroquel may. Theories, as we are all different.
Trazodone I have found can do rather strange things at times lately and it does have the mCPP metabolite problem so it may affect different people differently.I find it a even more harsh way, sort of unnatural and knockout like, to combat sleep problems than other agents. I have taken it over the years here and there. And then there's the priapism issue, which is not zero, but can happen. But that's just my experience.
If you're lucky enough to have Lunesta work for you, it can be taken fairly longer than Ambien/Ambien CR without tolerance. Sonata tends to be weak.
In general, unless your doctor thinks so, as far as Seroquel, I don't think that more than 25 or 50mg should be necessary. One starts to get some psychoactive properties at 100 and definitely at 200mg.
-- tidings
Jay
poster:yxibow
thread:855964
URL: http://www.dr-bob.org/babble/20081006/msgs/856146.html