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Re: trazodone - don't like this stuff

Posted by yxibow on January 12, 2009, at 1:04:44

In reply to Re: trazodone - don't like this stuff, posted by Phillipa on January 12, 2009, at 0:31:06

I never really liked Trazodone but it was a choice at some points in time, I have a probable sleep disorder. I did get sub-clinical priapisms when I used it in college but they were rare and did go away.

I found that being awake while it worked made me both ravenously hungry and also dizzy that I had to get to bed fast or I would faint from low blood pressure.

Its not pleasant stuff in my opinion but is a popular choice of some doctors because it doesn't have the habituation potential of benzodiazepines (Restoril, e.g.) or pseudo-benzodiazepines (Ambien, e.g.). However you can get acclimated to it and find 50mg doesnt work and then 100 and 150 and have to backtrack to the start. At least in my experience.

One reason I was switched briefly to doxepin which at that point knocked me out cold for a weekend -- didnt try it again until recently.

Doxepin doesn't work for me now, I quickly become resistant to its antihistamine effect.

Amitriptyline was another TCA that did work, and at 10mg, its worth a try if you really can't get sleep. It is probably the most sedating of the TCAs, but everyone is different.

Can't take it now though because I am on Anafranil and the clash was bizarre -- shouldn't take two TCAs at the same time really.

So I'm down to doxylamine succinate (Unisom's second formulation). I have to take more than a normal dose, but then again I weigh more and tend to metabolize certain medications fast.


-- Jay

 

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poster:yxibow thread:873385
URL: http://www.dr-bob.org/babble/20090104/msgs/873479.html