Posted by ed_uk2010 on August 14, 2010, at 13:21:54
In reply to Re: Treatment Resistant Chronic Insomnia - Disability, posted by EastC on August 14, 2010, at 12:41:34
>My gut tells me that no medication(s) will allow me to get that 7 to 8 hours of sleep within that 10 pm to 7:30 am block....
Do you definitely need 7 to 8 hours? Just asking because requirements for sleep are quite variable. Margaret Thatcher used to say that she only needed five hours in bed when she was our Prime Minister.
>I am currently on 450 mg of Seroquel at bedtime. My understanding is that even though Zyprexa has a longer half life than Seroquel, it is not nearly as sedating.
It's different. Some people do find Zyprexa to be superior for sleep, others prefer Seroquel. There's only one way to find out which works best for you!
>I would be open to the nortriptyline idea but TCAs overall scare me from a side effects perspective.
Personally, I would rather take a tricyclic than an antipsychotic. Nortriptyline is a decent antidepressant but it's not one of the most sedating tricyclics. Amitriptyline, doxepin and trimipramine are usually quite sedating - they are sometimes used for chronic insomnia.
poster:ed_uk2010
thread:958465
URL: http://www.dr-bob.org/babble/20100811/msgs/958579.html