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Re: Help please. Cant sleep

Posted by undopaminergic on February 21, 2020, at 3:33:18

In reply to Help please. Cant sleep, posted by Jadde on February 21, 2020, at 2:43:18

> -Nardil 60mg (down from 75mg)
> -5mg zyprexa (bedtime)
> -5mg melatonin (bedtime)
> I know the archives are probably full of examples of successful sleep strategies, but Im wondering if there is a current consensus in regard to the most effective sleep meds/aids.

Well, you are already taking melatonin and olanzapine (Zyprexa), and that should help at least somewhat. However, unless you need the olanzapine, I would switch to another antihistamine called cyproheptadine (Periactin), because it can improve sleep quality. Trimipramine (Surmontil) is an antidepressant with strong antihistamine action, and it has been shown to enhance REM-sleep and to normalise the circadian cortisol curve. You could add a benzodiazapine, but in my view, these are bad for sleep quality. The Z-drugs are better, ie. zolpidem, zaleplon, zopiclone, or eszopiclone.





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