Posted by Jadde on February 21, 2020, at 16:03:26
In reply to Re: Help please. Cant sleep, posted by undopaminergic on February 21, 2020, at 3:33:18
> >
> > -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.
>
> -undopaminergic
>I used to take olanzapine for depression and I was actually surprised it worked for a while AND I would fall right to sleep. I think my dr prescribed it again for my current sleep issues because I had taken it before with no problems (other than weight gain). It certainly isnt working for me now. The question of wether or not I need it is unclear. I definitely should have been on an AP while on Parnate, maybe my dr will tell me I need it for more than just sleep. Not sure.
Thank you for the suggestions, I will definitely be taking this list to my next appt (Wednesday).
Jade
poster:Jadde
thread:1108599
URL: http://www.dr-bob.org/babble/20200104/msgs/1108620.html