Posted by undopaminergic on June 17, 2020, at 12:29:17
In reply to Re: Nardil plus lorazepam » Jadde, posted by SLS on June 17, 2020, at 8:12:30
> I would consider taking both zolpidem (short half-life for sleep initiation) and lorazepam (longer half-life for sleep maintenance) at bedtime. It is perfectly safe with Nardil (I do it).
>
> The most effective treatment that I know of for sleep is a combination of triazolam (Halcion) for sleep initiation and lorazepam (Ativan) for sleep maintenance. You could take temazepam (Restoril) instead of lorazepam if you find it more helpful. I doubt you will find a doctor willing to prescribe triazolam, though.
>
> Another option would be to take quetiapine (Seroquel).I would be concerned about sleep quality with benzodiazepines. I forgot the details, but I think most benzos inhibit REM-sleep. In my personal experience, sleep on midazolam (Dormicum; a short-acting benzo like triazolam) was worthless. Z-drugs (eg. zolpidem) have less adverse effects on REM.
As for anti-histamines (like quetiapine), other options are cyproheptadine (Periactin), doxepin, and trimipramine (Surmontil); they last of them has been reported to increase REM-sleep.
> Good luck.
>Much needed in psychopharmacology!
-undopaminergic
poster:undopaminergic
thread:1110056
URL: http://www.dr-bob.org/babble/20200511/msgs/1110796.html