Psycho-Babble Medication Thread 1052884

Shown: posts 1 to 10 of 10. This is the beginning of the thread.

 

Doxepin or what TCA for insomnia?

Posted by Legm82 on October 23, 2013, at 18:39:35

Hello,
I have Depression, OCD and insomnia diagnosis.
The depression and the OCD are under control with current medication.
However insomnia is NOT. I was taking Mirtazapine 30mg for about 9 years and now it appers to pooped out for sleep.
Now I'm considering switching to a TCA to help with insomnia.
I have tried Amitriptyline 25mg and 50mg with no good results.
I have been told that Doxepin is a much stronger 5HT2A blocker than Mirtazapine or Amitryptiline.
Should I go for Doxepin or maybe another TCA and what dose do you suggest?
Thanks for your help!

 

Re: Doxepin or what TCA for insomnia? » Legm82

Posted by Phillipa on October 23, 2013, at 23:25:32

In reply to Doxepin or what TCA for insomnia?, posted by Legm82 on October 23, 2013, at 18:39:35

Welcome to babble. I don't know the answer to your question but am glad a portion of your problem is under good control. Don't know the TCA's but I did once take a low dose of nortrip and it definitely tired me. I take benzos for sleep. Phillipa

 

Re: Doxepin or what TCA for insomnia?

Posted by jono_in_adelaide on October 24, 2013, at 1:00:58

In reply to Re: Doxepin or what TCA for insomnia? » Legm82, posted by Phillipa on October 23, 2013, at 23:25:32

Doxepin would be worth a try

If you need a hypnotic long term, it can be usefull to rotate them so that tolorance/poop out doesnt set in

Say, doxepin or Seroqule for 2 nights, then Ambien or Restoril for 2 nights, then back to doxepin or seroquel, and so on and so on

 

Re: Doxepin or what TCA for insomnia? » Legm82

Posted by doxogenic boy on October 24, 2013, at 10:12:40

In reply to Doxepin or what TCA for insomnia?, posted by Legm82 on October 23, 2013, at 18:39:35

> Hello,
> I have Depression, OCD and insomnia diagnosis.
> The depression and the OCD are under control with current medication.
> However insomnia is NOT. I was taking Mirtazapine 30mg for about 9 years and now it appers to pooped out for sleep.
> Now I'm considering switching to a TCA to help with insomnia.

Welcome to Babble.
If you need a TCA that works for OCD too, there is clomipramine (Anafranil). You may add mianserin for sleep. Is mianserin available in your country?
http://en.wikipedia.org/wiki/Mianserin

- doxogenic

 

Re: Doxepin or what TCA for insomnia?

Posted by Christ_empowered on October 24, 2013, at 12:15:18

In reply to Doxepin or what TCA for insomnia?, posted by Legm82 on October 23, 2013, at 18:41:02

surmontil...I think its trimipramine or something...then again, doxepin is widely available, and cheap...

 

Re: Doxepin or what TCA for insomnia?

Posted by sigismund on October 24, 2013, at 14:38:17

In reply to Re: Doxepin or what TCA for insomnia? » Legm82, posted by doxogenic boy on October 24, 2013, at 10:12:40

Trimpramine?

15mg is all I take and it is quite humane, unlike 25mg ami certainly.

 

Re: Doxepin or what TCA for insomnia? (nm) » sigismund

Posted by Legm82 on October 24, 2013, at 16:49:26

In reply to Re: Doxepin or what TCA for insomnia?, posted by sigismund on October 24, 2013, at 14:38:17

 

Re: Doxepin or what TCA for insomnia? (nm) » Christ_empowered

Posted by Legm82 on October 24, 2013, at 17:12:23

In reply to Re: Doxepin or what TCA for insomnia?, posted by Christ_empowered on October 24, 2013, at 12:15:18

 

Re: Doxepin or what TCA for insomnia? » Christ_empowered

Posted by Legm82 on November 7, 2013, at 15:56:11

In reply to Re: Doxepin or what TCA for insomnia?, posted by Christ_empowered on October 24, 2013, at 12:15:18

> surmontil...I think its trimipramine or something...then again, doxepin is widely available, and cheap...

Hello Christ_empowered,
In my country there is no Surmontil available, so I have ordered from an online pharmacy.
It should arrive in 7 days.
I have ordered Doxepin 25mg caps and Trimipramine (Surmontil) 25mg caps also, so I ordered both to make the trial.
Which one of those do you think has better chances to help?

 

Re: Doxepin or what TCA for insomnia? » sigismund

Posted by Legm82 on November 7, 2013, at 16:27:44

In reply to Re: Doxepin or what TCA for insomnia?, posted by sigismund on October 24, 2013, at 14:38:17

> Trimpramine?
>
> 15mg is all I take and it is quite humane, unlike 25mg ami certainly.

Hello Sig,
I currently take Amitriptyline 50mg and feel no hangover next day. Also it is important to say that Amitriptyline doesnt help me to fall asleep.
I guess if doxepin or trimipramine will ..


This is the end of the thread.


Show another thread

URL of post in thread:


Psycho-Babble Medication | Extras | FAQ


[dr. bob] Dr. Bob is Robert Hsiung, MD, bob@dr-bob.org

Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.