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Re: Carbamazepine to calm down at bedtime?

Posted by SLS on August 10, 2021, at 12:17:14

In reply to Re: Carbamazepine to calm down at bedtime?, posted by linkadge on August 6, 2021, at 14:08:05

> magnesium, niacin, valerian combo
> carbamazepine could help, but its not quite as selective towards anxiety as a benzo, but it could help.
> Linkadge

My vote is for zolpidem (Ambien).

1. I would recommend zolpidem if your problem is an over-active mind at bedtime. It really works almost like triazolam (Halcion) as far as sleep-initiation is concerned. Like triazolam, zolpidem knocks you out relative quickly. Like triazolam, zolpidem also has a short half-life. Perhaps there is an extended release version. I'm too lazy at the moment.

2. It is incredibly clean, and I don't think it interferes with sleep architecture. Perhaps Linkadge could take a closer look at this.

3. Zolpidem is more for sleep-initiation than sleep maintenance. However, I found that an early awakening (rebound?) still allows you to fall asleep quite easily again.

4. There are no withdrawal symptoms like those of benzodiazepines. You can actually stop taking 10 mg abruptly all at once. The consequence of this is limited to difficulty sleeping for a perhaps a week. However, I would make the initial decrease in dosage to be no lower than 5.0 mg. I had more "light sleep" as opposed to complete insomnia.

I have since restarted zolpidem because my behavioral sleep hygiene became chaotic.



SLEEP HYGIENE and depression.

Please read!!!

My personal experience with poor sleep hygiene and relapse of depression:

After 3 consecutive days of getting less than 4 hours of sleep, I experienced the reemergence of depression - a partial relapse of significant severity. After a single night of normal sleep, I recovered almost completely, although I did fade a little towards evening. Today, I have returned to where was previous to the sleep deprivation.

The cause-and-effect was unequivocal.

When I was a research patient at the National Institutes of Health (NIH), I was required to go to bed at exactly 11:00 PM. In the morning, I was not allowed to leave the room until exactly 7:00 AM. Sleep cycles were maintained throughout my stay there. Thomas Wehr and Norman Rosenthal were on their staff. Dr. Wehr researched biological rhythms. Dr. Rosenthal is credited as having described Seasonal Affective Disorder (SAD). In actuality, much of the theoretical work was performed by Peter S. Mueller.

- Scott

Some see things as they are and ask why.
I dream of things that never were and ask why not.

The only thing necessary for the triumph of evil is that good men do nothing.




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