Posted by zzzz7 on October 6, 2009, at 23:48:51
In reply to Re: Need advice for treatment resistant insomnia, posted by Dave954 on October 6, 2009, at 20:55:27
"Well, one of my concerns is that nothing is more sedating than Seroquel or Remeron (or the two combined which I have already tried) - my understanding is that the TCAs are actually less sedating comparatively speaking. "
It really depends. For some people, TCAs (and Amitriptyline in particular ) work better than anything else for sleep. Or else a combo might work. If you search these boards, you'll find at least one person who could sleep only on Amitriptyline and nothing else.
So I think TCAs are worth a shot. As to daytime sedation, that's tough, as you know. Dosing lower can help. So can modafinil or something speedy the next day.
Good luck.
poster:zzzz7
thread:919704
URL: http://www.dr-bob.org/babble/20091001/msgs/920037.html