I am a few days from being 18 and I see a psychiatrist regularly. I am classified as major depressive and currently taking zoloft for that. I have a history of drug abuse of all kinds, from methamphetamines to benzos, and my doctor knows this. I believe this is the reason for my insmonia because once I got clean roughly 8 months ago I haven't been able to sleep regularly and Im never the least bit tired. I'm either up into the early morning hours or don't sleep at all. I have been prescribed trazadone 100mg, ambient 10mg, lunesta 3mg, seroquel xr 150mg, and now clonidine .2mg. Not a single one with the exception to trazadone helped me with sleep. And my tolerance to it was so quick it was useless within a week. I am beginning to think benzos are my only option left. Am I wrong? What should I do?
I have terrible insomnia and none of the medications I have been prescribed help. What should I do?
- 5 Oct 2011 by Nickmcc369
- 10 Oct 2011
- zoloft, depression, drug dependence, insomnia, anxiety and stress, abuse, medication
Added 7 Oct 2011:
Edit: I talked to my doctor and told him about my side effects from the clonidine and abou it's ineffectiveness and he called in a script of periactin. An antihistamine. My hopes are low based upon that but who knows I suppose. If this doesn't work do you think I should just straight up tell him I want to try benzos? I feel like I'm asking for illegal drugs but it's getting ridiculous.
I don't know, Ambien as well as Lunesta both affect the brain in an almost identical way as does a benzo. They both primarily affect the GABA, and as a result have extremely similar effects. A drug like Klonopin as far as I'm concerned even though it has a schedule IV attached to it, has 0 abuse potential, only it lasts a whole lot longer than does Lunesta or Ambien.
Trazadone is more or less extremely similar to TCA's, another group of drugs that might be able to help. I know that the Antipsychotic didn't help (they really need to rename those meds, the Seroquel), but it's worth taking a closer look at the one direction that provided any sort of results. Also, I'm surprised that Ramelteon hasn't been given a try. It's a different class of hypnotic that may or may not work.
Worst case scenario, there really wouldn't be anything wrong with a nightly dosage of a benzo such as Quazepam, a benzo that doesn't really disturb the sleep structure, and can be given safely at higher doses than most benzos that are used for anxiety. Even Opioid addicted patients in pain get opioids if need be. There are many different plans that are available to prevent any sort of abuse from happening regarding the meds, so while benzos very well may not be ideal, if they turn out to be the correct choice, then they really should be utilized.
I personally have the opposite problem where I have to take stimulants due to my depressant medications, at one point falling asleep face down in a bowl of corn flakes and milk. It's interesting how sleep, to much or to little can play such an important role in day to day life.
I don't have sleep problems like you do, so PLEASE remember that I'm only shooting ideas around, and on top of that, I don't even share the same problem, so I don't have a full understanding of this sort of problem in addition to not really understanding the root problem behind your sleep issue.
Good luck to you, and I really hope that regardless this is of some help to you! I only know what I do cause I've had to take a few different benos and found Klonopin to work best for my completely different situation. I also took Seroquel for a very very short period of time.
- Zoloft Information for Consumers
- Zoloft Information for Healthcare Professionals (includes dosage details)
- Side Effects of Zoloft (detailed)
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