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Suggest Remedy For Sleeplessness In A Person With Depression
Question: I am coming off serequel and am down to 50 mg and have been taking ativan 5 mg at night to get to sleep . I am not sleeping and am really agitated when the benzo wears off so i am taking valuim to compensate
It has been suggested for me to try endep or wellbetruim as an antidepressant
When could i start one of these and do u have any other thoughts or recomendations
I await your reply
It has been suggested for me to try endep or wellbetruim as an antidepressant
When could i start one of these and do u have any other thoughts or recomendations
I await your reply
Brief Answer:
klonopin is better option in benzo, mirtazapine is recommended
Detailed Answer:
Hello,
Thanks for writing to us.
Benzodiazepine group of drugs should be stopped very slowly to prevent withdrawal symptoms.
Ativan 5 mg as such is high dose. Seroquel in severe sleep disturbance with depression will not help much in sleep. Valium is helpful in sleep. However I recommend klonopin (clonazepam) instead of ativan and valium for sleep. Klonopin is more potent and longer acting than ativan and less half-life than that of valium. Discuss your doctor for switching to klonopin instead of Ativan for sleep.
Endep gives sedation but for depression it is required in higher dose which will cause excessive sedation, dry mouth, constipation and some EKG changes.
Wellbutrin is good drug and a good option in your case but it will not give sedation. You can go for it with klonopin.
I recommend mirtazapine (remeron) as an antidepressant in your case as it gives good sedation which may reduce need of taking more benzo for sleep.
Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.
klonopin is better option in benzo, mirtazapine is recommended
Detailed Answer:
Hello,
Thanks for writing to us.
Benzodiazepine group of drugs should be stopped very slowly to prevent withdrawal symptoms.
Ativan 5 mg as such is high dose. Seroquel in severe sleep disturbance with depression will not help much in sleep. Valium is helpful in sleep. However I recommend klonopin (clonazepam) instead of ativan and valium for sleep. Klonopin is more potent and longer acting than ativan and less half-life than that of valium. Discuss your doctor for switching to klonopin instead of Ativan for sleep.
Endep gives sedation but for depression it is required in higher dose which will cause excessive sedation, dry mouth, constipation and some EKG changes.
Wellbutrin is good drug and a good option in your case but it will not give sedation. You can go for it with klonopin.
I recommend mirtazapine (remeron) as an antidepressant in your case as it gives good sedation which may reduce need of taking more benzo for sleep.
Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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