Posted by fachad on July 21, 2002, at 9:57:32
In reply to Trimipramine=bad; SSRI receptor affinity values, posted by Shawn. T. on July 20, 2002, at 23:50:46
> Note that you'll lose the anti-histamine
> side effects after a couple weeks.That's not always true. My wife has been taking Elavil (amitriptyline) for over 8 years, and she still falls asleep hard and sleeps very soundly from it.
> Trimipramine is awful! Is it really worth the negative effects on learning to get to sleep when other sleep aids exist?
What other sleep aids do you think are a good idea?
What would you recommend to someone with chronic insomnia?
If your first choice is a proprietary med, what would you recommend as an alternate if their insurance does not cover brand meds and they cannot afford brand name meds? (That consideration would exclude both Remeron and Surmontil = trimipramine).
Would your second line sleep med be a benzo, or a TCA?
And if they could not tolerate you second line med, would you have another choice?
Don't forget that insominia has adverse effects on learning and memory if left untreated.
And regarding the effects on learning, I still think you are extrapolating unrealistically from those studies. The minute effects that can be measured in a laboratory do not usually translate into gross effects in human life in the real world.
poster:fachad
thread:113043
URL: http://www.dr-bob.org/babble/20020718/msgs/113146.html