Posted by orbital on March 23, 2010, at 14:51:59
In reply to Re: Whats a good prescription sleep aid?Orbital, posted by X-ray on March 23, 2010, at 13:03:44
Hmm, good question.
I've never taken both simultaneously, but I have switched from one to the other directly.
However, I definitely don't think they're interchangeable, there's a subtle yet noticeable difference.
IME, for sleep and at equivalent doses (15mg Remeron = 30 mg Tolvon), I'd say that mianserin is "lighter" and more forgiving; it takes a while to kick in and, unlike Remeron, it allows me to stay awake if I want to. Mirtazapine feels like a sledgehammer to the head, and seems to promote deeper sleep; it sometimes gives me a hangover if I don't allow it to run its course (~10 hours).
I think they are excellent meds, for both sleep and for depression. As a side note, at higher doses Remeron feels agitating whereas mianserin feels activating - so I avoid high doses of Remeron. This is all subjective, of course.
I choose one or the other depending on my needs.
Hope this helps :)
> > This is what works for me (when I'm not suffering from med-induced insomnia):
> >
> > Sure fire: Remeron 15mg / Mianserin 30mg
> >
> > Okay: Trazodone (highish dose ~ 150mg)
> >
> > Iffy: Ambien CR - the other flavours of Z-drugs never did a thing.
> >
> > Rozarem/Ramalteon is not available where I live, which is a shame, as I respond surprisingly well to melatonin and I suspect it'd work for me.
> >
> > Seroquel didn't work for me, but it seems to do the job extremely well for a lot of people.
> >
> > > Besides Ambiem and Lunseta, they've worn out on me. Even a couple tabs a night dont do anything. Any recommendations, nothing too hard, something similar to ambien and such.
> > >
> >
> >
>
> Hi,
>
> What is your comparison of Remeron and Mianserin regarding sleep?
>
> You don't mix these drugs, do you?
>
> Best regards,
> X-ray
poster:orbital
thread:940537
URL: http://www.dr-bob.org/babble/20100318/msgs/940586.html