![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by Tom Twilight on June 21, 2005, at 11:41:52
The title says it all really!
I know that there are a lot of sedating TCAs that can be used for insomnia, such as Doxepin, Dophiepin and Amytriptaline.
Is any one of these drugs noticibly better than any other?
Dothiepin has quite a short half-life I think, that might be an advarntage
Posted by Chairman_MAO on June 21, 2005, at 11:50:22
In reply to Which TCAs work best for Insomnia?, posted by Tom Twilight on June 21, 2005, at 11:41:52
IMO, the best TCA for insomnia is trimipramine.
Posted by ed_uk on June 21, 2005, at 13:12:15
In reply to Which TCAs work best for Insomnia?, posted by Tom Twilight on June 21, 2005, at 11:41:52
Hi Tom,
Dothiepin and amitriptyline are the most popular TCAs in the UK. Doxepin (Sinequan) and trimipramine (Surmontil) are also available but they're rarely prescribed.
Why don't you taper mirtazapine more gradually? Are you having side effects?
Kind regards,
Ed.
Posted by linkadge on June 21, 2005, at 16:06:29
In reply to Re: Which TCAs work best for Insomnia? » Tom Twilight, posted by ed_uk on June 21, 2005, at 13:12:15
My mother found doxepine was better than trimipramine for sleep. She didn't sleep on trimipramine and said it made her feel extrordinarily WIERD. Just one account though.
Linkadge
Posted by KaraS on June 21, 2005, at 18:05:05
In reply to Which TCAs work best for Insomnia?, posted by Tom Twilight on June 21, 2005, at 11:41:52
> The title says it all really!
>
> I know that there are a lot of sedating TCAs that can be used for insomnia, such as Doxepin, Dophiepin and Amytriptaline.
>
> Is any one of these drugs noticibly better than any other?
> Dothiepin has quite a short half-life I think, that might be an advarntage
Doxepin works incredibly well at only 25 mg. for my insomnia.
Posted by Phillipa on June 21, 2005, at 18:36:20
In reply to Re: Which TCAs work best for Insomnia? » Tom Twilight, posted by KaraS on June 21, 2005, at 18:05:05
Don't know why but TCA's wired me and kept me awake. Fondly, Phillipa
Posted by linkadge on June 21, 2005, at 19:22:39
In reply to Re: Which TCAs work best for Insomnia?, posted by Phillipa on June 21, 2005, at 18:36:20
That is strange that TCA's and remeron kept you awake, you don't have any latent bipolar do you? Any bipolar in the family ?
My mom said was that when she was depressed TCA's made her sleep like a rock, but when she started to go manic, they didn't help a twittle. Of course, you could just have a *lot* of anxiety.
I am sorry I talk so much about my mom, but she is a wealth of drug trials and experiences that she's told me all about. She doesn't know how to use the computer, though.
Linkadge
Posted by Colleen D. on June 22, 2005, at 20:51:46
In reply to Which TCAs work best for Insomnia?, posted by Tom Twilight on June 21, 2005, at 11:41:52
Same dosage too. Doxepin is my friend.
Colleen
Posted by Tom Twilight on June 23, 2005, at 3:21:40
In reply to Ditto what Kara said... » Tom Twilight, posted by Colleen D. on June 22, 2005, at 20:51:46
Thanks for the advise all
I'm trying to decide between Doxepin and Dothiepin at the moment, I wonder if either one has a clear advarntage over the other?
Posted by ed_uk on June 23, 2005, at 13:55:49
In reply to Thanks Everyone!, posted by Tom Twilight on June 23, 2005, at 3:21:40
Hi Tom :-)
>I'm trying to decide between Doxepin and Dothiepin at the moment, I wonder if either one has a clear advarntage over the other?
Are you wanting to take a TCA as an antidepressant or just to help you sleep?
~Ed
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.