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which is better for sleeping mirtazapine or amitriptyline

A 45-year-old member asked:
Dr. Ron Jones
Dr. Ron Jones answered
44 years experience in Family Medicine
No direct answer: These are 2 different drugs. Again, there is "no better than" or "as good as". Treatment of any disorder should be individualized. I would think th ... Read More
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A 37-year-old male asked:
Dr. Yaseen Odeh
26 years experience in Internal Medicine
Herbs also work!: Try to taper off your present prescription medication. There are excellent homeopathic and alternative medicine , herbs, reading a good book, or i alw ... Read More
A 34-year-old male asked:
Dr. Amanda Itzkoff
17 years experience in Psychiatry
Elavil? Remeron (mirtazapine)?: Elavil (amitriptyline) and tofranil (imipramine) are both sedating antidepressants. These can also contribute to weight gain, however. It is essentia ... Read More
A 69-year-old female asked:
Dr. Lynne Weixel
35 years experience in Clinical Psychology
Work w/ your Dr: ever a good idea to stop psych meds w/out professional guidance. Work together to find the right plan for you and add CBT theapy to optimize effects a ... Read More
A 35-year-old male asked:
Dr. Heidi Fowler
24 years experience in Psychiatry
Insomnia: Zopiclone is a central nervous system (CNS) depressant and trazodone is an antidepressant. Both can be used for insomnia. I find with these medicati ... Read More
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A 38-year-old male asked:
Dr. Duane Gels
36 years experience in Allergy and Immunology
Neither best: Many drugs have sedation as one of many side effects, such as the two you mention. In fact, Restoril (temazepam) is an old brand of hydroxyzine I'd wr ... Read More
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A 30-year-old female asked:
Dr. Alan Ali
Dr. Alan Ali answered
31 years experience in Psychiatry
Fatigue from SSRI: It depends on the person. I have had patients complain of some sedation on both, depending on the dose, and also some anxiety from both. All in all, f ... Read More
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A 53-year-old member asked:
Dr. Marc Zimmermann
21 years experience in Psychiatry
Neither: Amitriptyline is an antidepressant. Ativan (lorazepam) is an antianxiety medication. The have two different mechanisms of action and two different e ... Read More
A 53-year-old member asked:
Dr. Clifton Schermerhorn
39 years experience in General Practice
Possibly, but: There is no formal fda indication for this medication for these symptoms.....There are other meds that are probably more effective an actually fda app ... Read More
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A 34-year-old member asked:
Dr. Ron Jones
Dr. Ron Jones answered
44 years experience in Family Medicine
ALL: It has been, can, and is used for all 3 conditions or any combination of those conditions.
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A 39-year-old male asked:
Dr. Brandon Maples
17 years experience in Pharmacology
It depends: Celexa is better for long-term treatment/prevention of recurring attacks, and actually works well (as do other ssris, like paxil, (paroxetine) prozac, ... Read More
A 63-year-old male asked:
Dr. Chester Berschling
49 years experience in Psychiatry
Anxiety: Actually neither. Both drugs can have side effects of anxiety. Having anxiety is human. Tree stumps do not experience anxiety. Best to get a careful ... Read More
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A 46-year-old female asked:
Dr. Dariush Saghafi
32 years experience in Neurology
A Tale of Two Cities: Alfred Lord Tennyson- 'Tis better to have loved and lost than never to have loved at all. Alternatively, It is a far, far better thing that I do, than ... Read More
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A 63-year-old male asked:
Dr. Fred Gallo
35 years experience in Clinical Psychology
Probably Lexapro (escitalopram): Both of these are antidepressants, although the first is a tricyclic and the second is a more recent medication. But please consider sessions with a ... Read More
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A 35-year-old male asked:
Dr. Ajay Acharya
36 years experience in Internal Medicine
None: It is an individual response issue. For sleep, try melatonin, which is safer.
A 35-year-old female asked:
Dr. Pamela Pappas
41 years experience in Psychiatry
Both are effective: Both mirtazepine and sertraline are effective antidepressants, but individual people may respond better to one than the other. The real question is w ... Read More
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A 37-year-old female asked:
Dr. Karen Sibert
38 years experience in Anesthesiology
Try other means 1st: The best sleep is natural sleep. If you're having trouble sleeping, try simple changes: don't go to bed if you're not sleepy, avoid caffeine and alcoh ... Read More
A 63-year-old male asked:
Dr. Lynne Weixel
35 years experience in Clinical Psychology
Too many!: You already take drugs appropriate for GAD and either of the ones you wish to add are VERY risky in combination w/ the Lexapro (escitalopram). Neither ... Read More
A 35-year-old male asked:
Dr. Carrie Cannon
32 years experience in Family Medicine
Seroquel (quetiapine) + Trazodone: There is a drug-drug interaction that can increase the risk of an irregular heart rhythm, although it is a rare side effect. You may be more at risk i ... Read More
A 55-year-old male asked:
Dr. Sarah Walton
5 years experience in Pharmacology
For sleep, but....: Silenor is a sleep medication but it works very differently from ambien. Silenor's chemical name is doxepin, this has been used as an antidepressant ... Read More
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A female asked:
Dr. Djamchid Lotfi
57 years experience in Neurology
Depends!: medications have to be INDIVIDUALLY selected One size will NOT fit all your doctor can find the right drug and the appropriate dosage given the opport ... Read More
A 35-year-old male asked:
Dr. Pamela Pappas
41 years experience in Psychiatry
Individual choices: There are many different medications for these complaints, because there are many different people who have them. No one medication is the best for e ... Read More
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A 48-year-old female asked:
Dr. Alvin Lin
Dr. Alvin Lin answered
29 years experience in Geriatrics
Neither: Valium is a brand of diazepam which is member of benzodiazepine class, used to treat many conditions but not w/o side effects & risks eg addiction ... Read More
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A 46-year-old female asked:
Dr. Darrell Herrington
33 years experience in Family Medicine
Lunesta (eszopiclone): Trazodone was originally introduced as an antidepressant, but was found to help induce normal sleep. Lunesta (eszopiclone) was developed for use in c ... Read More

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

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