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A 49-year-old male asked:

if you have sleep apnea is ativan or klonopin (clonazepam) a better choice for sleep..right now i take klonopin (clonazepam)....thoughts on trazadone for sleep..

3 doctor answers5 doctors weighed in
Dr. Mara Fiorentino
Psychiatry 36 years experience
Sleep Apnea: The most effective treatment for sleep apnea is cpap/autopap. Benzodiazepines ;#40;ativan, klonopin, valium, xanax;#41; although effective are not indicated, and may affect respiratory center. Trazodone is a very good alternative as well as Benadryl or vistaril for their decongestant effect. Ambien or Lunesta (eszopiclone) can help early insomnia. Please have a breathing disorder specialist prescribe a CPAP trial.
Dr. Pamela Pappas
Psychiatry 42 years experience
Neither: Neither Ativan nor Klonopin (clonazepam) is fda indicated as sleep medication, although these calm anxiety and can assist sleep through this pathway. Trazodone is an antidepressant often used to aid sleep. Depression can significantly disrupt sleep -- and it's possible to have this as well as sleep apnea. A psychiatrist can evaluate and help treat this problem. Has a sleep mask been prescribed for you?
Dr. Paul Grin
Pain Management 36 years experience
Insomnia: And apnea are classified in the category of dyssomnias. These are sleep disorders associated with excessive sleepiness as a result of difficulty initiating or maintaining sleep. Treatment for apnea is cpap. Ativan and Klonopin (clonazepam) are the same group (benzos) and equally effective for short term treatment for insomnia. Trazodone is often used for sleep, but can not be effective without depression.

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Last updated Oct 13, 2017

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