Tolerance: Likely your system has adjusted and your tolerance has increased. You might consider a medication like Rozerem (ramelteon) which is indicated in long term treatment of insomnia. You report depression, but no antidepressant. Insomnia can be a symptom of depression. Mirtazapine has sedating effects, somewhat less weight gain issues and could address insomnia and depression.
Answered 7/11/2015
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