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A 41-year-old member asked:

if i have chronic depression and severe sleep problems, can i take trazodone or remeron (mirtazapine) to help? which is better?

2 doctor answers6 doctors weighed in
Dr. Robert Stuart
A Verified Doctoranswered
A US doctor answeredLearn more
Depends: Trazodone is often used to help people sleep but it is a very weak antidepressant. Remeron (mirtazapine) is a much more effective antidepressant. Make sure your diagnosis is correct, though. Bipolar depression frequently causes severe sleep problems and requires different treatment. A psychiatrist or family physician with an interest in psychiatry can help you sort this out.
Dr. Cyma Khalily
Psychiatry 35 years experience
EITHER: Both are sedating antidepressants. Do you mean to help with sleep or for the depression? Many things to help with depression and sleep. Speak to your physician. A lot of reasons for insomnia including but not exclusively depression.
Dr. Jane Steiner
Psychiatry 43 years experience
Trazodone is used mainly for sleep because to get to the doses needed to treat depression, most people ended up being way too sleepy all day. Remeron as an antidepressant has its niche.
Feb 22, 2014

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