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Doctor insights on: Nortriptyline For Insomnia

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Is trazadone good for insomnia?

Is trazadone good for insomnia?

Trazodone: I agree with dr. Amawi. However, some patients may feel groggy the next day. Try using good sleep hygiene. 1. Keep a regular bedtime & wakening time (to include weekends). Get up the same time each day, regardless of what time you fell asleep. 2. Make a regular, relaxing bedtime routine. Relaxing rituals prior to bedtime may include a warm bath or shower, aroma therapy, reading, or listening >>>. ...Read more

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Dr. Ravi Chand
243 doctors shared insights

Nortriptyline (Definition)

Classified as a tricyclic antidepressant, and considered of modest benefit these days due to significant anti-cholinergic side effects (drowsiness, dizziness, dryness of mouth, blurring, and perhaps effect on bladder). Confusion may occur in older folks. Had some value in migraine prevention at one point. Used rarely these days as ...Read more


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What works best for insomnia: elavil or seroquel (quetiapine)?

What works best for insomnia: elavil or seroquel (quetiapine)?

One make work : Better for one individual and vice versa. In other words - there is not a one size fits all response to these medications. They both can be very effective for sleep. Both have potential side effects. Seroquel (quetiapine) has potential to cause tardive dyskensia ; neuroleptic malignant syndrome. ...Read more

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Klonopin (clonazepam) and trazodone for sleep safe?

Klonopin (clonazepam) and trazodone for sleep safe?

Yes: It is a safe combination. I can think of a number of clinical scenarios where this would be very appropriate and I have quite a few patients on this combination. ...Read more

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Alternating ambien (zolpidem) and Seroquel for insomnia?

Alternating ambien (zolpidem) and Seroquel for insomnia?

Not recommended: Seroquel (quetiapine) is an anti-psychotic medication used for serious psychiatric disorders. It is not recommended as a sleeping aid. Talk to your pcp about what may be causing your insomnia and to find alternative meds if necessary. See: https://sleepfoundation.org/insomnia/content/what-causes-insomnia I hope this helps. Best wishes. ...Read more

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Is amitriptyline acceptible for insomnia?

Is amitriptyline acceptible for insomnia?

Elavil (amitriptyline): At low dose, yes, if not conflict with other medications you are on, and if insomnia is secondary to depression ...Read more

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Take Klonopin (clonazepam) for anxiety and sleep,Fetzima for depression,what's an alternative for Klonopin (clonazepam) that I can use,take1mg 1am,1noon,2 bed?

Take Klonopin (clonazepam) for anxiety and sleep,Fetzima for depression,what's an alternative for Klonopin (clonazepam) that I can use,take1mg 1am,1noon,2 bed?

Many alternatives: There are many alternatives, but it depends on why you're looking for an alternative. Is Klonopin (clonazepam) not working? Perhaps the dose in wrong. Are you looking to get off of benzodiazepines (the drug class that Klonopin (clonazepam) is in) altogether? If so, then your doctor should slowly titrate you off the medication (10-25% weekly or biweekly, depending on how long you've been taking) while initiating another med ...Read more

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Is Neurontin (gabapentin) good for anxiety or sleep?

Is Neurontin (gabapentin) good for anxiety or sleep?

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 approved. ...Read more

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Remeron (mirtazapine) for tension headaches?

Remeron (mirtazapine) for tension headaches?

Tension HA Tx: This medicine is effective for major depressive disorder. Sometimes people with chronic pain can have mood disorder symptoms, and it is felt that medicines like this one can be helpful for chronic pain. The usual treatments for tension headache are NSAID medicines, amitriptyline, relaxation, massage, and sometimes muscle relaxers. ...Read more

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Is risperidone good for insomnia?

Is risperidone good for insomnia?

It can be effective.: However, i usually try medications other then atypical antipsychotics first (because of potential side effects). Also, use good sleep hygiene. Retire ; rise same time each day. Keep bedroom dark ; cool ; use only for sex ; sleep. Turn off tv. No naps. Exercise regularly but not in late evening. No caffeine for 6 hrs ; no alcohol or tobacco w/i 2 hrs of sleep. Keep dinner moderate sized ; finish at. ...Read more

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Dr prescribed 50mg zoloft (sertraline) for depression, 80 mg propranolol for panic and .5 clonazepam for sleep from insomnia. Not sleeping. What otc sleep aid safe

Dr prescribed 50mg zoloft (sertraline) for depression, 80 mg propranolol for panic and .5 clonazepam for sleep from insomnia. Not sleeping. What otc sleep aid safe

Otcs are safe: But that is not to say that they work well. Before trying one, consult your prescriber to give feedback that the clonazepam is not working. ...Read more

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How effective is Elavil (amitriptyline) for treating depression?

How effective is Elavil (amitriptyline) for treating depression?

Elavil (amitriptyline): Is an antidepressant with sedating and drying effects, causing heart rate changes, dry mouth/eyes, constipation, depending on dose. It relieves depression, pain of neurogenic origin, headache and insomnia. ...Read more

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Prescribed Celexa (citalopram) for insomnia but have read that it causes insomnia. Is Celexa (citalopram) commonly prescribed for insomnia? Thank you.

Prescribed Celexa (citalopram) for insomnia but have read that it causes insomnia. Is Celexa (citalopram) commonly prescribed for insomnia? Thank you.

Reason to ask: Always ask the Dr to explain what they expect the Rx to do for you as well as possible side effects. It is not intended to relieve insomnia in most folk. And it is a common side effect. But your Dr might believe your insomnia is due to depression or anxiety which is the main uses. Discuss it all ASAP and if it doesn't make sense to you ask for a change. Best! ...Read more

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Severe insomnia on arimidex (anastrozole)? Is trazadone a good drug for sleep and anxiety

Severe insomnia on arimidex (anastrozole)? Is trazadone a good drug  for sleep and anxiety

See ans: If Armidex is causing insomnia, you might first try changing the time you take it. If you take it in the morning, try bedtime dose. Trazodone combined with Accuretic, (hydrochlorothiazide and quinapril) which you take, may have additive effects lowering your blood pressure. Melatonin at night may help with no drug interactions. Discuss with your doctor. Also limit caffeine which will keep you awake. I hope this helps. Take care. ...Read more

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What is better for anxiety, depression, fatigue, and insomnia? Prozac, remeron, (mirtazapine) or celexa? Or maybe other?

What is better for anxiety, depression, fatigue, and insomnia? Prozac, remeron, (mirtazapine) or celexa? Or maybe other?

Depends on person: All of the medications you mention can be highly effective. It can take awhile to find the one that has the best benefit with fewest side effects. At present, it's trial and error. We have no tests to match person to best antidepressant--although that is an area under active study. ...Read more

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Does topamax (topiramate) cause insomnia for bipolr patients?

Does topamax (topiramate) cause insomnia for bipolr patients?

Topamax (topiramate): It can. Many of the meds used for bipolar disorder can affect sleep patterns. Hopefully they will help normalize your sleep/ wake cycle, which is critical for this condition. Sleep deprivation is a major trigger for a manic episode. If topamax (topiramate) is helpful for your mood cycling, i would ask your md about taking it in the am only. ...Read more

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Is trazadone and clonazepam a good combo for depression anxiety panic attacks and insomnia?

Is trazadone and clonazepam a good combo for depression anxiety panic attacks and insomnia?

Clonazepam: Not for daily use. Absolutely not. This is setting you up for a lifetime of being medicated. Neither of these drugs are curing a problem. The underlying problem needs to be solved. ...Read more

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Is trazodone effective for sleeping?

Is trazodone effective for sleeping?

Yes: I see my colleagues endorse trazodone only cautiously, but i've had good success with it in my practice. It's non-addictive (unlike many sleep aids), the dose is easily adjustable, and it's long-acting, so it gives a full night's sleep. It's not quick-acting, so best to take it a little ahead of bedtime. Side effects are rare in my experience. ...Read more

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Is prescribing Klonopin and Remeron (mirtazapine) appropriate for dementia patient?

Is prescribing Klonopin and Remeron (mirtazapine) appropriate for dementia patient?

Possibly fine: Remeron, (mirtazapine) aka generic mirtazepine, is often used for depression, anxiety, and to increase the appetite. It seems to be well tolerated in elderly people with dementia. It causes sedation, so its taken at nite. Klonopin aka generic clonazepam. This is used for anxiety, panic attacks,and restless leg syndrome. It is long acting, causes sedation and can worsen balance, so I'd suggest caution with it. ...Read more

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Is topamax (topiramate) effective for anxiety relief?

Is topamax (topiramate) effective for anxiety relief?

NOT INDICATED: Topamax (topiramate) is in the class of anti-convulsant medications, so used for seizures. Also used for migraine prophylaxis. Not too sure about use for anxiety as that is very off labile. Lots of other medications are indicated. ...Read more

Dr. Joseph Boland
52 doctors shared insights

Difficulty Sleeping (Definition)

Many women complain that they have trouble sleeping when they are pregnant. Try not to eat just before bedtime. Consider taking a warm bath at bedtime to help you relax. As your abdomen gets bigger, you may want to lie on your side with a pillow under your abdomen and a pillow between ...Read more


Dr. Heidi Fowler
1,685 doctors shared insights

Insomnia (Definition)

A sleep disorder in which you cannot fall or stay asleep. It usually accompanies another sleep, medical, or psychiatric disorder, and can lead to memory impairment, mood changes, and increased risk of ...Read more