If I have chronic depression and severe sleep problems, can I take trazodone or remeron (mirtazapine) to help? Which is better?

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.
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.

Related Questions

I was prescribed remeron, (mirtazapine) for sleep problems and also hope to knock out situational depression with it. 30mg daily. Is this a good medication?

Depression. Every medication is good that is why its prescribed to address issues, but the side effects have to be monitored and dose should be adjusted and should be evaluated during the whole course of treatment. Some appetite stimulation and sedation and 2 main se associated but discuss with you psych. Read more...
Yes. It is a dual acting, effective, antidepressant--what helps one patient may not help another give it time check with your doctor and let him find the dose and medicine best for you. Read more...
Good med. This is a good medication and you are taking a reasonable dose. Side effects to watch out for include sedation and weight gain. Work closely with your physician to find the optimal dose for you. Read more...

I have insomnia - both trouble falling asleep and staying asleep. I've tried CBT, and I've tried Trazodone, Remeron, (mirtazapine) diphenhydramine and Seroquil. None have been romotely effective. Is there a drug that might actually help?

Some patients. respond well to herbal remedies auch as Valerian root, Passion flower and Magnesium. Try other the counter melatonin as well. Read more...
Other options. other options that may work include Zolpidem=Ambien, Temazepam=Restoril, Lunesta, (eszopiclone) and Belsomra which is the newest sleep aid and may help if one has a racing mind. I would have to see a physician in person to get a Rx. Other things to consider are no alcohol at night, exercising in the morning instead of afternoon, not eating before bed, reading in bed instead of watching TV, and hypnosis even. . Read more...

When I lay down at night I take remeron (mirtazapine) 45 at night for depression/sleep and have racing thOughts half the time anything similar to remeron (mirtazapine) sedation?

See your dr. If you are having racing thoughts when you take Remeron, (mirtazapine) then you need to be reevaluated for bipolar depresson. Sometimes anxiety can cause racing thoughts as well. You should see your treating physician and report the response you have to your med. Don't use illicit drugs like meth, b/c they can cause similar symptoms. Read more...

Currently takes remeron for sleep and appetite stimulation. Not helping depression. Can adding Pristiq (desvenlafaxine) help? Read about "California rocket fuel."

Hard to say. You don't give the dose or how long you have been on it. Remeron (mirtazapine) used to help sleep or increase appetite is usually in lower doses (7.5 to 15 mg/day) while the antidepressant effects are more likely at 30-60 mg per day. You have to be on it long enough between dose increases to see an effect, which can be 4-6 weeks. Is someone prescribing it? If so, THAT is where your advice should come from. Read more...

Taken trazodone, seroquel (quetiapine) and remeron for chronic insomnia with no success, any other long term solutions?

Evaluation. You haven't said what type of evaluations you've had for your chronic insomnia. Medicating it has so far not been effective for you. Insomnia can be part of certain psychiatric conditions -- like depression, anxiety disorders, & substance abuse. There are also primary insomnias, which formal sleep studies can discern and for which focused treatments can be given. Please ask your doc about this. Read more...