Posted by yxibow on October 26, 2007, at 13:18:11
In reply to Temazepam is useless, posted by Maxime on October 24, 2007, at 20:51:32
> I was prescribed 30 mg of temazepam for sleep because I went several nights without sleep. 30 mg did nothing. 60 mg nothing. 90 mg gave me 2 hours sleep. I took 120 mg an hour ago and I feel nothing.
>
> I am losing my mind.
>
> MaximeRestoril is a week sleep agent and a metabolite of Valium. If you take any benzodiazepines regularly besides it, it may not work very well.
Dalmane (flurazepam) is pretty potent but shouldn't be used regularly like other benzodiazepine sleep agents.
Basically, ultimately there is no "free lunch" I've discovered in insomnia. If you can reset your clock by staying up for periods of days while that while maybe impractical, might give you better respite. I understand its hard to manage sleep.
Doxepin (sinequan) is another choice though it can give odd chills and other sensations. It, however, is the tricyclic with least side effects and nearly no D2 issues. It will also habituate quickly but allow one to return back to sleep even if it doesnt actually seem to "work". First taking it depending on one's sensitivity can knock one out for quite a while but it goes down quickly.
If you've never taken Seroquel, at least on the short run, 12.5mg or 25mg would probably suffice just enough and runs a very low risk of potential neuroleptic effects that a higher dose would.
poster:yxibow
thread:791219
URL: http://www.dr-bob.org/babble/20071019/msgs/791560.html