Elavil (Amitriptyline) dose
is typically 2.5 to 50 mg per night. Elavil is known for pain relieving effects and
ability to help sleep. This medication should be taken early in the evening, or half-dose
in the evening and the other half at bedtime to avoid morning hangover.
dose is usually 10 to 30 mg per night. A tricyclic drug similar to Elavil with muscle
relaxant qualities. May be taken along with Elavil to provide muscle relaxant relief. This
medication usually reaches its maximum effect after one to two weeks of continuous use.
Sinequan (Doxepin) a
typical dose is 2.5 to 75 mg. Also a tricyclic that functions in the body as an
antihistamine. Available in tablet form as well as liquid.
Pamelor (Nortriptyline) the
usual dose is 10 to 50 mg per night. Similar effects as Elavil but may be less sedating.
Desyrel (Trazodone) the
usual dose is 25 mg to 50 mg per night. Desyrel is as effective as the other
anti-depressants, however, is chemically different and may be less likely to cause side
effects. Desyrel is a mild stimulant and may make a sleep problem worse if combined with a
tricyclic anti-depressant at night.
Many of the tricyclic anti-depressants have
side effects that may be intolerable for some people. These include constipation,
drowsiness, dry mouth and eyes, headache, heart rate abnormalities, increased sensitivity
to sunlight, morning "hangover," and weight gain. These side effects may improve
after patients have been using the medication for a few weeks. If not, the doctor should
be consulted regarding another medication.
hydrochloride) the usual dose is 5 to 20 mg in the morning.. This medication is the most
potent of this type. A sedating medication may be needed at night in conjunction with
Paxil. It can cause nervousness, insomnia, nausea, sexual difficulties and sweating,
although many patients report having fewer side effects with Paxil as compared to Prozac.
Zoloft (Sertraline) 50 to
200 mg is the usual dosage. Anecdotally proven helpful for some patients. Sedating
medication may also be needed to combat insomnia.
Serzone (Nefazodone) is the
newest of these agents. As well as increasing serotonin, it also increases
norespinephrine. Serzone's efficacy and side effects are similar to Effexor.
hydrochloride) the usual dose is 27.5 mg two times per day. This dosage can be adjusted,
depending on the effects. Effexor is not related to the tricyclics or the Prozac-like
drugs, however, it does boost serotonin and has tricyclic properties. The typical side
effects are nervousness, anxiety, insomnia and increased blood pressure.
The following are some of the side effects of serotonin boosting medications: anxiety/nervousness, headache, insomnia, mood swings, sexual difficulties, nausea and stomach distress.
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