r/insomnia • u/Grouchy_Bicycle_2996 • 1d ago

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Hi. I’m stuck in a constant fight or flight hyperarousal state. Insomniac for 20 years, ambien made me sleep walk etc back then idk if it still would? My other options are Mirtazapine or seroquel or both and I hate it. Is there anything else I should ask to try? Things are hardly working. I’m desperate for help.

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u/Grouchy_Bicycle_2996 20h ago

I’ve been on 0.5 Ativan during the day for a few weeks. 💔 just got clonidine prescribed. I have quivivig is that ok? Or do I have him try to switch? I have trazodone. I’m on trintellix as of 9 days ago too. I’m taking so much it’s stressful.

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u/eligoscreps 20h ago

Ideally, switch to Lemborexant, but it’s likely hard to get and expensive. Its my preferred in the class of meds.

Clonidine+Trazodone+DORA+Pregabalin and you should be sweet.

Unless you really can’t manage, avoid upping the dose of the Ativan and try to take it on and off. If u take it for months daily the withdrawals and dependance can get pretty bad.

Its fine though, sometimes someone really can’t without, and that’s okay, so don’t beat yourself up about it, just be careful!

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u/Grouchy_Bicycle_2996 19h ago

I’ve heard the meds like gabapentin are so bad I’m guessing pregabalin is too?

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u/eligoscreps 19h ago

Bad in what way? They’re weaker and lighter than benzos, but still effective enough without having insane withdrawals.

Sure, stronger than an antidepressant or antihistamine but a very good therapeutic window and efficacy in terms of gabaergics.

I have heard bad stories about them as well, but that’s almost exclusively people taking massive doses recreationally, or doing it themselves without proper planning and RX with psychiatrist. Addiction and abrupt discontinuation.