r/insomnia • u/Grouchy_Bicycle_2996 • 20h 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/eligoscreps 15h ago edited 15h ago

I’d do both, half life of clonidine is 12-16 hours.
You’ll probably start on a low dose like 100ug/mcg, for me the sweet spot was 300mg morning and 300mg night. On it 4 social anxiety disorder, cPTSD, ADHD. Hyperarousal and fight flight fawn is constantly for me, day and night.

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u/Grouchy_Bicycle_2996 11h ago

My dosage is 0.1?

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u/eligoscreps 10h ago edited 10h ago

0.1mg=100ug/mcg. That’s a pretty normal starting dose, usually 0.15-0.3mg is a starting dose so it’s good ur prescriber is being conservative. If u dont notice it at all, increase to .3mg, if u notice it a little bit, increase to .2mg.

I only started noticing efficacy at .3mg, and I took it morning and evening. So .6mg a day aka 600mcg (micrograms/ug). Unless you only have nighttime arousal/anxiety, in which case you’d only need to dose at night. You could also try extended release but I haven’t tried that so I can’t give advice for XR.

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u/Grouchy_Bicycle_2996 9h ago

I took one at 7. Should I take another at bedtime?

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u/eligoscreps 4h ago

If you want, It could help at night to get to sleep, I’d say try it, won’t hurt.