by Welsh_Tom » Mon Dec 30, 2013 11:00 am
I posted this exact same question on another forum (drugs-forum).
Over the past 6 months my insomnia has been really bad (only sleeping on average 3 hours per night). I've tried many medications (Amitriptyline, Nytol, Trazodone, Zopiclone, Clonazepam, Tramadol, Pregabalin, Clonidine) but to no avail. My situation is made complicated because I suffer with tics. Unfortunately, all these medications worsened the discomfort associated with my tics, which made falling asleep impossible.
My sleep problems are two-fold. First the issue is falling asleep due to being in discomfort and having a hyperactive mind. The second issue is staying asleep. Usually I would wake up after 2-3 hours and would find it impossible to fall back asleep.
My neurologist has suggested seroquil as a last resort since anti-pyschotics are also effective at suppressing tics. But after doing lots of reading (research literature and peoples experiences through forums) I decided to hold off for a bit longer. The long and short-term side effects of anti-psychotics are some of the worse compared to any other class of drugs.
Personally, I would advised trying any other medication first before considering an anti-psychotic. For instance, even though benzo's are considered addictive and do have some long-term side effects, they are more like candy in comparison to the dangers of anti-psychotics!
Fortunately, I've found that taking 2-3 g of inositol before bed helps me to stay asleep for 7-8 hours. I've also started to dream since taking it. But my tics are still not great so I am going to be trying to another medication (calcium channel blockers) before considering seroquil.
Remember, relying solely on a medications for sleep is a recipe for disaster. Having a bed time routine to wind down, good sleep hygiene and a healthy diet (low in sugar and caffeine) is also important. Furthermore, I've found mediating and light exercise (walking and stretching) to be helpful. But I do completely understand that sometimes is necessary for medications (at least in the short term).
I wish you the best of luck.