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Rebound Insomnia after titrating off of Ativan/Lorezepan

Sleep Health | Last Active: Sep 27 10:00am | Replies (14)

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@kawanhee

I tapered off of .5 mg Ativan over about 6 months after several quicker tapers that didn’t work. Began taking it for anxiety over a cancer diagnosis, then began relying on it for sleep. I saw a sleep med dr who referred me to a sleep therapist who was big on CBTi. It did not work for me and I went back to Ativan but my pcp was against my staying on it. While tapering, I switched therapists and she recommended a low dose of mirtazapine. It’s not a benzo like Ativan and I’m finally sleeping through the night. Although I’d prefer not to stay on drugs, the ability to sleep again is life changing.

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Replies to "I tapered off of .5 mg Ativan over about 6 months after several quicker tapers that..."

I am wondering what the side effects of mirtazapine could be. I am afraid to start any new meds. I hope that you are well now. I know things work differently for different people. I really can't deal with only sleeping two hours a night and feel I might need to stay with the drug for now. All the best and thank you so much for responding to me. Your help is appreciated.

Wanted to let you know that I looked up the information on mirtazapine and it has a very good track history with rare side effects and is not a controlled substance. I am going to look into it. I am thinking my primary care doctor would not know anything about these types of drugs so I am thinking I would need a psychologist/psychiatrist type of physician to help me with this. I read that a 15 mg is a good start dose. Have you had any side effects and what dose are you taking if I may ask. I also have IBS and this med is helpful for this condition as well. I am older and this would be safer then some of the other meds out there. Thanks again