Temazepam to Mirtazepin?

Posted by sgeneris @sgeneris, Feb 12, 2023

I am reading the posts here on this subject but in the interest of speed I am asking a question before I finish:

74yo man with a variety of health issues and limited access to quality care.
Before I go into any more complex details, the basics.

I have usually been able to keep depression and anxiety at bay without meds or therapy, except during triggers life events, for which Temazepam has been
effective (15mg 2-3 days, few times/year).

A recent trigger has induced insomnia. Even though I have decent sleep hygiene, I walk briskly 1hr/day and do not sleep/nap during the day, for the last two weeks am unable to fall asleep without at least 7.5mg Temazepam daily and that gives me
only 3-5 hours of sleep.

My GP recommends the tetracyclical Mirtazepin for its dual action on both depression and sleep, I researched it and:
* don't like what I read about it;
* I took a tricyclical decades ago and hated it
* withdrawal and rebound.

I researched all AD and sedative options available and found none attractive, to put it mildly.

I realize it's no substitute for medical advice, but it may take time to get access to a good specialist -- if at all -- so I would appreciate any help/comments.

* How long can I expect daily Temazepam 7.5mg to be effective and safe?
* Is Mirtazepin the least bad option?

Thanx.

Interested in more discussions like this? Go to the Sleep Health Support Group.

For help with sleep during benzo withdrawal, I tried mirt, gabapentin, doxepin, sertraline, hydroxyzine, melatonin along with vitamins and supplements rec. by my doc - magnesium, lavender, B12, D3, chamomile, and more, too many to remember. The mirt did not help me to sleep, and I called it evil because of the side effects, which were vicious, from headache to intense nausea, and more. It was just awful, and I'm sorry if that's your only option. And honestly, for someone so intent on prescribing mirt, your doc should know that it may sedating at low doses (7.5-15) but does not address depression; it may address depression at higher doses but is not sedating,
wish you the best.

REPLY
Please sign in or register to post a reply.