When PN suddenly hit me, I was in the hospital for 2 weeks before being transferred to a nursing home for 5 weeks of intensive PT to learn how to live in a wheelchair with limited use of hands. It was hoped that in time I could get stronger and regain some balance and regain some amount of life skills. The nursing home physician greeted me with a prescription for Remeron, saying they gave it to all patients there because they found it helped them sleep. It did indeed work for that. I slept, they woke me up to dress me and get me to 3 meals a day and PT 2 times a day, and I slept at all times in-between and most of the night. I fell 6 times in that month, btw, all in PT. I had a laptop, but really couldn't use it much because my fingers & hands weren't really capable, and plus if I had free "play" time, I couldn't stay awake. When I went home with the prescription, I continued the same pattern of only staying awake for meals and my physical & occupational therapists (who came to my home & bathing was part of my learning therapy). I didn't even watch TV & couldn't read a book. I finally had an appointment with my PCP I had to go to after a month, and I told her I wish I was showing more improvement with PT but struggled with energy and slept a lot. When she saw that the nursing home had added the Remeron to my medications, she was perturbed. First, Gabapentin (much needed) had also been added and already has some sedative qualities . Second, the dosage of Remeron was enough for a horse in her (exaggerated) opinion. Third, it was contraindicated with another medical issue I have so it could have caused damage. Finally, there wasn't a clinical reason to add the medication, as I hadn't reported a problem with sleeping. She regarded the practice of sedating all nursing home patients as more for the staff vs the patients. She said that if I wanted to get some balance back, it wasn't going to be achieved by being sloppily & intoxicatingly drugged while trying physical therapy! So she stopped it cold turkey, telling me if I absolutely ever wanted to take it for sleep, cut it by 1/3 when I felt the need. Within days, I stopped sleeping all day, had so much more energy, and started showing much improvement in physical therapy. Within 2 weeks I could use a walker, within 3 weeks I could take steps without. My sleeping at night returned to my normal undrugged state, which was satisfactory enough luckily. So, you asked if it helped sleep? Yes indeed, almost 24/7! You have to find the right balance though and see how it fits with other life performance goals you have. It seems I was obviously given too high a dose, and I'm very glad that I had no problem stopping cold turkey after 2 months of it. I hope you find the right balance!