mirtrazapine for insoomnia

It's exceedingly common, especially as we age and develop a habit of ruminating. Ruminating, as in....rethinking, going over yet again, the same issues, concerns, interests, songs,...sometimes accompanied by anxiety and the compulsion to fix something.

You seem to have the right idea: don't become too dependent on any one aid, meaning you are consigned to toughing it out many/most nights. But, it helps to keep the potency of the soporific you sometimes use...very wise to do that. In fact, I use it even less often, about every five days. In my case it is Zopiclone, 7.5 mg blue oval tabs that I cut into quarters. Quarters!?!? Yes, because that small dose does just enough....for me. My wife needs half a tablet. Or more. Everyone is different. My druggist quietly advised me to consider cutting the dose in half because of my severe sleep apnea. I took his thoughtful advice.

I also switch it out with alternate nights of 2.5 mg of melatonin in a gummy. Same idea, I tough it out for five nights each week, and use either melatonin or Zopiclone the other two nights, separated by at least 3 nights.

I wouldn't be averse to trying trazodone, fluvoxamine, gabapentin, or other soporifics/SSRI, but only on a trial basis with my own permission to give them a miss if they make me over-dreamy, over-tired during the day, or have other undesired effects. And I would NEVER experiment with any drug behind either my pharmacist's or doctor's backs. We would be in agreement ahead of time that this is a trial, a good serious attempt at giving the drug a solid shot (not just one first night, good or bad). And of course, it would have to be prescribed formally.

There are also other remedies such as CBT (cognitive behavioural therapy), hypnosis....but I have absolutely no experience with them, nor can I advise about their efficacy in any way. I know that they work for some patients, especially those who are serious and open-minded about ridding themselves of unwanted behaviours.