sleep disorder

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I have suffered with sleep issues for many many years. Used dothiepin for about 10 years on and off ; then 'off label' amitriptyline (20mg) for 6 years - came off a year ago. Tbh the amitriptyline was okayish but got so fed up with the nightmares and difficulty in peeing. But the last year has been hell so finally went back to my lovely doctor 4 days ago who has suggested mirtazapine 7.5mg/15mg . I took the 7.5 mg and oh the joy of being able to sleep after a solid year of such sleep deprivation was a joy but god I just felt like a zombie the next day. For the last few days I've taken 3.75 mg and I'm a mess today due to such limited sleep. Vivid dreams but I can cope with that. I Wake up every hour if I do sleep. I've done all the CBT/ counselling routes over the years, but this sleep issue refuses to resolve itself.

I am not depressed but the lack of sleep makes me so anxious. My doctor has advised me to try Mirtazapine for a month, if it doesn't suit me then perhaps go back to amitriptyline. I would love to hear from anyone who has used either/both amitriptyline and/or Mirtazapine 'off label' for sleep.

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