This is Dr. David
I am sorry you are having poor sleep.
you can try other non habit forming sleep aids such as tylenol pm or melatonin to help your sleep.
talk to your doctor about these options as well
also exercise during the day can help you sleep better at night.
sounds like you have a lot of worries and anxieties about your kids and family as well.
you could also be suffering from some post partum depression.
you should speak to a counselor about this
you need some stronger treatments for your phobias.
no, you could be down only if you don't get enough sleep.
sounds like your phobia is out of control
you need better therapy for your anxiety and phobia
you might need more than just counseling.
have you been on an SSRI before?
no, it is a tricyclic antidepressants.
I think you need to go back to see a psychiatrist or psychologist about your phobias and your medications.
it doesn't sound like your phobias and anxiety symptoms are being well controlled.
you might need a stomach acid blocking agent to decrease stomach acid
everyone is different.
some people have more issues than others.
yes, you should be using the doxepine regularly.
you need to get sleep.
the body heals when it sleeps.
you need to get your insomnia phobia under control
it shouldn't loose its effect if you use it regularly.
it is a medication meant to be used regularly.
did your doctor prescribe it for you to use it regularly?
does your husband recommend for you to use it regularly?
since you are having problems with insomnia now, I would use it now.
you need 7.5 hours or more of sleep per night
do you exercise?
you are dancing which is good.
25mg dose is fine.
the dosing is either 25 or 50 for sleep
here is a study on it.
Over recent years, the use of antidepressants for the symptomatic treatment of insomnia has grown substantially, but controlled studies are still lacking. Our study is the first investigation to prove objective efficacy and tolerability of low doses of a sedating antidepressant in a randomized, double-blind, and placebo-controlled manner in patients with primary insomnia.
Forty-seven drug-free patients meeting DSM-IV criteria for primary insomnia (mean +/- SD duration of complaints = 11.2+/-9.7 years) received either 25-50 mg of the tricyclic antidepressant doxepin or placebo for 4 weeks followed by 2 weeks of placebo withdrawal. Sleep was measured by polysomnography at baseline and the first night of application, at 4 weeks of treatment and the first to third night of withdrawal, and after 2 weeks of withdrawal.
In the doxepin-treated patients who completed the study (N = 20, 47.6+/-11.3), medication significantly increased sleep efficiency after acute (night 1, p < or = .001) and subchronic (night 28, p < or = .05) intake compared with the patients who received placebo (N = 20, 47.4+/-16.8 years of age). Latency to sleep onset was not affected since the patients had normal baseline sleep latencies. Investigators found doxepin to cause significantly (p < or = .05) better global improvement at the first day of treatment. Patients rated sleep quality (p < or = .001) and working ability (p < or = .005) to be significantly improved by doxepin during the whole treatment period. Overall rebound in sleep parameters was not observed, but patients with severe rebound insomnia were significantly more frequent in the doxepin group (night 29, p < .01, night 30, p < or = .01; night 31, p < or = .05). No significant group differences in side effects were found, but 2 doxepin-treated patients dropped out of the study due to specific side effects (increased liver enzymes, leukopenia, and thrombopenia).
The results support the effectiveness of low doses of doxepin to improve sleep and working ability in chronic primary insomniacs, although subjective effects were light to moderate, and in some patients, rebound insomnia and specific side effects have to be considered.
that is good.
patients in the study used doxepine daily for 4 weeks in the study safely.
yes, it is a different class of drug than amitriptiline.
do you have any other questions?
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