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  5. I have a history of depression and previously took Mirtaz 30. For the last six months, I have been taking Alprox 0.25, but I still experience mild depression symptoms and racing thoughts at night that prevent me from sleeping. Should I change my medication to help me sleep better?

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I have a history of depression and previously took Mirtaz 30. For the last six months, I have been taking Alprox 0.25, but I still experience mild depression symptoms and racing thoughts at night that prevent me from sleeping. Should I change my medication to help me sleep better?

Asked by Female, 38 · 15 days ago

Yes, you should consult your doctor about adjusting your treatment. Alprox (alprazolam) is a short-acting benzodiazepine. Taking it daily for six months can lead to tolerance, dependence, and worsening insomnia, and it does not treat the root cause of your depression. In contrast, your previous medication, Mirtaz (mirtazapine), is highly effective for both depression and sleep. Please do not stop Alprox suddenly, as this can cause dangerous withdrawal symptoms. Instead, see your psychiatrist to discuss safely tapering off Alprox and transitioning to a more appropriate long-term medication, such as restarting mirtazapine, to safely address your depression and racing thoughts.
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Other Related topics like...

  1. User's Medical History and Medications

    • The user has a history of depression, managed with Mirtazapine 30 mg and Alprazolam 0.25 mg.
  2. Current Symptoms and Medication Effectiveness

    • The user experiences mild depression and nighttime racing thoughts despite Alprazolam intake for six months.
  3. Considerations for Changing Medication

    • Given the user's symptoms and depression history, changing from Alprazolam might be beneficial for improving sleep.
  4. Next Steps and Recommendations

    • Recommend the user consult a healthcare provider for a medication review and explore possible alternatives for improved sleep and depression management.

Answered 15 days ago

Related Questions

I have been suffering from insomnia for the last 25 years and have consulted many doctors. For the past 9 months, I have been taking Mirtaz 30 mg at night and Fludac 20 mg in the morning, and now I feel about 60 % better. Should I continue these medicines, and what else can help improve my sleep further?
Long-term insomnia can affect both physical and emotional health, so feeling around 60% better after treatment is a positive sign. Mirtaz 30 and Fludac 20 are sometimes used when sleep problems are linked with anxiety, stress, low mood, or disturbed sleep cycles. Improvement in chronic insomnia often happens gradually rather than suddenly, especially when symptoms have continued for many years. Whether you should continue the same medicines depends on your sleep quality, daytime functioning, side effects, emotional health, and your doctor?s long-term treatment plan. Stopping or changing these medicines suddenly without medical guidance is not recommended because sleep problems may worsen again. Maintaining fixed sleep and waking times, reducing mobile and screen use before bed, avoiding caffeine late in the day, regular light exercise, relaxation techniques, and a calm sleep environment may further improve sleep naturally. Emotional stress management and counselling may also help some people with long-standing insomnia. Talk to your doctor if sleep becomes worse again or if you develop excessive daytime sleepiness, mood changes, unusual dreams, anxiety, or dependence on medicines for sleep.
Last Updated on 26 days ago