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๐ŸŒ™ Insomnia

Commonly prescribed medications, what to avoid, and lifestyle guidance

๐Ÿ“‹ Overview

Insomnia means difficulty sleeping. Cognitive Behavioral Therapy (CBT-I) is more effective than medication long-term.

๐Ÿ’Š Commonly Prescribed Medications
MelatoninSupplement
Start with 0.5-1 mg. Take 30-60 min before bed.
Zolpidem (Ambien)Z-Drug Sedative
Short-term use only (max 2-4 weeks). Habit-forming.
TrazodoneAntidepressant (off-label)
Non-addictive. Commonly used off-label for insomnia.
Doxepin (Silenor)Low-dose TCA
FDA-approved for sleep maintenance. Very low dose.
Suvorexant (Belsomra)Orexin Antagonist
Newer sleep medication. Low dependence risk.
๐Ÿšซ What to Avoid

Alcohol disrupts sleep long-term. Caffeine after 2pm. Blue light before bed.

๐Ÿฅ— Lifestyle Tips

Fixed wake time daily, dark/cool bedroom, no screens 1 hour before bed.

๐Ÿ“‹ Important Note
CBT-I has better long-term outcomes than any sleep medication.
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