Psychiatrist Questions Psychiatrist

Which antidepressant is effective in treating insomnia in a patient with depression?

I have depression and insomnia. Which antidepressant is effective in treating insomnia in a patient with depression?

5 Answers

There two or more that come to mind. Trazadone and remeron can be used but have other side effects. Talk with your doctor and make sure you have a complete medical done as well..

Hope that helps.
Depression is a common cause of insomnia. If your insomnia is caused by depression any effective antidepressant is likely to help. You should be aware that insomnia tends to respond more slowly than other symptoms to modern therapeutic drugs. Some antidepressants have effects that are alerting such as bupropion or fluoxetine, and some are relatively neutral such as sertraline or escitalopram, and some antidepressants are more sedating such as mirtazapine. Your physician will choose an antidepressant for you based on their experience and your complaints. Most patients are likely to require some adjustment in dosage or drug before finding the optimal regimen.
While this seems like an innocent, easy question, there are many factors to consider. One has to ascertain if it's a true depression, previous response to medication, comorbid conditions. So I always recommend a full assessment. There's no single, one right answer. The biggest consideration is the side-effect profile of the candidate molecules and I would also strongly consider non-pharmacologic interventions. So for example, a wonderful anti-depressant, anti-anxiety medication is mirtazapine, which has a very interesting and unique dosing profile. Which antidepressant is effective in treating insomnia in a patient with depression? It also has hypnotic (sedative), NON addictive properties that make it ideal for insomnia. That, being said, it has a very good chance of causing weight gain (!!!!) in certain populations, though.... this can be mitigated. So, as you can see, the answer is not a simple one.
Check this link out,,,
https://programs.bodylogicmd.com/bodylogic-insomnia-test/?tid=cpc.google.g.12606846419.125488282968.%2Binsomnia.CjwKCAjwybyJBhBwEiwAvz4G73WxH-EyeDVrjT_-IVdCWfvdw0RcbFUqmw5TVobIZlXST5lsXNLvjxoCl48QAvD_BwE.b.c.509049786680&gclid=CjwKCAjwybyJBhBwEiwAvz4G73WxH-EyeDVrjT_-IVdCWfvdw0RcbFUqmw5TVobIZlXST5lsXNLvjxoCl48QAvD_BwE
and
https://www.spine-health.com/wellness/sleep/antidepressants-sleep-aids#:~:text=The%20sedating%20antidepressants%20most%20commonly,in%20the%20treatment%20of%20depression.
Trazodone is the most common in US, helps sleep but not a great antidepressant at low doses used for insomnia. Mirtazapine is more sedating and has a better antidepressant effect but weigh gain is an issue. May consider Trazodone with another antidepressant which is commonly done