Hello, my insomnia started 2 years ago where I was not able to fall asleep, and when I did I was waking up after 30 minutes. So my doctor first put me onto zopiclone, then on amitryptyline because zopiclone was only short term solution. 10mg of amitryptyline worked for 5 months, after that I needed to upped my dose to 20mg which worked for 2 weeks and then stopped and my insomnia returned. I tried switching to mirtazapine 15mg but It worked for 2 weeks, after that sedative effect of it wearn off and I couldnt sleep again. Tried upping dose to 30 mg with no effect so I stopped and I tried amitryptyline again 20 mg but still no effect. Now im on 10 mg amitryptyline again, with tons of natural remedies (kiwi, tart cherry juice, herbal sleep aids, magnesium+calcium, vit.d3) and im getting 4 hours of sleep and after that I cant go back to sleep again. I feel tired and washed every day. Tried CBT-I with no effect. Now I got 2 options, I can either upped dose amitryptaline again or try Mianserin 10 mg. I dunno what to do, what you guys recommend ?
Chronic insomnia: Hello, my insomnia started... - Sleep Matters
Chronic insomnia


I just got off of a 4 month insomnia episode and that almost destroyed me. I went on Remeron and it got me to finally sleep but I was sedated all day. Ambien helps me. Benzodiazepines do help but they are addictive. I’ve heard valerian tea or tinctures help. May I ask if something stressful happened 2 years ago? Whatever happened needs to be dealt with, I hope you are in therapy. I’m in therapy and a 12 step group. Exercise and sunlight is really important too. Are you working? If so get on disability and take time off, your health is more important. I hope you find relief, insomnia is torture.
I take trazadone.