Posts by restlesstrucker15

Jason Vaughn482 said:Remind me, which sedative antidepressant are you taking? I can never seem to find my footing in the morning—I'm a wreck until midday, and honestly, even the afternoons are a struggle. I wake up gripped by anxiety and just feeling... off. For instance, right now, I'm feeling pretty miserable. Just one of those heavy, low days.

I take Trazodone; that is both the medication and its active ingredient. It isn't available locally anymore (like Devidon used to be), so I have to order it from abroad. Usually, I take 100 mg, though 50 mg is typically prescribed for insomnia. You might want to ask your psychiatrist to write a prescription for something specific, depending on their clinical opinion and how it fits with your current regimen.
In my experience, this works much better than Calixt or Q-pin when it comes to avoiding that debilitating "hangover" sedation the next day—though, to be fair, I still deal with some sedation. It feels like someone is trying to keep us all asleep. 😉

There is no point in asking for Halcion, as it won't provide a long-term solution for insomnia, and there really isn't a stronger hypnotic than Halcion once you've reached that limit. 😢

Kenneth Scott41 said:@restlesstrucker15 I read your post about how you've been worrying because the Halcion just isn't doing its job anymore. I suppose I'm in the exact same boat... I've only got ten tablets left of that Halcion, and I have to shell out nearly $13 for it using a private prescription from my doctor that’s only good for six months. Honestly, the price is just ridiculous!
I found myself wondering, what now? There aren't any stronger sleeping pills out there. At least, that's what the pharmacists tell me every single time. And frankly, I can't bring myself to consider jumping onto an Antipsychotic!
To make matters worse, my psychiatrist actually prescribed one or two Halcion tablets before bed. Well, I tried taking two, and it felt exactly the same as if I'd only taken one. 🙂
Then, it occurred to me—I stumbled upon a rather brilliant solution! Hehehe, but seriously, when I tell you what I started doing, I wake up feeling perfectly rested every single day.
What's the secret? 😁 Stihl earplugs! 😂😂
Yes! I used to work with a trimmer, but I never bothered using these plugs. One night, I happened to spot a new little box of Stihl gear, containing two pairs of those yellow ones—they're a bit longer and thicker, sort of like a tiny finger, or even smaller. I turned everything off, popped the plugs in, and went straight to bed without taking a single bit of Halcion. And just like that, I woke up feeling great, fully rested... full of energy, and all I had to do was pull the plugs out. 😁

You all should give it a shot, especially if you're in that position where even the Halcion isn't helping anymore! 😉

Well, well. If I didn't know you from the forums... 🙂
I am genuinely glad to hear you managed to resolve your insomnia that way.
As for me, I will certainly give it a shot. Currently, I am taking a sedative antidepressant to sleep, but I don't feel like myself until midday.
Read or don't read, watch TV or don't watch TV, relax or don't relax, tire yourself out or don't... none of it seems to work anymore. So, I am more than ready to try the earplugs.

Jason Vaughn482 said:I’m not taking it yet; I have it sitting right here at home, but once I start taking those small doses of Calixt, I get this creeping fear about combining it with Prozac. My doctor is incredibly vague, which is frustrating; she hasn't given me a straight answer on whether they can be mixed, even though I have the Prozac on hand because my GP prescribed it. I asked her, but nothing. And tonight was just another repeat of the struggle. Tell me, if I simply skip the sedative tonight, what am I supposed to do? I have Calixt and I have Prazine, but 25 mg of Prazine doesn't touch it, and I'm terrified that 50 mg might be overkill. I just want to sleep through the night without these interruptions. Right now, everything feels chaotic; I end up taking the sedative in the morning and sleeping until 10:00 AM... anyway, I have been tapering my Xanax, dropping from three 0.5 mg pills a day down to three 0.25 mg pills... perhaps that shift is part of why things feel so unsettled, since I've been doing that for the last eight days.

I am truly unsure how to advise you. It is evident that you are going through a difficult time. Your best course of action is to call your psychiatrist and ask her directly.
Please do not attempt to take the Prazosin right now without her specific guidance. Ultimately, they are the experts regarding drug interactions and, more importantly, the half-life of these medications in your system. Call her, explain that your current regimen isn't working, and ask for a clear plan of action.

Jason Vaughn482 said:For me, Prozac actually worked quite well; I appreciate having a bit of an upward lift because otherwise, I feel completely numb. God, last night was an absolute nightmare. I went to bed with 10 mg of Zoloft and 7.5 mg of Eli Lilly, but... I ended up wide awake at 3:30 AM just staring at the ceiling until dawn. Then, at 6:00 AM, I had to take another 5 mg of Zoloft and 7.5 mg of Eli Lilly just to limp my way to 10:30. I absolutely loathe doing that. I think I'll ask my doctor if I can take Prozac in the morning and then this small dose of Eli Lilly at night just to help me sleep. I'm terrified of messing with the dosage on my own since I don't know how they interact. Just like you, I'm not dealing with depression; it's all anxiety, panic, and insomnia. 🙂

Insomnia is truly brutal. I have mentioned before that hypnotics aren't a permanent fix, but if you find yourself needing them, the general strategy is to rotate them—take one for a week or two, then switch to another, and perhaps return to the first later. Over time, you really should look into changing your hypnotic medication.
I am honestly at a loss for what to tell you. 😢 You need to sit down with your psychiatrist, describe your experience clearly, and let them know you want to move away from Calixta. I remember feeling a genuine sense of panic myself when I realized my Halcion wasn't doing much at all; it felt like the rug had been pulled right out from under me.

Prozac and Calixta can be taken together, provided the latter is used at night for sleep, though I've lost my train of thought for a moment. Are you planning to request a serotonin-based medication for your anxiety, such as Prozac, or are you already currently prescribed it?

Jason Vaughn482 said:Haha, the idea of increasing my dosage hasn't even crossed my mind; in fact, my entire objective is to phase it out completely. It is honestly soul-crushing to spend my days trapped in this perpetual, hazy stupor where I lack the slightest spark of motivation to move, all while the beautiful summer sun is shining outside my window. I’ve already managed to scale my Xanax down to 0.75, so we shall see if that proves to be a viable strategy or just another setback. By the way, which antidepressant are you currently taking in the mornings?

I am currently taking 15 mg of Eli Lilly. I was on Paxil quite some time ago. Nothing else seems to work for me because depression isn't my primary struggle; it's strictly panic disorder and anxiety. Consequently, anything that attempts to boost my mood—like Prozac or Effexor, for example—just completely wrecks me within an hour. This medication feels manageable; it keeps those terrible panic attacks at bay. While the anxiety still surfaces, it remains tolerable. That is the specific aspect I am working to reduce to a manageable level. I am trying, but there really is no such thing as a magic pill.😢

Jason Vaughn482 said:I am attempting to taper off my Xanax very gradually because reading all this stuff absolutely terrifies me. I started at 1.5 mg daily; right now I’m hovering at 1 mg, occasionally hitting 1.25 mg. So far, it seems manageable, but I have no idea what the road ahead holds—yesterday I even managed to drop down to just 0.75 mg.
Today was infuriating. My psychotherapist completely lost my patience, though frankly, I don't get much out of therapy anyway. I sit there for twenty minutes and she starts lecturing me on sleep hygiene for the second time. Look, I know everything there is to know about sleep hygiene, but knowing doesn't make it work. I want to fall asleep by 10 PM and wake up at 7 AM, but I can't drift off before midnight, even with 10 mg of Ambien, and then I struggle to actually function until 9 or 10 in the morning. Instead, I find myself wide awake around 5 AM, just tossing and turning. To top it off, she suggested I ramp up my Mirtazapine to 30 mg, thinking that might help, but I don't dare take more than 15 mg since it hasn't done a single thing for my anxiety. It feels pointless to just dose up solely for the sake of passing out. Besides, even last night, combining 10 mg of Ambien with Mirtazapine didn't result in any decent sleep...

If you feel up to it, you should find a new doctor. A 15-minute session is absolutely nothing, and the fact that she is preaching sleep hygiene to a patient whose struggle with insomnia she is already well aware of is reason enough to switch. Unfortunately, most psychologists working in the public health system are completely overwhelmed, so they simply don't have the time to provide proper, longer therapy sessions.😢

Kevin Nguyen3 said:😕
Ativan?!
Where on earth did you get that name?
Lorsilan, Ativan... those are anxiolytics. Benzodiazepines. They cause dependency!
And you didn't even mention what dosage you're taking for any of these.
Celexa is an antidepressant. Citalopram (Starcitin, Celexa...)
What is the catch here?
Which Olanzapine?
And where did you even get your hands on them...

Where did you get them from????
Do you honestly believe everyone in this group is sourcing their medication through underground channels? To be perfectly honest, I have no idea how people do it; perhaps some things can be found on the black market, but that certainly isn't how one obtains antidepressants or antipsychotics. It is completely standard for us to receive everything directly from our doctor. In my experience, my physician would occasionally provide me with a couple of pills or a blister pack before the official paperwork was even finalized.
You can't even pick up a basic bottle of Advil at a local pharmacy without a script, let alone an anxiolytic or anything of that nature.

Kevin Nguyen3 said:John Smith

N/A, did I misread that? Hypnotics. My apologies for the unnecessary explanation.
Zonadin. 10 mg in the evening before bed. Just because I take it doesn't mean you should. Talk to your doctor first.
..and..
Ambien primarily provides sedative (calming) and hypnotic (sleep-inducing) effects, while also acting as an anticonvulsant (preventing or stopping seizures) and a muscle relaxant (reducing muscle tension).
We use Ambien for:
* short-term treatment of severe, debilitating insomnia.
That was a copy-paste.
Both are effective. I haven't personally taken Ambien, but based on what others say, it works quite well.
Have your doctor explain the mechanism of action to you.

Yes, Ambien is potent—one of the stronger hypnotics out there. However, it isn't a long-term solution because you'll develop a tolerance, leaving you right back where you started. Ultimately, this means if you ever undergo surgery, you’ll need to disclose your use to the anesthesiologist. My own doctor asked me about it once; he seemed surprised, almost as if he thought I had obtained it illicitly. When I explained it was prescribed by my psychiatrist, he simply wanted to know how long I had been on it. I would suggest asking your doctor to recommend something that isn't a hypnotic; that is usually the better path. If you find yourself dependent on hypnotics, they are typically cycled—three weeks on one, three weeks on another. But honestly, if you are struggling with chronic insomnia, you might be better served by a sedative antidepressant or perhaps a low-dose dose of an SSRI from the Associated Press.

On another note, I have tried just about everything, and frankly, I would strip certain drugs from the market because they are useless. I think something like the older triazolam is actually quite decent, though I haven't tried it myself. Furthermore, the reputation of some companies isn't particularly clear. For instance, why are there currently three or four different types of zolpidem (John Smith, Zonadin, Lunesta, Pfizer) all priced similarly, with more likely to follow? Why hasn't someone introduce a hypnotic that has already passed rigorous testing and is widely available in Europe or the US? Personally, I think a version of John Smith with extended release would be excellent.🙂

One more question: when it comes to antidepressants, is it better to stick to the brand-name original if you have the choice? For example, I am currently taking Jane Doe, and it works fine for certain aspects of my condition—though I take responsibility for the rest—but I am considering switching over to Lexapro.

redranger2 said:Go ahead and jump in whenever you feel like it; your desire to help
people by guiding them through pharmacology is obvious. 🙂
Yes, it is true that insomnia is a direct result of depression and other psycho-pathological conditions.
Regrettably so.

That’s right; if insomnia persists as long as it has for us, it’s usually a symptom of something else entirely. I’ve been relying on hypnotics for an incredibly long time now, and looking back, I truly regret it. That’s why my psychiatrist kept trying different approaches—I had built up such a resistance that I can no longer fall asleep without a pill.😢

I haven't had my imaging done yet, though I don't expect anything groundbreaking.
Of course, you can schedule an appointment, but after you book the initial consultation, they won't even get you in for the actual scan for another seven or eight months. However, if you aren't dealing with restless leg syndrome or issues involving breathing or heart function, they aren't going to suddenly conjure up some miraculous cure for you, unfortunately. It isn't their fault; it’s all in our heads.🙂

redcrane22 said:I was taking Calixt, but someone I know 😁 is on Remeron

I ended up tossing that damn Calixt straight into the trash after just two days. I tried taking half a dose and I seriously couldn't even pull myself out of bed to go grab the mail.
I was actually kind of looking forward to it—thinking maybe I’d finally put on some weight or something—but man, it was just way too heavy for me.

On the other hand, I see that this celebrity uses Remeron and says it works wonders for them, especially for getting some sleep.
I'm not sure though, what exactly is the difference between the q-tab version and the regular Remeron? 🙈

Calisthenics hit me just as hard on the second day; it was a disaster. Today, I'm relying on something for insomnia. I just wanted to let everyone struggling with sleeplessness—who are also feeling completely wiped out by Calisthenics or some antipsychotic—know that there is another option. It is highly individual, but Trazodone has been a lifesaver for me. I feel a bit groggy in the afternoons, but it isn't nearly as bad as the effects from Calisthenics, Q-tips, or similar drugs. I don't take it every night; sometimes I just have to struggle through the night. This medication used to be manufactured locally here under a different name before they stopped production, and since my psychiatrist was at a loss regarding my insomnia, he wrote me a prescription to order it from abroad to try. Trazodone is an older antidepressant, but in lower doses, it is used for sleep. I believe it is available in Mexico and Canada, though perhaps in an extended-release form. Regardless, I am eagerly looking forward to the day I can sleep normally without any assistance, if that's even possible, because I remember what it felt like to wake up without chemicals in my system. But for now, this is the reality, as hypnotics no longer work for me.

As for Calisthenics, my doctor told me the daytime sedation should wear off within five to seven days, but it didn't for me, so we discontinued it. Using antipsychotics made things even worse.
The specialists at the Sleep Foundation haven't found a better pharmacological solution either; they mentioned that some people experience heavy daytime sedation from antidepressants and antipsychotics due to their specific metabolism. I am also scheduled for a scan in September, just as a precaution, if anyone is interested—though the wait time is about seven or eight months.

Paul Newman5 said:Did CBT privately for five months, maybe an hour or two a week. Didn't help much. My therapist suggested we take a break because things just weren't clicking. Honestly, I had a happy childhood, good parents, a solid life—didn't see the point in digging through the past to "heal." I just piled three jobs on myself, felt like everything had to be perfect, including the housework. Turned my whole life into a strict schedule and ended up losing myself. Now, I've cut back on work, outsourced some chores, and I'm learning how to actually do nothing when I don't feel like it. Hoping the meds help too. I'm ten days into the full dose; side effects aren't nearly as bad as they were in November. Just some morning nausea, headaches, and feeling a bit more jittery. Regret having to stop Microsoft. It worked great paired with Tim Cook, but my doctor wouldn't allow that much weight gain. Even I wasn't a fan of it.

Come on, all things considered, it doesn't sound that bad 🙂 the hardest part is actually integrating all of this into your daily life, but I can see you are making an effort. The medication will do its work, and things will certainly improve 🙂

redcrane22 said:Has anyone else dealt with this before, and is this actually allowed?

So, here’s the deal: his psychiatrist originally prescribed him Seroquel. But then he goes to his local family doctor, and she tells him that Seroquel is just way too expensive, so she’s going to swap it out for Quetiapine from Pharma instead. 😕

I know Seroquel is basically the same thing as Quetiapine, but can a doctor really just switch it on a prescription if the patient doesn't want them to? It makes me wonder if there’s some kind of kickback involved with Pharma or something... I mean, it’s a bit strange—if she was looking to save money, why didn't she just suggest the Pfizer version of Quetiapine? 😁

I believe she is allowed to do that. To be honest, though, I am not entirely certain when it comes to psychotropic medications. I recall seeing something on my own medical records from a clinic in Chicago—regarding a diagnosis related to my spine—stating that a general practitioner is permitted to prescribe a medication with the same active ingredients but from a different manufacturer. It wasn't a specific note from my doctor, but rather a standard disclaimer printed on all the official paperwork.

Ultimately, it all depends on the individual primary care physician. When I once questioned my own doctor about her medication choices, she told me quite plainly that she isn't concerned with what Medicare thinks, provided she believes a specific drug is truly helping her patients. She mentioned that she never prioritizes price or the specific manufacturer. At the same time, she noted that for certain patients, she should never switch brands, though she has observed that for others, the switch works quite well due to a placebo effect. Apparently, it seems to work for those who aren't familiar with generic drugs.

Paul Newman5 said:Hey restlesstrucker15, long time no see. How've you been? Glad you reached out; we talked a lot about Lexapro back in the fall. Thanks to you and Rijeka, too. I'll try to stay positive. But honestly, I'm terrified it won't work and I'll be right back at square one. I know others have it worse and some people here have been fighting this for years, but everyone's struggle feels heavy when it's yours. I feel for them, though.

I am doing well, thank you. 🙂 I am hopeful that things will click this time around; they ought to, provided you remain patient just a little longer. Are you planning on starting psychotherapy? When dealing with anxiety, that component is absolutely vital.

Paul Newman5 said:On Citram I've been on for about 3 weeks now. Since I'm a total wimp, I spent the first 10 days taking just a quarter dose, and now I've been on 5 mg for 9 days—that's what my doctor prescribed until my follow-up in 5 weeks (late August). No major side effects, just some extra jitters and nausea in the morning. It’s manageable. But I'm wondering, how does someone actually feel when an AD is working? Like, when am I supposed to notice a shift? I haven't felt anything with any AD so far. Maybe a stupid question since everyone is different, but I'm just counting the days, waiting for the moment I can get up and head to work or leave the house without feeling so much fear and anxiety. I was on Ladiomil for 7 weeks once; it was fine at first, but I gained 3 lbs in the first month—which I mentioned here—and then after that, it was like my metabolism just went haywire. I put on 7 lbs in three weeks. I had to call my doctor because I was terrified I'd hit 200 lbs before my next appointment, so she told me to stop the Ladiomil immediately. Another thing: my first med last November was Lexapro, starting straight at 10mg. Five days of pure hell and unbearable restlessness, but my doctor back then refused to lower the dose and just stopped it entirely. Now I'm on Citram and it's tolerable. If she had taught me to taper slowly like they do now, maybe Lexapro would have worked and I wouldn't have wasted months of misery. Am I right, or is Citram just weaker than Lexapro even if they're in the same class?

Don't let this weigh on you too heavily right now. It might work, or it might not. I wouldn't go so far as to say one is weaker than the other; if they are in the same class, the efficacy should be comparable. Unfortunately, an AD isn't a magic cure, but it is incredibly helpful. As for knowing when it takes effect? You'll know when those physical manifestations of depression and anxiety begin to recede, or when you notice a return of mental joy—things like having actual motivation, just as fadedbear92 mentioned. Ultimately, you'll know when you stop constantly questioning whether it's working.🙂

It hasn't been very long for me either, as I am currently preoccupied with a different health issue.
Alik, if I may, I have to express my confusion here.
My primary care physician suggested switching me from Sanval to Lunat, which was quite a surprise. She mentioned that some patients find it significantly more effective than Sanval. I found myself wondering, who is actually being fooled here? The composition is identical—zolpidem—and it isn't even the extended-release version, which is a shame. They are even the exact same color and size...
Perhaps she simply wanted to create the illusion that I was taking something different. 🙂

On another note, I have a question for those of you who understand the complexities of pharmaceutical approvals. For instance, why would two additional zolpidem brands enter the market when there are already three available? In terms of pricing, they are all essentially equal. Why wouldn't a company expand its hypnotic lineup to include triazolam or zopiclone, as is standard in most other parts of the world?

I am also genuinely curious: has anyone ever actually found success using Zan to fall asleep? I have experimented with various options under my psychiatrist's guidance, but it often feels as though certain drugs are approved only to sit on the shelf unused, much like Circadin.

Jason Vaughn482 said:I am well aware of that, but it feels like I have to cycle through these medications endlessly until I finally stumble upon the right one; it’s an exhausting process of trial and error where I'm constantly forced to pivot. Take Elicea, for example—it felt as though I had been drinking heavily for two days straight, leaving me with such a nasty allergic reaction and skin rash that I wouldn't dare touch it again, even though there are so many options out there. Since I've only actually tried two or three of them, my experience is limited, but I did find that the local health portal was quite helpful initially, though everything seemed to short-circuit after a few months. I ended up feeling so unwell that I had to stop using it entirely, yet part of me still wishes I could go back to how things were before the breakdown.

Listen, from a strictly medical standpoint, I am not entirely certain whether it is more harmful to take an AT or an anxiolytic, but I believe both fall under the umbrella of "every pill carries some risk." However, any psychiatrist will tell you that it isn't ideal to rely on an anxiolytic for an extended period without being on an AT. To clarify, if someone is navigating a life crisis—a divorce, job loss, or similar stressors—taking an anxiolytic or a sedative is perfectly reasonable. But three years? An anxiolytic won't resolve anxiety in its true sense; it merely eases the symptoms while creating a dependency. In that regard, it is better to utilize an AT and reserve the anxiolytic for occasional use. Anxiety is a complex beast, though; unless it is specifically Panic Disorder or OCD, there isn't really a silver bullet. Psychotherapy remains the primary priority, alongside an AT. From my own experience, finding the right AT is difficult, and none of them have ever fully cured my anxiety. That is simply the reality of it. They did, however, reduce my symptoms by maybe 20 to 30 percent, and when a crisis hits, I recover more quickly. I would advise you to consult your doctor about starting an AT. A mild sedative won't help much unless you are dealing with severe sleep issues, in which case she might put you back on that portal. Just explain clearly how you feel and what you hope to achieve, and she will select an appropriate AT for you.

Eric Jackson11 said:I honestly don't get why the instructions say you have to swallow the tablets whole, either.🤷
I rarely ever split mine in half...
But if one pill has 1mg of benzos, why wouldn't half of it just be 0.5mg?😁

The general rule is to avoid breaking them, and that doesn't just apply to psychotropic medications—it includes things like extended-release painkillers too. I can't say for certain why, but it likely has to do with the binding agents used to hold the active ingredient together.

David Bishop4 said:I hear what you're saying, I really do; I’m just pointing out how silly it feels that they aren't supposed to be broken apart. I have the 1 mg dose, and even taking just half a pill left me feeling completely drugged. Besides, I’m not anxious all day long (well, maybe ever since I started those ADHD medications, but before that, even 0.25 mg of Xanax didn't touch my anxiety, especially when I actually had to go somewhere). Honestly, there were plenty of times when full-blown panic attacks would still break through regardless.

They could always just write you a prescription for 0.5 Misar SR, then you won't have any issues with splitting pills, and if you really need it, you can just take two.

Gerald Torres2 said:Hey everyone!
I’m new to this forum, so I figured I’d introduce myself... I’ve been dealing with panic attacks since I was 14, so we’re looking at about 12 years now. They used to happen maybe once every six months, but once I hit 24, they were hitting me multiple times a day. On top of that, I’m dealing with depression, anxiety, and agoraphobia. I previously tried Paxil (which nearly drove me insane—it killed my appetite and left me unable to even hold a conversation) and Misar at 0.5, 1, or 1 mg. I fought through that for three or four months before deciding to cold-turkey the meds on my own. That was about a year and a half ago. Two months ago, I finally went back to my psychiatrist because I realized I couldn't just white-knuckle this on my own, no matter how hard I tried. I was prescribed Wellbutrin XR 150mg and Xanax at 0.5, 1, or 1 mg. Of course, the Xanax wasn't enough, so I ended up taking three a day. Currently, life is throwing some heavy stuff my way, and while the Wellbutrin helped with the anxiety initially, it isn't doing anything for me now, and the depression is creeping right back in... I feel like I'm sinking again and I just don't have the strength to fight it. I’ve heard that combining Zoloft and Wellbutrin works wonders, since I need something to lift my mood while also dialing down the anxiety, and honestly, I want to get off the Xanax for good. Can anyone offer some advice or share if you've had similar experiences?
Thanks in advance.

Hmm... I must admit I find it somewhat unusual that they prescribed you Wellbutrin. As far as I am aware, it is primarily intended for depressive symptoms, but it isn't typically given to people suffering from panic attacks because it can increase dopamine levels. However, I suppose your psychiatrist knows the reasoning behind it; surely Zoloft is meant to be your primary Zoloft Advertisement.

redranger2 said:It seems you're experiencing exactly what happened to me. I went through the same cycle—switching from one antidepressant to another, then to a third—only to find that everything spiraled downward because my brain chemistry became a complete mess. It took me a month and a half to get back to that first medication, and the symptoms in the interim were brutal. I am doing fine now, though.
Essentially, your return to Effexor is going to be a process that takes several weeks until your neurochemistry stabilizes. You simply have to be patient. There is no guarantee your psychiatrist will prescribe an antipsychotic, even if they can be effective for insomnia.

There is some information here regarding Trittico.
http://www.depression.org/forum/index.php?showtopic=7521

You didn't mention how long you've been back on Effexor?

I am seeing my doctor this coming Monday, so I will ask her about that medication and the insomnia; apparently, it helps, but one can never be too sure. Generally speaking, I did a little research and found that it used to be manufactured locally by Pfizer (Devon) before they discontinued it, but I hear people order it from abroad. I suspect it might be available in Mexico, though from what I can see, those versions are extended-release, whereas the Devon ones were not.