RunningMan
Member
- May 8, 2023
- 599
- Tinnitus Since
- HiFrq ~2000, Increased 2022, LoFrq ~2020
- Cause of Tinnitus
- Loud noise - clubs, stereos, cycles, headphones, engines,etc
Yeah, this varies in the U.S., depending on the doctor. My doctor won't prescribe Gabapentin or Pregabalin for sleep or anxiety. He only wants to prescribe SSRIs and SNRIs when it comes to antidepressants, or Trazodone as an alternative sleep medication option, although an NP in the same office once prescribed me Nortriptyline, which is a tricyclic (TCA) antidepressant. My doctor wouldn't have.It's bizarre prescribing, speaking as someone from the UK. Here, Mirtazapine is seen as one of the safest antidepressants. They prescribe it to old people. It's also good for sleep. They don't like benzos except for the short term, and then it's only Diazepam, as it has a very long half-life. They would never prescribe short-half-life medications like Lorazepam or Alprazolam. Clonazepam also has a long half-life, so it is less addictive and has efficacy in tinnitus treatment.
Zopiclone is also only prescribed for a few weeks.
A friend of mine has used Xanax (Alprazolam) for sleep for years. When she moved, the new doctor wouldn't prescribe it, so she had to go back to her old doctor, who also just prescribed her Ambien as well.
I should note that I was talking about a PCP. I haven't seen a psychiatrist, although my doctor would refer me if I wanted. The psychiatrist might be open about prescribing different things like Clonazepam and Mirtazapine.