From the alt.med.fibromyalgia conference
> Different people keep talking about taking Benadryl for sleep. Which
> one, how much, etc.?
Trazodone, cyclobenzaprine (Flexeril), and diphenhydramine (Benadryl) are the ones I prescribe the most. All are shorter acting and so avoid most of the daytime side effects of amitriptyline including appetite stimulation. Usual starting doses and ranges of some of the common meds:
Drug name Usual starting dose Usual maximum dose amitriptyline 5 mgs. 2 hrs before bed 300 mgs. cyclobenzaprine 10 mgs. 1 hr before bed 60 mgs. alprazolam 0.5 mgs. 1 hr before bed 6 mgs. diphenhydramine 50 mgs. 1 hr before bed 300 mgs. trazodone 50 mgs. at bed time 600 mgs.
Start low and gradually increase every few days to good control of FMS symptoms without excessive side effects or the maximum dose, whichever comes first. If one doesn't work, I have the patient cut back on the dose slightly, add another, and slowly taper off the first as the second is being increased in such a way as to keep sleep sound but without excessive side effects. Also be sure to read the FAQ about the other aspects of treatment. Medication alone is of little help.
> Can it be taken with 50 mg. Zoloft? In conjunction with asthma, and
> Proventil inhalor?! Thanks.
You should discuss all medication changes with your physician. He can tell you whether their would be any problem in your case.
Any comments? Send them to Bill Jackson at email@example.com
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