Unscheduled Saturday of drugged sleep, you say?
May. 18th, 2025 02:30 pm![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png)
Well, guys, last fall when I was having a nervous breakdown my doctor was having some trouble finding a good medication to prescribe to help me sleep, and she landed on mirtazapine, which is actually an antidepressant, but has a strong history of off-label use as a sleep aid.
You can take half a pill or a quarter of a pill, something like that, at bedtime, my doctor said, and hopefully this will help you sleep. And this medication has a weird curve where it acts differently at high doses and if you want you can take a full tablet in the morning as a mood lifter. (This is all paraphrased.)
I tried a half-tablet of mirtazapine for insomnia last fall at one point, and found it made it very hard to wake up the next day. I quickly switched to quarter tablets and even eighth tablets, on a tip from the pharmacist ("Many people find an eighth works even better than a quarter"). I never took this every night, and gradually got out of the habit because I have mostly not been having much insomnia and my greater concern is how hard it is to wake up in the morning.
So until yesterday I actually never had taken a whole tablet, but I started thinking maybe I should try it recently. I have been feeling some of that weird ADHD-understimulation where it's like your brain itches, but all the things I tried to read or look at or draw didn't help and it still felt kind of... boring. I don't really like the term 'boredom' in this explanation for that reason, but all the information I can find about ADHD understimulation emphasizes it and most of it is about taking things you like to do along when you have to sit through boring lectures etc which is not what's going on for me at all (and which I have already been doing my whole life). Reading is my silver-bullet distraction that always works. Maybe the problem is that understimulation isn't really what's going on.
But anyway! Yesterday I decided to give it a try. So I took one tablet with my meds after breakfast and then I just. Got very sleepy inside like half an hour and slept for... five hours, and then woke up from hunger and only managed to stay up long enough to eat a banana and two pieces of toast before falling back asleep for another five hours. I ate the dinner Wax made and managed to sit there half awake for a couple of hours before going to bed and sleeping another twelve hours.
It's like the day is just gone!
You can take half a pill or a quarter of a pill, something like that, at bedtime, my doctor said, and hopefully this will help you sleep. And this medication has a weird curve where it acts differently at high doses and if you want you can take a full tablet in the morning as a mood lifter. (This is all paraphrased.)
I tried a half-tablet of mirtazapine for insomnia last fall at one point, and found it made it very hard to wake up the next day. I quickly switched to quarter tablets and even eighth tablets, on a tip from the pharmacist ("Many people find an eighth works even better than a quarter"). I never took this every night, and gradually got out of the habit because I have mostly not been having much insomnia and my greater concern is how hard it is to wake up in the morning.
So until yesterday I actually never had taken a whole tablet, but I started thinking maybe I should try it recently. I have been feeling some of that weird ADHD-understimulation where it's like your brain itches, but all the things I tried to read or look at or draw didn't help and it still felt kind of... boring. I don't really like the term 'boredom' in this explanation for that reason, but all the information I can find about ADHD understimulation emphasizes it and most of it is about taking things you like to do along when you have to sit through boring lectures etc which is not what's going on for me at all (and which I have already been doing my whole life). Reading is my silver-bullet distraction that always works. Maybe the problem is that understimulation isn't really what's going on.
But anyway! Yesterday I decided to give it a try. So I took one tablet with my meds after breakfast and then I just. Got very sleepy inside like half an hour and slept for... five hours, and then woke up from hunger and only managed to stay up long enough to eat a banana and two pieces of toast before falling back asleep for another five hours. I ate the dinner Wax made and managed to sit there half awake for a couple of hours before going to bed and sleeping another twelve hours.
It's like the day is just gone!