09-03-2019, 09:08 PM
I would use caution regarding melatonin. Granted, it is a naturally occurring hormone with incredibly low toxicity, however, it is intrinsically related to one’s circadian rhythm's, though the relationship is not 100% understood. This is where the caution comes in: as it is sold as a health supplement, rather than an RX medication, it’s production is largely unregulated, as is dosing. Most melatonin supplements I’ve seen/taken have consisted of tablets of either 1, 3, or 5mg per pill (and yes, I did find it effective at combating insomnia) however, I have read peer reviewed studies (though not that recently, or I’d try to dig up a link) suggesting that the actual appropriate dosage of melatonin should be measured in MICROGRAMS (an entire decimal point’s difference) as that is the plasma level/“dosage” that a healthy sleeper produces endogenously. The long-term effects of taking 1000+ micrograms (1mg+) of melatonin daily are largely unknown and there is not enough adequate data available for analysis in this long-term context. That being said I have a bottle by my nightstand and usually take ~250mcg (1/4 of a 1mg tab).
Another medication/supplement I can suggest for nighttime anxiety/insomnia (as well as some
Improved sense of “wellbeing” during the day) is Elavil. This is an anti depressant which is extremely sedating, and is often prescribed off label for issues such as insomnia, neuropathic pain, migraines, etc.
For me it has been a godsend, but I still need to take benzodiazepines during the day for anxiety, as it really only confers mild benefits in that regard. But if sleep is your greatest concern, definitely inquire about it with your GP. Hope this helps.
Another medication/supplement I can suggest for nighttime anxiety/insomnia (as well as some
Improved sense of “wellbeing” during the day) is Elavil. This is an anti depressant which is extremely sedating, and is often prescribed off label for issues such as insomnia, neuropathic pain, migraines, etc.
For me it has been a godsend, but I still need to take benzodiazepines during the day for anxiety, as it really only confers mild benefits in that regard. But if sleep is your greatest concern, definitely inquire about it with your GP. Hope this helps.

