When it comes to treating anxiety, doctors often prescribe a variety of antidepressants. These include amitriptyline (Elavil), mirtazapine (Remeron), and trazodone (Desyrel). Additionally, melatonin, a hormone available over-the-counter, is sometimes used to address insomnia or sleep disturbances caused by depression. Another prescription medication, rameltheon (Rozerem), works in a similar way to melatonin and is also used to treat insomnia. At the annual meeting of the American Psychiatric Association, Dr.
Nikhil Rao identified antidepressants that work well with specific sleep disorders, such as insomnia, restless legs syndrome (RLS), and obstructive sleep apnea. Selective serotonin inhibitors can cause insomnia and worsen sleep quality, but bupropion is surprisingly more favorable for getting to sleep. The use of antidepressants can have a positive impact on sleep physiology, but it does not appear to improve subjective assessments of sleep quality. In addition to the effects of antidepressants on sleep quality, research has also been conducted on the effect of inhibiting serotonin uptake on breathing during sleep and on daytime symptoms of obstructive sleep apnea. The results of this research suggest that certain antidepressants may be beneficial in treating these conditions. When it comes to treating anxiety-related sleep issues, it is important to consult with a doctor or mental health professional.
They will be able to assess your individual needs and recommend the best antidepressant for your particular situation. It is also important to remember that while antidepressants can be helpful in treating anxiety-related sleep issues, they should not be used as a substitute for other forms of treatment such as cognitive behavioral therapy or lifestyle changes.