cyproheptadine
Similar to mirtazapine, for anorexia [2], alcohol (with prazosin) [2], sleep [4], nightmares [4], sexual dysfunction [3].
Sleep
Benzodiazepines
Lorazepam is best overall. Oxazepam safest. Clonazepam, alprazolam approved in panic. Alprazolam short-term helps depression. Akathisia, alcohol WD.
Dawn-Simulator
Improves morning fatigue and depression, particularly in winter. Can pair with lightbox for depression. Ideal for shift workers and night owls.
Lightbox
Very effective and well tolerated for depression regardless of season (also for bipolar, PTSD, bulimia, shift work)
Magnesium
Improves sleep (with melatonin), bruxism, and essential for liver health in alcohol use disorder.
Nortriptyline
[Pamelor] First-line tricyclic, low sedation/anticholinergic/hypotension risk. More
noradrenergic.
Doxepin
[Sinequan/Silenor] Treats sleep in low-dose (esp early am awakening), depression in higher
doses (tricyclic).
Amitriptyline
[Elavil] Third-line tricyclic, mix of serotonin/noripineprhine, more anticholinergic side effects.
Useful for pain and IBS.