Our expert says:
You mention stopping antidepressants - was this because you were no longer depressed - or because you decided you prefer "natural" remedies to ADs ? If you are still depressed, that often causes sleep problems such as you describe.
If for other reasons you are taking hormones, these can cause mood problems ( and, hence, sleep probl;ems ) at times - a specialist psychiatrist should be able to help with a comprehensive assessment of the situation, and to advise more specifically than is possible in this format.
Maybe part of the present problem relates to recovering from the recent surgery. SOme pain pills including Synop Forte, include meds ( in this case diphenhydramine ) which are also sedative in most people, though some people react paradoxically with unwelcome arousal and wakefulness. Where they are sedative, one may have rebound wakefulness when one stops that sort of pain pill.
Trepiline is an old and well-known antidepressant, which is usually sedaive, and used at night in a small dose such as you are tasking can be used to help promote sleep, and in a 50 mg dose - these are lower than the doses which would be effective as ADs, but sedative enough to often help with sleep
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