Dr. Brown's Psych Commute

#18 - the trazodone is too low


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Insomnia is one of the most common clinical problems in psychiatry, both as a symptom of primary psychiatric disorders like mood and anxiety disorders, and as a primary sleep disorder. In this episode I share my thoughts on how to manage insomnia in clinical practice and make some points about how we often give up too quickly on trazodone and how we can increase the adenosine in our brains.

Note: I mistakenly said the pineal gland naturally produces “nanograms” of melatonin, but it is actually in the microgram range. Nonetheless, as alluded to in the episode, exogenous melatonin supplements can be 10-100x higher than natural melatonin amounts.



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Dr. Brown's Psych CommuteBy Brandon Lee Brown, MD