All Writing

All Writing

Medications · 8 min read

Doxepin for sleep

Doxepin is a tricyclic antidepressant from the 1960s that turned out, at very low doses, to be one of the best sleep medications available. The 3mg and 6mg…

Jun 1, 2026
Medications · 9 min read

Seroquel (quetiapine)

Seroquel is the antipsychotic that gets prescribed for everything other than what it’s actually approved for, and the off-label sleep use is the biggest example. There are real…

Jun 1, 2026
Medications · 9 min read

Trazodone vs Quviviq vs Belsomra

The sleep medication landscape in 2026 is in a weird place. Trazodone is still the default for most prescribers, mostly out of habit and price. The orexin antagonists…

Jun 1, 2026
Medications · 11 min read

Ambien

Ambien gets handed out like Tic Tacs. Primary care hands it out, urgent care hands it out, the dentist hands it out before a crown. Most patients who…

Aug 16, 2025
Medications · 10 min read

Remeron

Remeron is the antidepressant nobody picks first and a lot of guys end up grateful for. The generic name is mirtazapine, it’s been around since the mid-90s, and…

Jul 29, 2025
Medications · 9 min read

Lunesta

Lunesta is the Z-drug you reach for when Ambien isn’t holding the night together. Same family, different shape, slightly longer half-life. It binds the same GABA-A receptor real…

Jul 23, 2025
Conditions · 9 min read

Sleep, Stress, and Your Brain

You can’t think your way out of being sleep-deprived, you can’t positive-mindset your way through chronic stress, and you can’t meditate away what happens to a brain that’s…

May 18, 2025
Medications · 9 min read

Melatonin

Melatonin is one of the most misunderstood things sold in a drugstore, and the misunderstanding got there with help from the supplement industry, the pediatrician’s office, and your…

Apr 26, 2025
Medications · 10 min read

Trazodone

Trazodone is the most prescribed sleep medication in the United States that was never actually approved as a sleep medication. Built as an antidepressant in the 1960s, came…

Mar 25, 2025
Conditions · 9 min read

Can’t Sleep Because Your Brain Won’t Shut Up? Here’s What’s Happening

It’s 2 AM. You have to be up in five hours. Your body is dead, you can barely keep your eyes open, and your brain has decided right…

Mar 25, 2025