From the Research
Given the potential risks of adding another sleep medication to cyclobenzaprine, the best approach would be to consult with a healthcare provider who can evaluate the specific situation and consider options like low-dose trazodone, certain antihistamines, or melatonin if appropriate. However, based on the most recent and highest quality study available, trazodone has been shown to be effective in improving sleep quality in patients with chronic insomnia, with significant increases in total sleep time and reductions in salivary cortisol levels 1. Some key points to consider when evaluating sleep medications for someone taking cyclobenzaprine include:
- The potential for dangerous sedation when combining cyclobenzaprine with other sleep medications
- The need for professional assessment of potential interactions between cyclobenzaprine and other sleep medications
- The importance of addressing underlying sleep difficulties and adjusting the current medication regimen as needed
- The potential benefits of sleep hygiene practices, such as maintaining a regular sleep schedule and creating a comfortable sleep environment, in improving sleep quality without additional medications. It's also worth noting that cognitive behavioral therapy for insomnia (CBT-I) is a recommended first-line treatment for chronic insomnia, with clinically meaningful effect sizes and no reported adverse outcomes 2. Ultimately, the decision to add a sleep medication to cyclobenzaprine should be made in consultation with a healthcare provider, taking into account the individual's specific needs and medical history.