Some antidepressants can be used as sleeping pills, but not all are suitable for this. Such treatment should always be supervised by a physician who will assess the benefit-risk balance for the individual patient.

- Depratal (duloxetine) - usually has a stimulant effect, so it is not commonly used as a sleep aid. It can even worsen sleep problems, especially at the beginning of therapy.

- Bioxetin (fluoxetine) - can cause insomnia, especially if taken in the evening. It is not recommended as a hypnotic.

- Cital (citalopram) - can also have a stimulant effect, although it can cause fatigue in some patients. It is not the first choice drug for the treatment of insomnia.

- Velaxin (venlafaxine) - depending on the dose, it may have a stimulant or sedative effect. At lower doses, it may help with sleep, but it is not typically used as a sleep aid.

- Ketrel (quetiapine) - in lower doses, it is often used as a sleep aid due to its sedative effect. However, in higher doses (like 600 mg), it acts more as a mood stabilizer and antipsychotic than as a sleep aid.

If the main goal of your treatment is to improve sleep, it is worth consulting your doctor about the possibility of reducing the dose of Ketrel to achieve a better sedation effect. If this is not possible, your doctor may consider prescribing you another medication with a more pronounced hypnotic effect, such as mirtazapine or trazodone.

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