Perhaps TMI:
As I am an “elderly” person, ~81 yrs old, I have suffered from age-related sleep problems for the last 20 yrs. My main problem is not going to sleep but remaining asleep for 6 - 8 hours.
I have tried many “sleep stacks” and here are my subjective results of the ones I am currently using every day or periodically:
Melatonin is a must. Other supplements, OTCs, etc.:
Trazadone: 50 mg: Originally developed as an anti-depressant, but has proven to be more effective as a sleep aid. (If your physician won’t prescribe, you can also get these from many sources in India quite cheaply.) Trazadone has proven to be my most reliable “supplement” for staying asleep. It is generally considered safe for long-term use and is not addictive.
Kirkland Signature Sleep Aid Doxylamine Succinate 25 Mg. I only use this when I am overstimulated and have trouble going to sleep. This is not a good supplement for regular use, especially for older people. (Of course, older people are its main users. LOL)
Tryptophan: helps with staying asleep, plus has some antidepressant effects and is also a weak NAD+ precursor.
Glycine: Sleep aid, plus longevity effects.
I have also tried Ambien and love it. It provides me with a “clean” night’s sleep with no morning after effects. Unfortunately, it is not good or safe for long-term use.
TRAZADONE:
Trazodone for Insomnia: A Systematic Review:
“This review article has found that trazodone can be an effective option when treating insomnia with little to no risk in most cases”
Treatment of insomnia – effect of trazodone
and hypnotics on sleep:
“It should be noted that low doses of trazodone
(50 mg) do not increase, but rather decrease, daytime sleepiness and have no negative
effect on the ability to drive vehicles.”
“A special feature of trazodone, mianserin, and mirtazapine is their ability to
increase the amount of deep sleep.”
http://www.psychiatriapolska.pl/uploads/images/PP_4_2021/ENGver743Wichniak_PsychiatrPol2021v55i4.pdf
The effects of trazodone on human cognition: a systematic review"
Overall, seven studies showed no effect of trazodone on cognition, five showed a beneficial effect by improving or reducing cognitive decline, and four evidenced impaired cognitive function. Our analysis highlights the possibility of a dose-independent dual effect of trazodone on human cognition.
Effects of Trazodone on Sleep Quality and Cognitive Function in Arteriosclerotic Cerebral Small Vessel Disease Comorbid With Chronic Insomnia