Which Is Better Long Term: Mirtazapine or a Benzodiazepine?
The reason I'm asking is because I've had bad insomnia unresponsive to many medications except those two.
The issue with mirtazapine is the weight gain which could eventually lead to metabolic effects.
The issue with benzodiazepines is that they can cause tolerance, dependence, cognitive effects, and withdrawal is severe. However, they don't cause metabolic effects.
I'm honestly at a loss. What should I choose?