Positives

• A patient on 25 mg for two years described being totally knocked out by one tablet most nights with no tolerance buildup or daytime grogginess Drugs.com.
  
  
• A post-COVID-19 patient with sleep, anxiety, depression, and myalgia symptoms reported beneficial effects on all four domains in a published case PMC.
  
  

Negatives

• A reviewer described only 2-4 hours of sleep, daytime drowsiness, multiple falls, and roughly 60 pounds of weight gain WebMD.
  
  
• Patients reported intense pre-sleep hunger and morning grogginess even at the 25 mg dose Drugs.com.
  
  

Hurdles & Side Effects

• Patients were told their clinicians wanted regular blood-sugar monitoring and considered it off-label with uncertain effectiveness Cleveland Clinic Journal of Medicine.
  
  
• A user found that staying under 50 mg or dosing only as-needed was necessary to avoid metabolic side effects Psychiatric News.