I found this after I crashed:
- Medicines that can help in some cases
Caution: Any medication must be prescribed by a doctor. Do not take medications without medical supervision.
Alprazolam or Bromazepam - If you have stopped finasteride recently, and feel that your metabolism is in a state of chronic anxiety (insomnia, poor sleep, panic attacks, irritability, mood swings, extreme anxiety, restlessness, difficult concentration - a set of symptoms known as post-finasteride crash), the use of one of these medications can help. Finasteride blocks the conversion of progesterone to allopregnanolone, which has a calming effect in the brain. Allopregnanolone acts by modulating a neurotransmitter called GABA-A. Therefore, the use of finasteride can affect the level of GABA-A in brain. Since these drugs act on GABA replacement, they are beneficial to these patients. Furthermore, by acting on the anxiety and improving sleep quality, the use of one of these drugs will help reverse another problem common in some men with Post-Finasteride Syndrome. Many complain their penises display a much smaller size and more rigid consistency when flacid than before finasteride (known as shrinkage in Propeciahelp forum). It is a dramatic change and usually patients who are in this state after finasteride usage also present lack of nocturnal erections and smaller erections. It is important to break this cycle, because if a man is not having nocturnal erections for a long time, this can lead to structure problems in the penis. When one of these medication is used to treat the post-finasteride crash, penis returns to normal size and consistency when flacid. The quality of sleep is restored, so this will also favour the reestablishment of normal nocturnal erections. It is really important to stop the crash symptoms and these medications work well in the matter.
It should be used for a short period (few months) and only if necessary, under the supervision of a psychiatrist. The withdrawal has to be gradual.
Quoted from - finasteridesyndrome.blogspot.co. … treat.html
Personally, I found a benzo with a relatively short half life helped me somewhat. I used lorazepam at very small dosages for about ten days and it actually did help. Interestingly Z-drugs got me to sleep for about two hours and then I woke up, unable to sleep and more mentally screwed up than usual. I tried zopiclone and ambien beforehand. My imsomnia post crash was absolutely horrifying, I was getting between fourty minutes and an hour of broken sleep but spending twelve hours trying to sleep. I’m now sleeping a lot better but still waking unrested without anything but some magnesium an hour before bed, I wake up 4-5 times but I find I get back to sleep relatively quickly.
Just sharing my personal experience. It looks like it’s trial and error for every individual.