I have been dealing with insomnia for about six months. Initially, I was prescribed a combination of Remeron and Ativan to help me sleep. The side effects were fairly severe. I was going through my day very dizzy, and felt like I was in a dream state the whole day. I'm now taking only 30mg. of remeron and have been doing so for about two months. I'm getting some sleep, but my sleep is interrupted and I wake frequently during the night. The side effects are not as bad, but I'm still experiencing tiredness during the day, and my memory has been affected. I've been through a sleep study and found out that I have somewhat significant sleep apnea and that I'll be using a CPAP machine. Are there any long term effects of Remeron? Can I take Remeron while using the CPAP machine? Are there any less intense prescriptions or over-the-counter mdications that might offer me some benefit? Any help would be greatly appreciated.