
29 Year Old With Sleeping Problems, Lack Of Concentration. Tried Sleeping Pills And Melatonin. Treatment?

I shall make an effort to provide you with good professional recommendations specific to your questions.
I understand that your lack of a circadian rhythm is a cause of your concern.
For this, as you have mentioned - reply back as to what are those sleep inducing drugs that you have used till now and their duration ? So that, I can assess your medical management till now.
The main sleep issue I realize is your onset and the quality of sleep.
Meanwhile, can you try the following non-medical interventions:
1. Stick to specific routine of wake and sleep.
2. Hit the bed exactly at that particular time.
3. Change in lifestyle - do not use the bed for any other purpose apart from sleep.
4. Warm cup of milk 30 min before planned sleep.
5. A 1 hr exercise routine added in the morning after you get up.
6. Avoiding any possible afternoon naps.
Yet again, I duly appreciate your query to me, I do hope that you have found something useful to help you and I shall be glad to answer any further apprehensions.
Sincerely,


Thanks for the reply.
Unisom is a sedative no doubt, but an antihistaminic and is not a mainstream medicine for your concern. It any will not induce the onset of sleep.
Melatonin is necessary for those lost out on the circadian rhythm completely like in say jet lag. It too does not help much in inducing the sleep.
As you mentioned - your quality of sleep is good, but not the onset - for which you need the right medicine.
There are certain newer benzodiazepine drugs that act directly on your brain to induce sleep and are safe in short term therapy. And some newer than those as well. You will need a prescription for this.
Wishing you good health.
Sincerely,

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