Brief Answer: Preventive Aspect. Detailed Answer: Dear Mr. XXXXXXX Thanks for contacting Ayurveda with your follow up and I do remember your case and consultation [1st-10th-24th Oct-7th Nov-25th Nov] and improper sleep [short duration] could be due to physcial/mental STRESS. 1. avoid caffeine found in coffee,tea,chocolate,cola,and some pain relievers PS. [four to six hours before bedtime.] 2. quiet, dark, and cool environment can help promote sound sleep. PS. [Use heavy curtains, or an eye mask to block light, and also keeping computers, TVs, and other work materials out of the room will help promote mental bonding between your bedroom and sleep] 3. Avoid stressful, stimulating activities like doing work, discussing emotional issues. PS. Physically and psychologically stressful activities can cause the body to secrete the stress hormone cortisol, which is associated with increasing alertness. 4. take dinner 2-3 hours before bedtime and avoid foods that cause indigestion. [spicy-heavy- junk food] 5. avoid afternoon napping to prevent late night awakening [ between 2-3 pm is ideal, but that too sitting on a chair while head resting on table] 6. Principle is to have well balanced diet with more of proteins and more Calories with exercise, take more of cereals,legumes,daal egg,and eat fresh fruits regularly with sweet pulp like (banana, mango, chickoos, grapes) 7. take banana, black grapes, orange, spinach, ginger, tomatoes, curd, take diet rich in vitamin C (Citrus fruits) and vitamin E (sunflower seeds, almonds,apricots, peanuts) which are rich in anti oxidants 8. Lemon juice mixed with sugar in a glass of water helps release stress removing hormones from the body and bring mind at peace/rest. 9. Mix 4-5 dates in half glass of water and drink 2 times daily for a month. 10. . eat 2 spoon coriander seeds with 2 spoons of sugar candy . rub castor oil on palms and feet . drink a juice of coriander leaves,water and sugar. . make a paste of 'bhang' with cow/goat milk and massage on feet. . take a glass of buffalo milk at bed time [best sleep inducer]. . brahmi vati 2 sarphagandha ghan vati 2.... at bed time with milk . ashwagandha arishta: 20 ml sarasvta arishta: 20 ml [after meals with equal amount of water] PS. did you stopped medhavati abruptly or gradually in decreasing dose [make sure to practice yoga/pranayam regularly when going off the drugs] and take it after meals. Dr. Munish Sood Consultant & Physician Naimittika

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Brief Answer: gradual reduction in dose Detailed Answer: Dear Mr. XXXXXXX Thanks for reverting back with your clarifications 1. XXXXXXX vati [or any other drug] should not be discontinued abruptly rather gradual decrease in dose [go low go slow] approach is necessary, if want to continue make sure that you consult with your health care provider regarding frequency of drug in a dose dependent manner. 2. i. bad dreams or nightmares can be due to some blood pressure medications, [could be possible but remote chances with ayureda drug] ii. sleep deprivation may contribute to adult nightmares, [though it's possible, it has not been confirmed whether this could lead to nightmare disorder.] PS. . If the problem persists and no other cause can be determined, may be a sleep disorder. . A 2004 study found that people who sleep on their left side experience significantly more nightmares than right-side sleepers, and according to Prevention magazine, sleeping on your stomach leads to emotionally charged dreams. . Because bad dreams/nightmares may have a significant impact on your quality of life, it's important to consult a medical professional if you experience them regularly. . do stress on points 1,2,3 and practice yoga and pranayam which will help alleviate nightmare-causing anxiety and stress. Dr. Munish Sood Naimittika

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