Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Fatigue And Severe Pressure Sensation In The Head
Question: I wake up with head pressure, feel fatigue and want to lay back down. This will go on for about eight hours and then I feel Almost normal.I have no motivation, very little energy and would just like to sleep. laying down or sleeping does not help. I am diabetic,(6.6) medication, 500mg metFORMIN, 2X daily
Plycythemia vera, medication, hydroxyurea 500 MG 1x daily.
Isomnia medicatin LORazepam, 2mg, 1x
sleep apnea, medication,c-pac.
High blood pressure. 140/65. Medication
Dression, medicationparoxetine 40 mg daily.
Enlarged prostate, medication, rapidflow 8 mg.
5 foot six, 200 pounds.
Other medications.
Amlodipine Besylate10 mg.
Irbesartan 300 mg
Plycythemia vera, medication, hydroxyurea 500 MG 1x daily.
Isomnia medicatin LORazepam, 2mg, 1x
sleep apnea, medication,c-pac.
High blood pressure. 140/65. Medication
Dression, medicationparoxetine 40 mg daily.
Enlarged prostate, medication, rapidflow 8 mg.
5 foot six, 200 pounds.
Other medications.
Amlodipine Besylate10 mg.
Irbesartan 300 mg
Brief Answer:
several possibilities
Detailed Answer:
Hello and thank you for your question.
You have several risks for heart disease and sometimes it can cause fatigue like this. You need to talk to your doctor and you may need a stress test to make sure you heart is okay and that it is not the cause of your fatigue.
Your blood pressure should be less than 120/80.
The lorazepam may be part of the problem. It does not promote a normal sleep cycle and may be making the CPAP not work properly. Your doctor should probably taper you off of this very slowly.
Sometimes amlodipine can cause fatigue as well.
In addition, if your depression is not being completely treated with the paroxetine it may also be a cause of your fatigue and lack of energy.
I hope you find the cause and get treatment soon,
Dr. Robinson
several possibilities
Detailed Answer:
Hello and thank you for your question.
You have several risks for heart disease and sometimes it can cause fatigue like this. You need to talk to your doctor and you may need a stress test to make sure you heart is okay and that it is not the cause of your fatigue.
Your blood pressure should be less than 120/80.
The lorazepam may be part of the problem. It does not promote a normal sleep cycle and may be making the CPAP not work properly. Your doctor should probably taper you off of this very slowly.
Sometimes amlodipine can cause fatigue as well.
In addition, if your depression is not being completely treated with the paroxetine it may also be a cause of your fatigue and lack of energy.
I hope you find the cause and get treatment soon,
Dr. Robinson
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dr. XXXXXXX
I believe lorazepam is the problem. But I have insomnia and nothing else seems to work.
What would you recommend on how to get off the lorazepam and control the insomnia?
Do you know that there are sleep specialists, and how I would contact them?. My doctor doesn't know of any in this area.
Thank you very much for your help.
XXXX
I believe lorazepam is the problem. But I have insomnia and nothing else seems to work.
What would you recommend on how to get off the lorazepam and control the insomnia?
Do you know that there are sleep specialists, and how I would contact them?. My doctor doesn't know of any in this area.
Thank you very much for your help.
XXXX
Brief Answer:
long taper off lorazepam
Detailed Answer:
Hello and thanks for the follow up.
If your doctor tries to taper you off the lorazepam it would need to be a very long slow taper off. I would prescribe you 1mg tablets and start with one and half of them for a month, then go down to one mg for a month, decreasing by 1/2 mg every month until you are off and maybe even going down to a 1/4 mg for a month.
There is a sleep center at XXXXXXX Health near you
http://www.thompsonhealth.com/HealthCareServices/HealthServices/SleepDisorders.aspx
This is the link to their site. I think it would be a great idea for you to see them and get some assistance. If your CPAP is adjusted properly then you may not need an additional medication.
If you do there are many medications that could be tried that would have less side effects than the lorazepam.
I wish you the best.
Dr. Robinson
long taper off lorazepam
Detailed Answer:
Hello and thanks for the follow up.
If your doctor tries to taper you off the lorazepam it would need to be a very long slow taper off. I would prescribe you 1mg tablets and start with one and half of them for a month, then go down to one mg for a month, decreasing by 1/2 mg every month until you are off and maybe even going down to a 1/4 mg for a month.
There is a sleep center at XXXXXXX Health near you
http://www.thompsonhealth.com/HealthCareServices/HealthServices/SleepDisorders.aspx
This is the link to their site. I think it would be a great idea for you to see them and get some assistance. If your CPAP is adjusted properly then you may not need an additional medication.
If you do there are many medications that could be tried that would have less side effects than the lorazepam.
I wish you the best.
Dr. Robinson
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
