What Causes Insomnia Despite Taking Tryptomer And Zolfresh?

Posted on Mon, 19 Sep 2016

Question: Hello Sir,

From last one week I am suffering from sleep disorders, not able to sleep and headache too. My Doctor told me that its due to stress and put me on tryptomer 10 mg and zolfresh 10 mg before sleep, the first day when i took this medicine is fine. But after that not able to sleep properly with these medicines too. Awake several times in between and not able to get back to sleep again. Also when i wake up in morning does not feel fresh at all.

Can you please suggest, how long I have to face this problem and needs to take these medicines. Should I take any other medicine. I am really feel worried all day.

Answered by Dr. Neeraj Kumar (1 hour later)

Brief Answer:
Provide more details and change treatment as advised

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
You can change zolfresh to stilnoct 12.5 mg.
Amitryptiline can also be increased to 25 mg.
Drugs take 1-2 weeks for action.
Avoid any stress.
Is there any nausea, vomiting, sensitivity to light or sound.
fever, ear discharge?
You should wait for response.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Neeraj Kumar (16 minutes later)

Okay sir thanks, no there is no other symptoms like nausea, fever, senstivity etc. One thing , i am afraid that I will become habitual of these sleeping pill. Is my sleep will become good again without using these pills in future? What should I do to for good sleep? Please suggest.

Answered by Dr. Neeraj Kumar (5 hours later)

Brief Answer:
Take medications as advised

Detailed Answer:
Hello,
These medications may be again tapered and stopped gradually when needs are over.
Not much addictive.
Go with the treatment advices.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

Follow up: Dr. Neeraj Kumar (45 hours later)

Yes Sir, I m fine with sleep now from last two days. Now I am taking tryptomer 25MG.

Also Sir, I have Gastroesophageal Reflux Disease (GERD), acid reflux problem from last 16 years and taking Nexium 40mg in morning. I have read somewhere that
Amitriptyline (Tryptomer) cause acid reflux symptoms, is it true? and can I got some replacement for this medicine. Please suggest

Thanks

Answered by Dr. Neeraj Kumar (4 hours later)

Brief Answer:
Continue medication as advised

Detailed Answer:
Hello,
You can take nexium D for GERD.
Continue amitryptiline as of now for few weeks.
Mouth dryness and dyspepsia may occur but may not be problematic.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Yogesh D