
What Causes Sleeplessness When Treating CHF, Intracerebral Hemorrhage And Hip Fracture?

trial of trazodone
Detailed Answer:
Hello and thank you for your question. First I just want to clarify something. You said that she takes celebrex for depression. Celebrex is an antiinflammatory drug usually dosed at 200 mg a day, can cause sodium retention and should never be used in patients with CHF due to sodium retention. Make sure she is not taking any celebrex. Secondly if you meant celexa for depression, the maximum safe dose for patients over 60 years old is 20 mg daily so you may need to speak to her doctor about lowering that dose. Klonopin can be used very short term for sleep but taken long term it can actually disrupt the normal sleep cycle. It also increases the fall risk in elderly patients. A much safer drug for sleep in the elderly is trazodone. Unfortunately she will need to be tapered off the klonopin very slowly. Then her doctor can give her a trial of trazodone, starting at a very low dose and tapering up. You may also want to ask the doctor to check an overnight pulse oximetry to make sure that she is not lowering her oxygen levels during her sleep.
Good luck to you and I hope she is able to sleep at night soon.
Dr. Robinson


good idea
Detailed Answer:
Thank you for your follow up and please let me know if you have further questions.
Dr. Robinson

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