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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Chronic Insomnia And Anxiety Be Treated?

Yes please. I appreciate it. My husband is not sleeping at all and his psychiatrist gave him Tamazepam to take 45 mg and clonazepam for anxiety and sleep. for clonazepam he wants him to take .5 mg 4x a day (2 during day and 2 before bed). We are nervous that that is a lot of medicines and they will not interact well. We want him to take 1 .5 mg pill of clonazapem and 45 mg of tamazepam only before bed. Please advise
Mon, 2 Jul 2018
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Well, ideally you need to follow the prescription of your treating doctor but if you feel your husband can do better if the dosage is reduced, talk to your doctor & get the dose reduced. You should never give medications according to how you feel, you can always change your doctor. Yes, you are right, sometimes high dose can be dangerous as it may lead to intense/profound sedation, respiratory depression, coma or death. When a patient is under medication of these drugs he should be under observation of the family members & in connection with the treating doctor. Hope I have answered your query, take care.

Hope I have answered your query. Let me know if I can assist you further.
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How Can Chronic Insomnia And Anxiety Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Well, ideally you need to follow the prescription of your treating doctor but if you feel your husband can do better if the dosage is reduced, talk to your doctor & get the dose reduced. You should never give medications according to how you feel, you can always change your doctor. Yes, you are right, sometimes high dose can be dangerous as it may lead to intense/profound sedation, respiratory depression, coma or death. When a patient is under medication of these drugs he should be under observation of the family members & in connection with the treating doctor. Hope I have answered your query, take care. Hope I have answered your query. Let me know if I can assist you further.