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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Disturbed Sleep Architecture Be Treated When Diagnosed With Cerebral Dysrhythmia And Paroxysmal Seizures?

Hi I have cerebral dysrhythmia and paroxysmal seizures including disturbed sleep architecture and am seeing a neurologist, sleep therapist and feel overmedicated on 1200 mg a day of trileptal, and 1 mg Ativan. I still can t sleep on 3 mg of melatonin. Please help me
Tue, 25 Sep 2018
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General & Family Physician 's  Response
Hello. Treatment options include behavior and lifestyle changes, medicines, and complementary medicines.

Getting ready for bed means more than turning down the sheets. Sleep experts know that there are many things that affect how well you sleep. Behavior and lifestyle changes improve overall sleep quality and the time it takes to fall asleep-without the side effects of sleep medicines. Perhaps most important, these improvements last over time.

To improve your sleep, here are some things you can try:

Relaxation exercises, such as progressive muscle relaxation, may help you if you lie in bed with your mind racing.

Try these relaxation exercises:

1. Breathing Exercises for Relaxation
2. Doing Guided Imagery to Relax
3. Doing Meditation
4. Doing Progressive Muscle Relaxation
5. Relaxing Your Mind and Body

Choose a healthier way of thinking. Choose a healthier way of thinking. Healthy thinking is a way to help you stay well or cope with a health problem by changing how you think. Cognitive-behavioral therapy is a type of counseling that can help you understand why you have sleep problems and can show you how to deal with them. Cognitive-behavioral therapy helps reduce interrupted sleep over time.

Lifestyle changes are simple things you can do that may help you sleep better. These include changing your sleep area or schedule, watching what and when you eat and drink, and being more active. It's also important to keep regular bedtimes and wake times-7 days a week-and to try to avoid taking naps during the day.

In some cases, taking sleeping pills for a short time helps you get some rest, while behavior and lifestyle changes can help you over the long term. Doctors recommend taking sleep medicines only now and then or only for a short time. They are not the first choice for treating chronic insomnia.

Sleep medicines include:

1. Prescription sleep medicines, such as eszopiclone (Lunesta), ramelteon (Rozerem), zaleplon (Sonata), and zolpidem (Ambien). They are the first-choice medicines for short-term insomnia.

2. Orexin receptor antagonists, such as suvorexant (Belsomra). These medicines block chemicals in the brain that keep you awake, helping to promote sleep.

3. Benzodiazepines, such as diazepam (such as Valium), lorazepam (Ativan), and quazepam (Doral). These medicines help you fall asleep or stay asleep. You need a prescription for these medicines.

4. Antidepressants that have a calming or sedative effect. These can be used to help you sleep.

5. Antihistamines. Typically used for allergies, these can provide short-term relief of sleeplessness.

6. Nonprescription medicines for sleep. These can help, but they also can cause side effects, such as drowsiness the next day. Over time, sleeping pills may not work as well as they did when you first started using them.

regards- Dr Sanjay Kini
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How Can Disturbed Sleep Architecture Be Treated When Diagnosed With Cerebral Dysrhythmia And Paroxysmal Seizures?

Hello. Treatment options include behavior and lifestyle changes, medicines, and complementary medicines. Getting ready for bed means more than turning down the sheets. Sleep experts know that there are many things that affect how well you sleep. Behavior and lifestyle changes improve overall sleep quality and the time it takes to fall asleep-without the side effects of sleep medicines. Perhaps most important, these improvements last over time. To improve your sleep, here are some things you can try: Relaxation exercises, such as progressive muscle relaxation, may help you if you lie in bed with your mind racing. Try these relaxation exercises: 1. Breathing Exercises for Relaxation 2. Doing Guided Imagery to Relax 3. Doing Meditation 4. Doing Progressive Muscle Relaxation 5. Relaxing Your Mind and Body Choose a healthier way of thinking. Choose a healthier way of thinking. Healthy thinking is a way to help you stay well or cope with a health problem by changing how you think. Cognitive-behavioral therapy is a type of counseling that can help you understand why you have sleep problems and can show you how to deal with them. Cognitive-behavioral therapy helps reduce interrupted sleep over time. Lifestyle changes are simple things you can do that may help you sleep better. These include changing your sleep area or schedule, watching what and when you eat and drink, and being more active. It s also important to keep regular bedtimes and wake times-7 days a week-and to try to avoid taking naps during the day. In some cases, taking sleeping pills for a short time helps you get some rest, while behavior and lifestyle changes can help you over the long term. Doctors recommend taking sleep medicines only now and then or only for a short time. They are not the first choice for treating chronic insomnia. Sleep medicines include: 1. Prescription sleep medicines, such as eszopiclone (Lunesta), ramelteon (Rozerem), zaleplon (Sonata), and zolpidem (Ambien). They are the first-choice medicines for short-term insomnia. 2. Orexin receptor antagonists, such as suvorexant (Belsomra). These medicines block chemicals in the brain that keep you awake, helping to promote sleep. 3. Benzodiazepines, such as diazepam (such as Valium), lorazepam (Ativan), and quazepam (Doral). These medicines help you fall asleep or stay asleep. You need a prescription for these medicines. 4. Antidepressants that have a calming or sedative effect. These can be used to help you sleep. 5. Antihistamines. Typically used for allergies, these can provide short-term relief of sleeplessness. 6. Nonprescription medicines for sleep. These can help, but they also can cause side effects, such as drowsiness the next day. Over time, sleeping pills may not work as well as they did when you first started using them. regards- Dr Sanjay Kini