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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Insomnia While Suffering From Bipolar Disorder Be Treated?

SIR ,I HAVE BEEN SUFFERING FROM BIPOLAR DISORDER AS PER my DOCTOR SAY WHEREAS I M SUFFERING FROM INSOMNIA RATHER THAN BIPOLAR. I HAVE BEEN TAKING 2MG CLONAZEPAM SINCE 1998 WITH TRICA THAN PROTHEDIN THAN MIRTAZE THAN NITROZEPAM THAN REMITAX THAN DIAZEPAM THAN VALLIUM UP TO 2010. WITH CLONAZEPAM 2MG I HAD BEEN GIVEN LITHIUM, IT SET ME BUT LITHIUM BADLY AFFECTED MY THYROID PROFILE SO AS IT SET ME MY DOCTOR STOPPED IT. THAN I WAS GIVEN 2MG CLONAZEPAM WITH 400MG QUTIAPIN PLAIN +600MG GABANEURON SR WITH 10MG ZOLFRESH SINCE LAST 4YEARS.NOW SIR THOUGH I HAVE BEEN TAKING THIS DOSE WITH SLEEP HIGINE LIKE WARM MILK WITH COWS GHEE AT NIGHT MY SLEEP DISTURBED AND I HAVE TO TAKE 0.5MG OF CLONAZEPAM AT MIDNIGHT. I THINK 2.5MG CLONAZEPAM IS HIGH DOSE. I WANT TO BE OUT OF THIS NEXUSES. WHAT SHOULD I DO? HOW CAN I ADJUST MY DOSE? MY MAIN ISSUE IS SLEEP EITHER DISTURBED OR INSUFFICIENT. I HAVE GONE THROUGH VARIOUS MEDICAL JOURNALS REGARDING THE ISSUE AND CONTENTS OF DRUGS WITH THEIR GOOD AND BAD EFFECTS.PERHAPS I MAY BE MY OWN PSYCHIATRIST OR NEUROLOGIST. SORRY SIR PLEASE GUIDE ME.
Fri, 16 Mar 2018
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Psychiatrist 's  Response
Hello,

You did not describe your symptoms, but according to your drug profile you have bipolar disorder with insomnia. Main thing is insomnia for you; I will suggest you to first follow proper sleep hygiene along with medication like Mirtazepine along with benzodiazepine.

In sleep hygiene:

1) Do not use of your bed for any other work expect sleep
2) Stop all activity half hour prior to sleep
3) Take warm water bath before sleep
4) Not to use of clock with sound in your bedroom
5) Not take heavy meal at night, not to take excess spicy meal
6) After getting bed if u do not have sleep in 2 hour just walk up from the bed, groom in house for some time than again go to bed

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Gauttam Prajapati
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How Can Insomnia While Suffering From Bipolar Disorder Be Treated?

Hello, You did not describe your symptoms, but according to your drug profile you have bipolar disorder with insomnia. Main thing is insomnia for you; I will suggest you to first follow proper sleep hygiene along with medication like Mirtazepine along with benzodiazepine. In sleep hygiene: 1) Do not use of your bed for any other work expect sleep 2) Stop all activity half hour prior to sleep 3) Take warm water bath before sleep 4) Not to use of clock with sound in your bedroom 5) Not take heavy meal at night, not to take excess spicy meal 6) After getting bed if u do not have sleep in 2 hour just walk up from the bed, groom in house for some time than again go to bed Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gauttam Prajapati