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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Cure Insomnia?

Can you give me some guidance on the best medication for my symptoms please? I am looking for something to help me deal with anxiety and insomnia; however my situation is complicated by chronic ibs, so that my gut is particularly sensitive to any drugs. This is also the main source of my anxiety as it is very stressful to plan to go out anywhere. I have recently been prescribed 10 mg amytriptyline to help my ibs, but found during 2 weeks of taking it that the side effects were worse than my condition. In fact it made my insomnia much worse. There are so many anti-depressants and my own GP doesn't seem to know where to start. I need something which can be taken at a low dose, is mildly sedating to help sleep at night, and does not cause diahrea (which I still can't spell!). I am a 58 year old woman: research also suggests that post-menopausal women need different medication to those who have estrogen present. Thank you
Thu, 28 Aug 2014
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Psychiatrist 's  Response
Hi

I understand your concern.

You have require treatment in many aspect to correct your emotion and anxiety.

For your gut the medicines best to treat your symptoms is mirtazapine.

Mirtazapine has excellent review in IBS plus sleep problem.

It has dual role in both in anxiety and sleep problem.

You have to follow sleep schedule for better sleep.



certain routines and lifestyle modification will help you like

fix sleep schedule and stick on it

no day time sleep

exercise that makes you fatigue


avoid heavy meal in dinner

avoid tea coffee soft drink at night

stress free activities and meditations, Do pleasurable activities.
avoid alcohol and smoking



use bed when you feel sleepy
read up to when you will sleepy
calm and cool bed room

All of this will help you to restore good sleep

Besides this there are some medicines like benzodiazapine and zolpidame which are useful in treat sleep problems

Get well soon
Thank you











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How To Cure Insomnia?

Hi I understand your concern. You have require treatment in many aspect to correct your emotion and anxiety. For your gut the medicines best to treat your symptoms is mirtazapine. Mirtazapine has excellent review in IBS plus sleep problem. It has dual role in both in anxiety and sleep problem. You have to follow sleep schedule for better sleep. certain routines and lifestyle modification will help you like fix sleep schedule and stick on it no day time sleep exercise that makes you fatigue avoid heavy meal in dinner avoid tea coffee soft drink at night stress free activities and meditations, Do pleasurable activities. avoid alcohol and smoking use bed when you feel sleepy read up to when you will sleepy calm and cool bed room All of this will help you to restore good sleep Besides this there are some medicines like benzodiazapine and zolpidame which are useful in treat sleep problems Get well soon Thank you