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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Sleeplessness At Night?

Hello Hope u fine ? I need to discuss few things happening to me ?and i want to get rid of all that , can any body help me out on this ? I am 28 years old Boy and belongs to pakistan , i am having the severe problem that i can not sleep at night even in a day , but after a day or two i got sleep but never at night and had always several things going on in my mind even i try to get rid of all that but still i cant and the second problem is i use to do the masturbation nearly on daily basis which causes me very slow and lazy i think , i m losing my interest almost on every thing in my life , can u please suggest what should i do ? I am professional engineer and currently also studying in MSC but i could not be concentrate on my study nor even in my job and can even manage yet marriage ? Pl help me out
Thu, 21 May 2020
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General Surgeon 's  Response
Hello,

Seroquel (Quetiapine) is an anti-psychotic medication which has sedative properties and if sometimes used in the short-term management of insomnia. Unfortunately, you have been experiencing multiple side effects of that medication. Now, there are several other medication which can be used to treat insomnia. Benzodiazepines are one such group, but the problem with this group of medication is the high risk for dependence.

One good alternative, especially for initial / early insomnia is Zolpidem. This is very effective in people who have trouble falling alseep. It is a relatively safe medication and unlike benzodiazepines, there is no risk for dependence. Low doses of certain antidepressants with sedative properties are also often used effectively in the management of insomnia. Trazadone is one such medication which is used in low doses (25 - 50 mg) for treating insomnia. Since you also mention that you suffer from anxiety-related symptoms also, another good option would be Mirtazapine - which is an antidepressant with both sedative and anti-anxiety properties.

I would suggest that you discuss about the above mentioned options with your doctor, so that an appropriate choice of medication can be made.

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

Regards,
Dr. Iven Romic Rommstein, General Surgeon
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How To Treat Sleeplessness At Night?

Hello, Seroquel (Quetiapine) is an anti-psychotic medication which has sedative properties and if sometimes used in the short-term management of insomnia. Unfortunately, you have been experiencing multiple side effects of that medication. Now, there are several other medication which can be used to treat insomnia. Benzodiazepines are one such group, but the problem with this group of medication is the high risk for dependence. One good alternative, especially for initial / early insomnia is Zolpidem. This is very effective in people who have trouble falling alseep. It is a relatively safe medication and unlike benzodiazepines, there is no risk for dependence. Low doses of certain antidepressants with sedative properties are also often used effectively in the management of insomnia. Trazadone is one such medication which is used in low doses (25 - 50 mg) for treating insomnia. Since you also mention that you suffer from anxiety-related symptoms also, another good option would be Mirtazapine - which is an antidepressant with both sedative and anti-anxiety properties. I would suggest that you discuss about the above mentioned options with your doctor, so that an appropriate choice of medication can be made. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Iven Romic Rommstein, General Surgeon