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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Anxiety And Insomnia

I have chronic anxiety and sleep is an issue. I am taking imipramine which is suppose to help me sleep but some nights I get 2-3 hours of sleep and other nights maybe 4-6 on rare occasions I will sleep 7 hours but in all cases it is broken sleep. I have only slept 3 1/2 hours to 4 hours straight. This has been going on for over a month. Can I servive on this
Fri, 16 Jan 2015
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Psychiatrist,  's  Response
Hello thanks for asking from HCM for your health related queries

You have chronic anxiety and problems of sleep. You are taking Imipramine and the drug is helping to some extent but still you are not able to sleep properly. You only sleep for 2-3 hours a night and or you have multiple awakenings in night. Imipramine is a TCA drug and the drug helps in anxiety and depression. It also result in improvement of sleep but other drugs with strong sleep actions are needed to be added to your prescription. Drugs like Trazodon, Doxepine, Mirtazapine etc can be utilised for sleep and anxiety in your case. Trazodon is also a good antidepressant and it also help in strong sleep. Visit your psychiatrist for prescription of this drug.

Apart from that try to improve your sleep hygiene for better sleep.

Thanks, hope this helps you. Take care
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Suggest Treatment For Anxiety And Insomnia

Hello thanks for asking from HCM for your health related queries You have chronic anxiety and problems of sleep. You are taking Imipramine and the drug is helping to some extent but still you are not able to sleep properly. You only sleep for 2-3 hours a night and or you have multiple awakenings in night. Imipramine is a TCA drug and the drug helps in anxiety and depression. It also result in improvement of sleep but other drugs with strong sleep actions are needed to be added to your prescription. Drugs like Trazodon, Doxepine, Mirtazapine etc can be utilised for sleep and anxiety in your case. Trazodon is also a good antidepressant and it also help in strong sleep. Visit your psychiatrist for prescription of this drug. Apart from that try to improve your sleep hygiene for better sleep. Thanks, hope this helps you. Take care