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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Frequent Night Sweats

I have ILD,RA,Lupus,Fibromyalgia,Renauds.For 15yrs.now,I have been getting infusions of either Remicade,Orencia,and am now getting Rituxan.For about the last 3-4 months I have been having more frequent night sweats,and now it seems daytime also.I don t know if the weather may be a factor(Central Valley) here in California.This was not happening before.I am 70yrs.old. Margaret A.
Fri, 7 Jun 2019
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General Surgeon,  's  Response
Hi,

Night sweats are the occurrence of excessive sweating during sleep. It can occur due to infection, hormonal imbalance, cancer, psychological conditions, drug-induced and several other causes. Considering his age, psychological morbidity and treatment following are possible causes which need to rule out in his case:
-Hot sleeping environment: Hope it is not in his case.
-Residual anxiety and depression.
-Hyperthyroidism: It is also associated with anxiety. For evaluation get his serum T3/T4/TSH done on empty stomach.
-Autonomic over-activity: common in anxiety and hyperthyroidism.
-Substance use like alcohol and heroine Although night sweats can occur with sertraline but in clinical population it is rare. It is better to rule out above condition first as a cause for night sweats.

The following situation will favor night sweats due to sertraline:
-If it is started after initiating treatment with sertraline.
-If it is stopped within 2 weeks of reducing doses or terminating treatment with sertraline.

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

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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Suggest Treatment For Frequent Night Sweats

Hi, Night sweats are the occurrence of excessive sweating during sleep. It can occur due to infection, hormonal imbalance, cancer, psychological conditions, drug-induced and several other causes. Considering his age, psychological morbidity and treatment following are possible causes which need to rule out in his case: -Hot sleeping environment: Hope it is not in his case. -Residual anxiety and depression. -Hyperthyroidism: It is also associated with anxiety. For evaluation get his serum T3/T4/TSH done on empty stomach. -Autonomic over-activity: common in anxiety and hyperthyroidism. -Substance use like alcohol and heroine Although night sweats can occur with sertraline but in clinical population it is rare. It is better to rule out above condition first as a cause for night sweats. The following situation will favor night sweats due to sertraline: -If it is started after initiating treatment with sertraline. -If it is stopped within 2 weeks of reducing doses or terminating treatment with sertraline. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon