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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Insomnia

I cant sleep at all. Im just sitting in my bed for a whole hour, eyes shut, nothing happening at all. I fell asleep earlier but i woke up to this hell of sitting in bed with no chances of falling alseep. My whole body feels scolding hot and extremely weak, like my bones and jelly. PLease just help me fall asleep
Thu, 5 Mar 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 asleep. 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. So, 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 query. Let me know if I can assist you further.

Regards,
Dr. Iven Romic Rommstein, General Surgeon
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Suggest Treatment For Insomnia

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 asleep. 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. So, 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 query. Let me know if I can assist you further. Regards, Dr. Iven Romic Rommstein, General Surgeon