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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Sleeplessness Inspite Of Using Medicines

I have not been able to sleep for over a year now I have been on two types of sleeping tablets but they have not worked I am on antidepressant and diazepam which I have bee on for over five years now my sleep pattern is the same every night I finally drop of about 4am and then up for 8 am so my whole day is not good
Mon, 8 Sep 2014
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Psychiatrist 's  Response
Hi

I understand your concern.

If you have sleep around 4 am and you are not able to sleep before it then it is sleep onset insomnia.

For which medicines like lorazepam and zolpidam is useful because it has short latency time and they are useful in sleep initiation.


Regular sleep hygiene is must.


Fix sleep schedule and stick on it

No day time sleep

exercise that makes you fatigue

stress free activities and meditations
Avoid alcohol and smoking

avoid heavy meal in dinner

avoid tea cofffee soft drink at night

use bed when you feel sleepy
read up to when you will sleepy

No day time sleep

no talking or use mobile in bed
calm and cool bed room

all of this will help you to restore good sleep.

If still you have sleep problem then need to asses your depression and antidepressant medicines.

Thank you,



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Suggest Treatment For Sleeplessness Inspite Of Using Medicines

Hi I understand your concern. If you have sleep around 4 am and you are not able to sleep before it then it is sleep onset insomnia. For which medicines like lorazepam and zolpidam is useful because it has short latency time and they are useful in sleep initiation. Regular sleep hygiene is must. Fix sleep schedule and stick on it No day time sleep exercise that makes you fatigue stress free activities and meditations Avoid alcohol and smoking avoid heavy meal in dinner avoid tea cofffee soft drink at night use bed when you feel sleepy read up to when you will sleepy No day time sleep no talking or use mobile in bed calm and cool bed room all of this will help you to restore good sleep. If still you have sleep problem then need to asses your depression and antidepressant medicines. Thank you,