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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Anxiety Attacks And Insomnia After Quitting Smoking?

I quit smoking cold turkey n Nov. 24 and haven t had a cigarette since. I don t feel like I ve have cravings but I amd having severe anxiety attacks and insomnia. My doctor prescribed sublinox ( sleep aid). I ve tried Melatonin tablets. I manage to sleep a few hours but am extremely anxious during the day. Are these symptoms of quitting and how much longer before my body is adjusted.
Thu, 11 Dec 2014
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Psychiatrist 's  Response
Hello thanks for HEALTH CARE MAGIC

You have stopped smoking on 24th November and now you have anxiety and insomnia. Cigarette consists of tobacco and nicotine is main constituent of tobacco. Nicotine is highly dependence producing substance and it may present with withdrawal symptoms like insomnia, restlessness etc symptoms. Insomnia could be due to nicotine withdrawal. I would advise you to consult a psychiatrist for proper treatment. Medicines like Bupropion can be used to reduce anxiety associated with withdrawal. For sleep you have been prescribed Zolpidem and this is also associated with abuse potential. So try to avoid the drug use for long term basis. Melatonin didnt work because it usually works in abnormal sleep rhythm. Consult a psychiatrist for prescription of these drugs.

Thanks, hope this helps you.
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What Causes Anxiety Attacks And Insomnia After Quitting Smoking?

Hello thanks for HEALTH CARE MAGIC You have stopped smoking on 24th November and now you have anxiety and insomnia. Cigarette consists of tobacco and nicotine is main constituent of tobacco. Nicotine is highly dependence producing substance and it may present with withdrawal symptoms like insomnia, restlessness etc symptoms. Insomnia could be due to nicotine withdrawal. I would advise you to consult a psychiatrist for proper treatment. Medicines like Bupropion can be used to reduce anxiety associated with withdrawal. For sleep you have been prescribed Zolpidem and this is also associated with abuse potential. So try to avoid the drug use for long term basis. Melatonin didnt work because it usually works in abnormal sleep rhythm. Consult a psychiatrist for prescription of these drugs. Thanks, hope this helps you.