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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sleeplessness While On Anastrozole?

Hi Dr,I have been on Anastrozole now for nearly a year. I will be seeing my oncologist in two weeks time. I have been experiencing increased difficulty getting off to sleep each night despite exercise each day and plenty of activity.This has become more of a problem as the year has progressed. Sometimes it is because of hot flushes and joint pain or feet pain, but sometimes it is just for no reason. I can be very tired and yet after I go to bed I seem to wake up just as I want to sleep. I have been prescribed some temazepam by my GP, and I am becoming increasingly reliant upon it. I don t want to have to take it every night but as I work four days a week it helps me be ready for my work day.Any suggestions ? Would it be beneficial to change to time of day I take the tablet ? I always take it at bedtime within an hour of the same time each night.
Thu, 16 Apr 2020
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Pediatrician 's  Response
Hi,

Temazepam, rather than anastrozole is likely the culprit here. It is a benzodiazepine that can cause some sedation and drowsiness. Anastrozole will not cause much sedation. If disturbing, you can request your GP to adjust dose. You can also try taking a bit earlier in the evening, so that sedative action may start weaning early.

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

Regards,
Dr. Muhammed Aslam T. K., Pediatrician
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What Causes Sleeplessness While On Anastrozole?

Hi, Temazepam, rather than anastrozole is likely the culprit here. It is a benzodiazepine that can cause some sedation and drowsiness. Anastrozole will not cause much sedation. If disturbing, you can request your GP to adjust dose. You can also try taking a bit earlier in the evening, so that sedative action may start weaning early. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician