Q. I am tired, not able to sleep, and lack interest. What to do?

Answered by
Dr. Ujjal Kanti Ray
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Sep 07, 2020 and last reviewed on: Mar 10, 2021

Hi doctor,

I have fatigue. Sometimes, I am unable to sleep due to numbness in the back of the head and hands while sleeping. I have a lack of interest. I am having this problem for a month even after taking nine numbers of B12 injections and medications.

#

Hi,

Welcome to icliniq.com.

I think that you are under stress. Anxiety is one of the reason where these medicines do not work.

Thank you doctor,

I have attached my reports. I have tiredness for the whole day. I feel tired even after doing minor works.

#

Hi,

Welcome back to icliniq.com.

I have gone through the reports (attachment removed to protect patient identity). Your ECG (electrocardiogram) is normal and your urine report shows high pus cells. You have low B12 and other parameters are normal. I suggest you take oral B12 tablets. Treat your urinary infection. Please mention whether you have acidity or stomach problems. Please mention the nature of your job and worries in detail. Please answer these questions and it helps me to guide better.

Thank you doctor,

I feel tired for the whole day. I drive 100 kilometers every day in the car. I feel tired even while standing. I am taking Mbson SL in the morning, Rejunex CD3 in the afternoon, and Methylcobalamin 1500 mg in the night. I was taking Pregalin SR 75 mg at night for pain. I stopped it after getting mood swings. It increases my body's tiredness. I have some gas problems.

#

Hi,

Welcome back to icliniq.com.

You are taking an excessive dose of Methylcobalamine. You seem to be a normal person with minimal problems. Just follow these measures and you will become absolutely fine. You need to do physical exercise every day. Get down from the car and walk for a distance. Try to move away from the computer intermittently and walk for a while. You can take tablet Norflox 400 (Norfloxacin with Lactobacillus) one tablet twice a day after food for seven days.

You can take tablet Pan D (Pantoprazole) one tablet once daily on an empty stomach. You can take tablet Alzolam 0.25 mg (Alprazolam) one tablet at bedtime for seven days. Please do not skip it. Try to drive away from anxiety. You can take tablet Mecobal 1500 mcg (Methylcobalamin) one tablet after taking lunch. You can do a blood test for lipid profiles. Be confident and you will become fine soon. Maintain your food habit regularly.

Thank you doctor,

I have some questions to ask you.

#

Hi,

Welcome back to icliniq.com.

You can ask me questions at any time. You can have a follow-up at any time.

Thank you doctor,

Is it good to take Alzolam? Please suggest.

#

Hi,

Welcome back to icliniq.com.

Yes, you can take it. It helps you a lot.

Thank you doctor,

Is there any substitute for it?

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Hi,

Welcome back to icliniq.com.

Yes, I will send you soon.

Thank you doctor,

Since yesterday, I feel normal.

#

Hi,

Welcome back to icliniq.com.

For a substitute, you can take Trika 0.25 mg (Alprazolam).

Thank you doctor,

You have helped me a lot.

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Hi,

Welcome back to icliniq.com.

If you have any queries, kindly revert me.

Thank you doctor,

I have attached my full body report.

#

Hi,

Welcome back to icliniq.com.

I have gone through the reports and everything seems to be normal except blood uric acid. It seems to be on the borderline. You do not require any medicines right now. You can repeat the test after a month. You can stop taking Methylcobalamin. You can continue taking the rest of the medicines.

Thank you doctor,

As per the report, I seem to have a prediabetic condition of 5.7%.

#

Hi,

Welcome back to icliniq.com.

Your blood sugar level is normal. Hba1c (hemoglobinA1C) below 6 percent indicates a non-diabetic condition or diabetes under control. This test is done to assess the status of diabetes.


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