Hi doctor,
I have a type of insomnia where I cannot fall asleep even when I am tired. For a week now, I have been on Ativan to go to sleep every night because, for two whole nights, I had no sleep at all. I try naturally every night, and when I am just entering my sleep, my head goes fuzzy, and my heart rate increases, and I cannot go into sleep. I am now petrified whether this is a neurological issue or a disease. It all started very suddenly six days ago after being stressed. I was hospitalized on the third day when they administered 2 mg of Ativan. Since then, I have been using Ativan 1 mg every night as advised. Currently, I take 5 mg Lexapro, 5 mg Amitryptiline, 30 mg Cardizem thrice daily. I have been on these medications for years. Now Ativan 1 mg before bed, for the past five nights.
Hi,
Welcome to icliniq.com.
I can understand and empathize with your concern. You said that this is started six days back because of stress. First, you should know our basic instinct like hunger, thirst, and sleep are natural. We eat when we are hungry. We drink when we are thirsty. These are basic phenomena that we cannot stimulate. So when we think that we should sleep and continuously think about sleep and feeling why we cannot sleep, then our brain will be active, and for sleeping, brain activity needs to be diminished. In stressful conditions, we start active thinking, so we will be unable to sleep. I hope you understood. You are taking Ativan (Lorazepam) 1 mg, but what about stress which is still present? Do not be afraid. Ativan is an anxiolytic, and it reduces your anxiety level and promotes sleep. Do you feel sleepy during the day? For anxiety, you should try relaxation techniques and breathing exercises. And if you have prominent stress, you should start antidepressants in the daytime and 1 mg Ativan if sleep is proper. Please continue it, and as you feel better, start tapering the Ativan to stop. As you described, these are not symptoms of any neurological disorder. I hope this helps.
Hi doctor,
Thanks for the reply.
My stress which preceded insomnia has resolved. But now, I have significant anxiety about not being able to sleep without medication. Are there any records of incidences where people cannot sleep without medication?
Do not concentrate on sleep, it's like when we r hungry and thinking about food and there is time to get food...what happen?? our appetite getting decrease and when our favorite food get ready we hardly take few bites. it's game of diversion.
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