Insomnia

A type of sleep disturbance that can make it difficult for a person to fall asleep or if the person keeps getting up is called insomnia. If left untreated, insomnia can significantly affect your mental and physical health. Stress, traveling, poor sleep hygiene, psychiatric disorders, and certain medical conditions are some of the common causes of insomnia.

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Can Etizolam be used for inducing sleep?

Query: Dear Doctor, All my life (since as far back as I can remember in early childhood) I have struggled with chronic insomnia. I have tried every sorts of pharmacological and non-pharmacological treatment you could imagine, having seen at least seven doctors over 15 years. I have tried everything from z...  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to icliniq.com. First of all I would like to congratulate you and your doctor for finding a solution for your long standing problem which caused lots of impairment at your end. Regarding your statement "people build a tolerance to etizolam and so it must not be taken long term" I like...  Read Full »

I suffer from PTSD, bipolar, and major depression. What is the treatment?

Query: Hello doctor, I am 26 years old, female who has PTSD, bipolar and major depression. I also suffer from migraines, anxiety and insomnia. I am on topamax 100 mg twice a day, clonapin 0.5 thrice a day as needed, Paxil 10 mg in the morning (recently started) also for the insomnia I was started on elavil...  Read Full »


Dr. Ravi M Soni

Answer: Hi, Welcome to icliniq.com. I read your concerns. I feel that Topamax 200mg which works well for migraine has a little role in bipolar disorders. Studies show that monotherapy with topamax is not recommended but instead of taking topamax, you can try sodium valproate (Depakote xr 750mg at night) ...  Read Full »

Why did I have a seizure after drinking an energy drink?

Query: Hi doctor, I had a grand mal seizure two months before after drinking an energy drink. Since then, my sleep has become progressively worse. I am a nurse and worked the last three long days. However, I slept for one hour last night, and I was wide awake. I took the maximum dose of Melissa for the dre...  Read Full »


Dr. Anshul Varshney

Answer: Hi, Welcome to icliniq.com. Thanks for writing in, and I understand your concern. For the seizure activity, the cause has to be evaluated. If that was an acute symptomatic seizure following an energy drink, then you might have reacted to some of its content. It is important to assess other ca...  Read Full »

I have been suffering from severe headaches and insomnia for the past one year. Kindly help.

Query: Hello doctor, I am posing this question to a neurologist even though the query is about tablet Accutane. I took Accutane for the first time when I was 14 years old. The dosage was 20-40 mg. It cured my acne entirely, but there were some side effects like dry skin and weak bones. The second time I t...  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. I would like to know some more details about your symptoms: 1. Since how long you have headaches? 2. In which part of the head do you get headaches? You can click a picture of head by keeping your hand in the area where you have headache and attach...  Read Full »

What should be the next step if I develop panic attacks along with insomnia?

Query: Hello doctor, I am a 53-year-old female. My height is 160 cm, and my weight is 65 kg. I developed insomnia five years ago, and I could not sleep on my own. I believe I was suffering from health anxiety. So, my doctor suggested taking the tablet Mirtazapine to induce sleep which I took for some ...  Read Full »


Dr. Vishal Patidar

Answer: Hello, Welcome to icliniq.com. Thank you for writing, and I can understand your concern. I will advise you not to stress as your condition is probably due to stress or anxiety. But to cover our bases, I will recommend you to check your blood pressure, RBS (random blood sugar), E...  Read Full »

How to get attention from my boyfriend?

Query: Hi doctor, I am a 24 year old female. I am in a relationship since three years. I am not treated with the same love and dignity by the person. In this duration of our relationship, he left me twice for two months without communication, and he used to text when he needed anything. It is always me, wh...  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. I am sorry to know about the pathetic response you are getting in the hand of someone, who is sure that your paths will be different. In my opinion, no sensible girl will hold on to a person who has no significance of her pr...  Read Full »

I have recurrent shooting headaches five years after a traumatic brain injury. Kindly help me.

Query: Hi doctor, I have had persistent, recurrent headaches and shooting head pains due to a concussion from a traumatic brain injury, that I acquired five years back. The doctor has described my headaches as tension-type headaches, I have pain behind the eyes mainly, but it can be on the top of the head...  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. I would like to know few more details about your problem. Since when you started to have this problem? Did it start immediately after the accident? Or it started after some gap? In which part of the head do you have headaches mostly? Is it only behind the eyes? What...  Read Full »

Is sleeping after midnight bad for your health?

Query: Hi doctor, I have been sleeping late, around 2:30 to 3:30 AM, and sometimes even 4:00 AM every day for several months. I am thin, have no blood pressure problem, and I am currently taking Levothyroxine 150 mg. I have turned into an owl. I am worried that when I sleep, something fatal can happen to ...  Read Full »


Dr. Bn Bhagat

Answer: Hello, Welcome to icliniq.com. Some people have the habit of late-night sleep because of work or assignments they have to complete. The common causes of late-night sleep include too much daytime sleep, consuming coffee before bedtime, watching television or some excitement or stimulation, depressi...  Read Full »

I have short term memory loss with paresthesia on my face. Why?

Query: Hello doctor, I am a 27 year old female, and I have severe short-term memory loss (8/30 MMSE). I have paresthesia bilaterally on my face, which has spread from the upper part to around my mouth. I also have startle myoclonus and muscle stiffness. My walking speed has slowed, and the muscles in my...  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. Copper deficiency is a known cause for non-compressive myelopathy, which can explain your muscle stiffness, slowed walking, and clonus in legs. But startle myoclonus is a different thing. It might be a flexor spasm in legs, which someone interpreted as startle myoclonu...  Read Full »

After stopping Arip, I suffer from insomnia during pregnancy. What to do?

Query: Hi doctor,Initially, I was diagnosed to have bipolar disorder before 10 years and was cured with Lithium. Then, it relapsed before five years. So, I started to have Arip 20 mg and by last month it was tapered to 5 mg. Now, I am 8 weeks pregnant. When I got to know that I am pregnant, I was advised b...  Read Full »


Dr. Padmapriya Chandran

Answer: Hi, Welcome to icliniq.com. Pregnancy is a high-risk period. Hence, the risk of relapse is more during pregnancy. It is advisable to take a small dose of medications throughout the pregnancy to prevent relapse. I suggest tablet Serenace 1.5 mg (Haloperidol) at night along with tablet Pacitane (Trih...  Read Full »

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