Q. Please suggest some good medicine for recurring insomnia.

Answered by
Dr. Seikhoo Bishnoi
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 03, 2017

Hi doctor,

I have been having recurring insomnia now and then. In a month at least five to eight days I have no proper sleep and it is hampering my day to day activities. I lack interest. I am under stress and my mind feels foggy. I am on Escitalopram 10 mg. Please suggest me some good medicine which can help me to cope with this. Thank you.

#

Hi,

Welcome to icliniq.com. I can understand your concern.

  • A lot of individuals have recurring insomnia and sometimes they suffer from nonrefreshing sleep.
  • In some individuals depression also aggravates insomnia and thus worsens the symptoms.
  • For depression with insomnia drugs like tablet Mirtazapine can help. This is a safe drug. It helps in getting good sleep and also will control the depressive symptoms you are having.
  • Conventional sleep medicines like tablet Zolpidem or Zopiclone can also help. Since these drugs might cause dependence, I would not advise you to take these drugs regularly.
  • Occasional use of these drugs for sleep can improve the situation. But, if symptoms persist then Mirtazapine is the drug of choice.

Treatment plan:

Tablet Mirtazapine or Zolpidem or Zopiclone can be taken.

Regarding follow up:

For further information consult a psychiatrist online.--->https://www.icliniq.com/ask-a-doctor-online/psychiatrist

Hi doctor,

Is it something I have to take for six months or one year or longer duration and then discontinue? Or should I use it SOS?

#

Hello,

Welcome back to icliniq.com.

  • Out of these drugs, tablet Zolpidem or Zopiclone can be taken on SOS (if necessary) basis. But, these are safe and useful only if used occasionally like once or twice a week.
  • These drugs are free of serious side effects and help in good refreshing sleep. But, if these drugs are used regularly then there is risk of dependence. 
  • Tablet Mirtazapine is a safe drug if we consider dependence.
  • Mirtazapine at the dose of 7.5 to 15 mg will help in sleep and also helps in controlling depression.
  • This should be taken regularly for at least three to six months. Then the drug dose can be reduced gradually over 4-6 weeks and can be stopped.
  • This will help you in coming out of depression and insomnia consequently. The drug is safe and should be used regularly.

The Probable causes:

Depression, anxiety and primary insomnia.

Treatment plan:

1. Tablet Mirtazapine 7.5 mg one at bedtime.
2. If needed dose can be increased to 15 mg per day in 4 weeks.

Regarding follow up:

For further queries consult a psychiatrist online.--->https://www.icliniq.com/ask-a-doctor-online/psychiatrist

Thank you doctor,

They denied to give the medicine saying it is a scheduled drug and prescription is required. Please let me know how to go about it. Can a scanned prescription be made available?

#

Hi,

Welcome back to icliniq.com.

  • Yes, Zolpidem is a scheduled drug and cannot be taken without written prescription.
  • Scanned online prescription are not acceptable in few countries and chemists will refuse to dispense.
  • You can visit a GP and can ask for its prescription. This should surely help you. Or you can go with Mirtazapine which is not a controlled substance.

For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist


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