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 and last reviewed on: Sep 07, 2021

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.



Welcome to 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.--->

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?



Welcome back to

  • 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.--->

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?



Welcome back to

  • 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 -->

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Can anxiety and stress cause frequent urination?

I use to get those episodes every few months when I had stress but since I got the fear it might never go away I get it almost daily now ... Can anxiety cause polyuria like this clear urine when I am stressed ...   Read full

Postpartum Depression

History of bipolar disorder ... Family history of depression or other psychological disorders ...   Read full

Depression - Awareness, Self-Diagnosis, and Treatment Modalities

According to statistics provided by WHO, depressive disorders are predicted to be the major cause of mortality and morbidity in the world in the next three years ...   Read full


Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Management of Coronasomnia
Coronasomnia refers to increased sleep problems among people during the COVID-19 pandemic. Read the below article to get...  Read more»
Balantidiasis - Causes, Signs and Symptoms, Diagnosis, Treatment, and Prevention
Balantidiasis is a rare bacterial infection caused by a parasite called Balantidium coli. Read the article below to know...  Read more»
JAK Inhibitors in Treating Rheumatoid Arthritis
Doctors mainly suggest JAK or Janus kinase inhibitors for patients with rheumatoid arthritis to ease their symptoms. Rea...  Read more»

Ask your health query to a doctor online?

Ask a Psychiatrist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.