Please suggest some good medicine for recurring insomnia.

Question

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 life activities. I lack interest.

I am under stress, and my mind feels foggy. I am on Escitalopram 10 mg. Please suggest some good medicine that can help me cope with this.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

,I can understand your concern.

A lot of individuals have recurring insomnia, and sometimes they suffer from non-refreshing sleep. In some individuals, depression also aggravates insomnia and thus worsens the symptoms. For depression with insomnia, drugs like the tablet Mirtazapine can help. This is a safe drug. It helps in getting good sleep and also controls 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 them regularly. Occasional use of these drugs for sleep can improve the situation. But if symptoms persist, then Mirtazapine is the drug of choice.

I hope this helps you.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I understand your concern.

Out of these drugs, tablet Zolpidem or Zopiclone can be taken on an 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 with good, refreshing sleep. But if these drugs are used regularly, then there is a 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 with sleep and also help in controlling depression. This should be taken regularly for at least three to six months. Then the drug dose can be reduced gradually over four to six 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.

I hope this helps you.

Thank you.

Answer 3

Hi,

Welcome back to icliniq.com.

I understand your concern.

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

I hope this helps you.

Thank you.