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.
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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