Recently Answered Questions
All the answers published in this website are written by verified medical doctors, therapists and health experts. The Content has been moderated by iCliniq medical review team before publication. Post your medical clarifications on iCliniq by choosing the right specialty and get them answered. Your medical queries will be answered 24/7 by top doctors from iCliniq.
I have anxiety and insomnia. Please advise safe medication.
Query: Hello doctor, One of the doctors prescribed me XeFexor Duo (combination of Flupentixol and Escitalopram) for psychosomatic symptoms due to persistent anxiety. All my tests like TMT, 2D echo, 48 hours Holter monitor, ECG, kidney or liver tests, blood tests, vitamin tests, etc are normal. I read the s... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. You must understand that there is a difference between potential side effects that are reported with the drug and commonly seen side effects with a drug. While the side effects that you mentioned have been reported in the literature, they are not common and I have not ... Read Full »
I hardly get about only one hour of sleep in the night. What should I do to fix it?
Query: Hello doctor, For about a few months, I have been surviving on less than an hour of sleep per night. For the first 27 years of my life, I have always had a little bit of trouble getting sleep (overactive mind), but I have never had any trouble getting a full night rest (anywhere from 6 to 9 hours).... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hi, Welcome to icliniq.com. You have a unique situation and though I do not have a clear answer to your complaints, I can give you some relevant advice. The first thing to do is to evaluate your insomnia. I would suggest you use a camera to video record your sleep. You can use your phone camera w... Read Full »
How to overcome insomnia due to PTSD?
Query: Hi doctor, I am suffering from extreme insomnia due to PTSD, which includes very intense nightmares. I also have depression. I need help and sleep. I am attaching my records. Kindly help me. Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. The image that you have attached is significantly cropped out (attachments removed to protect the patient's identity), and I am unable to see any medicines that you are currently on. The drug most helpful for insomnia in PTSD (posttraumatic stress disorder) is Prazos... Read Full »
Why do I have sleep problems when not on melatonin supplements?
Query: Hello doctor, I am a 32-year-old female and overall in good health. Starting last month quite suddenly, I started having insomnia issues. The symptoms were difficulty to fall asleep, sensations of adrenaline, waking up scared when falling asleep, a sensation of weakness or numbness in both arms, me... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. If you are suspecting something like sporadic familial insomnia, it is wise to see a neurologist with your specific complaints. This is because it is very difficult to diagnose on the basis of symptoms only. It needs investigations like genetic analysis and sleep s... Read Full »
My circadian cycle has shifted. What can I do?
Query: Hello doctor, My circadian cycle is shifted for a very long time. I never sleep before 2 or 3 AM, and I have difficulty waking up before 10 or 11 AM. Right now, it is so bad that I sleep at 4 or 5 AM and wake up at 1 or 2 PM. Please advise. Thank you. Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. This is known as delayed sleep phase syndrome. It can be treated by realigning your body clock with daytime. I suggest the following: 1) Sit in the sunlight whenever you wake up for 45 minutes. 2) No screen-time use (phone, computer, laptop, and tablet) after suns... Read Full »