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 am suffering from insomnia. Please help.
Query: Hello doctor,I suffer from insomnia that had increased in the last year. I used a lot of medications that were prescribed to me by my local physicians such as (Diazepam, Lorazepam, Alprazolam, and Mirtazapine). Initially, it is useful at the beginning and then insomnia returned. I also follow a beha... Read Full »
Answer: Hello, Welcome to icliniq.com. It seems that you have been in trouble with sleep disturbances for a quite long time. Also, it appears that you have difficulty in the onset of sleep rather than difficulty in maintaining the sleep. Before proceeding to management, I would like to know few things fir... Read Full »
My wife's breath smell like alcohol after taking meds. Why?
Query: Hello doctor, My wife has taken Ambien 5 mg, once or twice a week to get to sleep after a difficult day at work. She used to take the 5 mg without any problems, for almost a year. A couple of months ago, she started a course of Accutane. At first, she took 20 mg per day, now it is down to 10 mg per... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. The symptoms are most likely due to an interaction between Accutane (Isotretinoin) and Ambien (Zolpidem). This could increase the levels of Ambien in the blood immediately after taking it. The symptoms are highly suggestive of an allergic reaction. She could either be ... Read Full »
I have segmented sleep. How to get rid of it?
Query: Hi doctor,What is the solution for segmented sleep? How to get rid of this? Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. The treatment depends on the cause of segmented sleep. If it is due to mood disorder like depression or hypomania or anxiety, then treatment of the underlying condition will correct the segmented sleep as well. If it is due to disturbed sleep - wake cycle li... Read Full »
Is it advisable to take Zolfresh to get proper sleep?
Query: Hi doctor, I traveled to a new country for a short business trip of 3 to 4 weeks. Today is my fifth day, and I am having problems to sleep at night from these past five days. As a precaution, I carried Melatonin and Zolfresh with me. Can I take 10 mg Zolfresh to get proper sleep? I took Melatonin l... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. Zolfresh (Zolpidem) is used for initiating and maintaining sleep. It should help you in resetting your sleep cycle. It is to be taken immediately before going to bed. Do not watch TV, mobiles, or interact after taking it. You can read a book if you want. You should fa... Read Full »
Query: Hi doctor, My sleep pattern has been 'biphasic', ever since the lockdown three years ago. My sleep gets interrupted, I sleep four hours, wake up, and get back to sleep again for another two or three hours. I often hard to get back to sleep the second time. I was always a light sleeper but have neve... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hi, Welcome to icliniq.com. I understand your concern. Your symptoms show sleep maintenance issues. I am not sure how much melatonin or GABA might help with it. If you are fine with taking medicines, I would suggest taking a sustained-release version of Zolpidem (Zolpidem tartrate 12.5 mg). It will ... Read Full »
Please help with a non-addictive drug for sleeplessness.
Query: Hello doctor, I am a 61-year-old male. I am a diabetic for the past 15 years under control, hypertension for the past five years. My present problem is sleepless nights (mental tension) and using Restyle 0.5 mg. I was using it occasionally. But for the past two weeks, I am using it regularly. I am w... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your situation. As per your details, you are having stress which leads to sleep disturbance. You may have another depressive feature as well. I need more details about it to make a diagnosis. Do you have a sad mood, crying spells without reason, abn... Read Full »
Please help with Alprazolam addiction.
Query: Hello doctor, I am a 34 year old male. My weight is 68 kg. I am married and have two kids. Because, of the disturbance made by my kids, I was not able to sleep well sometimes. So, I just started taking tablet Alprazolam 0.25 mg. Now I have been trying to gradually stop taking the medicine. So, I ha... Read Full »
Answer: Hi, Welcome to icliniq.com.I can understand your concerns. Alprazolam is a habit forming drug. I would suggest you to take Zolpidem for disturbed sleep. Zolpidem is less addictive compared to Alprazolam. I will suggest you the following measures to get a sound sleep. Please try. Avoid sleeping duri... Read Full »
Can restless leg syndrome cause sleep disturbance?
Query: Hello doctor, I am 45 years old. I have been struggling with restless legs for years. I took Pexola at increasing dosages (1 mg) until last year. I then started to take Requip XL 2 mg twice daily as my RLS was giving me a hard time during day time as well. It worked very well, but now my legs are a... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from restless leg syndrome and insomnia. Restless leg syndrome causes an unpleasant or uncomfortable sensation in the legs and an irresistible urge to move them. In the majority of case... Read Full »
How to avoid feeling low after stopping depression medicine?
Query: Hi doctor, When my father passed away, I was diagnosed with major depression and had been on medication Lexapro for about a year. My psychiatrist recently stopped my medications as I was feeling rather normal. Shortly, I came for holidays overseas hoping to become more relaxed and at ease. But, I am... Read Full »
Answer: Hi,Welcome to icliniq.com.I can understand your situation. You were taking Lexapro, which contains Escitalopram, since a long time. Sudden stopping of this drug causes withdrawal symptoms like poor sleep, low mood, loss of interest in cheerful activities, etc. I will suggest you make yourself busy... Read Full »
How to achieve and maintain the standard dose of Zolcalm to help sleep?
Query: Hello doctor, I am 24 years old and diagnosed with generalized anxiety disorder, OCD, and IBS(digestive issues). Due to my exam stress and terrible insomnia, my psychiatrist prescribed my Etilaam, Sobrium, and Zolcalm. But due to prolonged use of Zolcalm, I have reached a point where even 20 mg is n... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your situation. You must continue tablet Nexito and Petril. If you are taking tablet Zolfresh 20 mg then you must continue tablet zolfresh 15 mg for four weeks then take 10 mg for another foue weeks. Now you are stable on tablet zolfresh 10 mg. Then... Read Full »