Sleep disorder is when you have trouble falling asleep or keep getting up or cannot sleep for the desired time. The common sleep disorders are circadian rhythm disorders, insomnia, snoring, sleep apnea, narcolepsy, restless leg syndrome, nightmares, and sleepwalking.
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My husband takes Lithium 450 mg daily and a tablet of Sizodon LS at night for the disorder. He complains of sleepiness during the daytime. Why?
Query: Hi doctor, My husband is suffering from bipolar disorder. He takes Lithium 450 mg daily and tablet of Sizodon LS at night. Initially, he used to take half a tablet of Sizodon LS. But now, again, he is complaining of excessive sleep during the daytime. His mania symptoms have reduced but have not gon... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Your husband has a manic episode. His symptoms reduce on medication. If he has excessive sedation in the daytime, you can now stop his Sizodon LS (Risperidone). It was given for acute manic episodes and to calm patients. Once the patient star... Read Full »
I feel agitated, hyperactive, and have occasional suicidal thoughts after taking Clonazepam for a sleep disorder. Please help.
Query: Hello doctor, It was five years back when I encountered sleep problem for the first time, and at that point, I was doing a night shift. I consulted a doctor, and he suggested me the medicine Clonazepam 0.5 mg. I had continued Clonazepam 0.5 mg for 1 year. After more than a year, I got to know from a... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read through your query in detail. Please find my observations below. Clonazepam is a benzodiazepine group of medicine and prescribed for psychiatric problems including seizure and panic disorder. Having suicidal thoughts is a known side effect of Clonazepam. Yo... Read Full »
I am developing withdrawal symptoms of Paroxetine. Please help.
Query: Hi doctor, I am a 26 year old male, and I am a doctor. From the past year, I have been suffering from delayed onset sleep disorder, I sleep at 4 AM and wake up after noon. I saw a psychiatrist, and he put me on Melatonin, Modafinil, and Zolfresh. But I am still unable to sleep at the desired time, a... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for this query. I can understand your concern regarding your delayed onset insomnia. Sleep is very important for a good mental health. Sleep disturbances can cause depression and vice versa I have read your history carefully. You are suffering from insomnia,... Read Full »
Please suggest the diagnosis on my EEG report as I could not sleep.
Query: Hello doctor, Could you please analyze the EEG recording enclosed and provide me with a detailed diagnosis? The reason for this examination is that I have problems falling and staying asleep for two years. I sleep only three to four hours a day, with common medication not or poorly working, and al... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen your reports. (attachment removed to protect patient identity). The EEG (electroencephalogram) looks normal. There is no evidence of epilepetic activity. There are some changes which are benign (marked by blue pen) and no need to worry about that. I wou... Read Full »
Why do I feel hard to sleep at night?
Query: Hi doctor, I am having trouble with sleeping at night. I feel exhausted all day. I do not understand the reason. Can you help me? Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your query and can understand your health concern. Disturbed sleep at night can be due to many reasons. If you are having any kind of mental stress or anxiety, then it can cause disturbed sleep at night.Other causes are sleep disorders, obstructive sl... Read Full »
Why do I get violent in my sleep, along with headaches?
Query: Hi doctor,I can get violent in my sleep and attack my wife. I also talk, sing and shout. I also suffer from headaches, migraine, and tremors in my hands. Read Full »
Answer: Hi, Welcome to icliniq.com. With your limited history, it seems you have REM sleep behavior disorder. This would need further evaluation by a neurologist. Do you have tremor at rest or both during rest and motion? You can try Melatonin 10 mg at bedtime (OTC medicine). This should help you with you... Read Full »
Is Promethazine an effective medication for sedation in treating adults with insomnia?
Query: Hi doctor, I am unable to sleep, and I wake up frequently. I suffer from nightmares, and with daytime fatigue. I need a medication that is non-addictive. Is Promethazine an effective medication for sedation in the treatment of adults with insomnia? Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for this query. I can understand your concern regarding insomnia. Promethazine is a sedative, but it will not help in insomnia. It will affect the quality of sleep. I will suggest you first go for a polysomnography to find out actual reason of insomnia, then... Read Full »
While on train journey, I was not able to breathe. Why is it so?
Query: Hello doctor,I am 61 years old. While on a train journey, I was not able to breathe. Read Full »
Answer: Hi, Welcome to icliniq.com. It may be a sleep disorder. Kindly go for spirometry and sleep study. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist Read Full »
How do orthostatic hypotension and REM sleep disorder relate to Parkinson's disease?
Query: Hi doctor, What are orthostatic hypotension and REM sleep disorder, and how is it related to Parkinson's disease. How common do a combination of the two results in Parkinson's disease? I have afib. I also had an ablation a month ago. I have low blood pressure on standing and after running upstairs.... Read Full »
Answer: Hello,Welcome to icliniq.com.I understand your concern.Orthostatic hypotension is a common complication of the advanced stage of Parkinson's disease. The drop in blood pressure while standing up is suggestive of orthostatic hypotension.REM sleep disorder is another common complication of Parkinson'... Read Full »
Please prescribe some useful tips to get relief from sleep disorder.
Query: Hi doctor,I am 69 years old and I am suffering from a sleep disorder. I have my sleep only for three hours. I have inadequate sleep and taking treatment for Parkinson's disease for six years. Kindly suggest. Read Full »
Answer: Hi, Welcome to icliniq.com. You are suffering from a sleep disorder. You are taking medications and treatment. You are unable to sleep for more than three hours. I suggest you follow some measures to have a good sleep along with your medications. You must sleep only when you have a feeling of asleep... Read Full »