My sleep gets disturbed by dreams and breathlessness. What to do?

Question

Hi doctor,

I have used Sizodon LS in the morning and night for a month under doctor's prescription. After that for the last four months, I am getting disturbed sleep by breathlessness and dreams. It is tough for me to get a sound sleep. My ECG and MRI scan are normal. Please advise me to get healthy sleep.

Answer 1

Hi,

Welcome to icliniq.com.

Are you still taking Sizodon (Risperidone)? If not, then do you have any other symptoms other than sleep disturbances? Why have you been prescribed Sizodon in the first place? Assuming that you do not have other symptoms than sleep disturbances, I would suggest you practice sleep hygiene. Reduce weight and do daily exercise to prevent breathing issues during sleep. If there are attacks of anxiety and panic during sleep, I suggest a small dose of Clonazepam 0.25 mg or Stilnoct 6.25 mg (Zolpidem) at night. It might help to get rid of nightmares, panic and will contribute to maintaining sleep. Consult your doctor, discuss with him or her and take medicine with consent.

Answer 2

Hi,

Welcome back to icliniq.com.

I understand your concern. You seem to be suffering from certain symptoms, which are of concern and sleep disturbances. Since you are having weight loss and sleep loss, I would recommend certain changes in your current medicines. I suggest increasing Olanzapine (Oliza) to 10 mg at night. It will help in the paranoia you are experiencing and the sleep. Reduce Risperidone to half of the current dosage and stop it in a week. Temporarily you can use Ativan (Lorazepam) 2 mg for two weeks, then reduce it to half for another two weeks and then 0.5 mg for another two weeks and stop. By that time Olanzapine would start acting in its full strength. We may have to increase Olanzapine to 15 or 20mg depending on your response to treatment. The usual effective dose is 10 to 20 mg.

Answer 3

Hi,

Welcome back to icliniq.com.

You can stop Razo (Rabeprazole) anytime if you follow healthy food habits. Regarding rest of the medicines, kindly follow my last advice. We can reduce other medicines in a couple of months once your symptoms are better. Thank you.

Answer 4

Hi,

I will be available for follow up.

Olanzapine is usually effective in the symptoms you mentioned.

Again effects depend on individuals and since you also reported of weight loss,olanzapine is a better choice since it increases weight and appetite.

Regards Dr.Manjunadh

Answer 5

Hi, I advising the changes because of the problems you mentioned,the medication history you gave was 5 mg olimelt with 1 mg risnia, You can stop risperidone as i suggested in tendays,increase olanzapine to 10mg from 5 mg,in case you are already on 10mg,increase it to 15 mg,Rabiprazole you can stop if you dnt have gastritis or stomach pain,its not a long term medication.Pacitane continue for the timebeing,we can consider stopping it after sometime Regards

Answer 6

Hi, Any of the brands you mentioned above will do.(oliza ,olimelt,olianz)Olanzapine is available in all dosages so its easy to tapper of,don't think of reducing it now,once your symptoms are better will think of that.Its not a drug to be cut in to half and use because it il loose its effect but its available in all dose range like 2.5,5,10 mg,you can start from today,adjust the other drugs as i mentioned above. Regards

Answer 7

Hi,. You can use anyways,either two 5 mg or one tablet of 10 mg,both can be used no molecular issues Regards

Answer 8

Hi, Its ok don't worry too much, let us give medicines some time to act,it will take time and let's hope good response, what you are describing is like a panic attack or an rem sleep disorder, Since you are getting proper sleep continue the same,since you were on zolpidem for few days before there can be withdrawal effect.But it will get relieved in a few days,see for a week with the same dosage and see the response, whatever may be it can be treated. so relax

Answer 9

Hi, I think that was a system generated mistake the above message, sorry about that.Iam happy that you had sleep,just give it a few more days and the symptoms you are describing seem like more of a panic attack sort,it could be due to the withdrawal of drugs you were on.Anyway keep olanzapine 10mg and continue,it may take up to 2 weeks for full effects, in case you develop any other symptoms all can be treated, just relax and go ahead.Know that too much worry also can cause issues.Do daily exercises or yoga,have a healthy active life and food Regards

Answer 10

Hi, continue tappering off continue pacitane Stilnoct 6.25 mg is a good choice for dreams and sleep than clonazepam since addiction potential is less Its safe with olanzapine,Continue stinoct for another 4 weeks,in case stilnoct is not working you can Change to clonazepam no issues Its safe Regards

Answer 11

Hi Yes madam,continue the same life style,you will be totally fine, don't worry about what happened,you may have to reduce a bit more weight,practice yoga too if possible All the best

My sleep gets disturbed by dreams and breathlessness. What to do?

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