Dr. Vandana Patidar
Psychiatry
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Patient's Query
Hello doctor,
I was diagnosed with OSA and parasomnia/sleepwalking. I have been on CPAP for several months now with success, but still having some episodes at night, where I act out my dreams and I am afraid and run out of the house onto the street. I was also violent and aggressive towards my partner during this time of the last episode, which was two nights ago. She has children that live with us and we are extremely concerned about their safety if I have one of these episodes. I do not drink alcohol, smoke, and try to reduce my stress level. I have been using the CPAP religiously but would like a backup method to suppress these violent episodes that may/may not happen. It is really affecting my sleep, especially since I broke my foot. Please help.
Hello,
Welcome to icliniq.com.
I understand your concerns. Your sleepwalking is mainly because of your OSA (obstructive sleep apnea). But as you said it is under control then sleepwalking should also be in control.
You can try some measures to prevent any harm to others and yourself.
1) Always cover your window and doors before going to bed.
2) Place an alarm on door and on windows.
3) Remain away from stress you can try some pranayam and meditation as well.
4) Exercise during day time so that you feel tired physically which leads to a deep sleep.
We start you on some medication as well like Clonazepam in the range of .25 mg to .5 mg. You can repeat your sleep study also. If you have any other doubt you can always consult me here on icliniq.
Patient's Query
Thank you doctor,
Yes exactly, my sleepwalking is because of my OSA. Very rare, but when I do sleepwalk it is like a bad violent nightmare I do not have control of it. I do exercise regularly and try to avoid stress as much as possible, but sometimes it is inevitable. I would like to try Clonazepam as soon as I can, as I have read many studies where it suppressed the violent sleep episodes similar to mine.
Hi,
Welcome back to icliniq.com.
Yes, you should try Clonazepam. Try it for 10 -14 days and then let me know your progress.
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Psychiatry
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