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Suggest Medication For Sleeplessness

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Posted on Wed, 15 Jul 2015
Question: I stopped taking zanex 3months ago cold turkey an caused depression I have recently started taking mirtrazapine and gabapinton the mirtrazapine does not seem to be working can't see my doctor till Monday can I take something for sleep instead of the mirtrazapine
doctor
Answered by Dr. Shubham Mehta (3 hours later)
Brief Answer:
benadryl.

Detailed Answer:
Hello
Welcome to HCM.
I can understand your concerns.

If mirtazapine is nit working for you, you can take benadryl as a sleeping aid till you see your doctor. This is available as an OTC drug.

Hope this helps.
Take care.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shubham Mehta (12 hours later)
why do I not feel real? will this pass? is it from cting the benzos.....please tell me what to do to get my life back....
doctor
Answered by Dr. Shubham Mehta (3 hours later)
Brief Answer:
restart xanax; SSRIs.

Detailed Answer:
You stopped xanax cold turkey. I think would have acted a precipitating factor for your depression.

If I would have been your treating doctor, I would have restarted your xanax.
Along with it, I would have given you an SSRI antidepressant like lexapro or prozac.

The SSRIs take 2-3 weeks to show their effect. After this period, I would have considered reducing xanax gradually.

This would have been my treatment plan for you.

In my opinion and clinical experience, mirtazapine and gabapentin can cause drowsiness and hangover like state in many cases. There is no complete sedation (like benzos) (the effects may vary from person to person, however).
These drugs would not have been my first choice for you.

Kibdly discuss this with your doctor.

Hope this helps.

Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shubham Mehta (1 hour later)
this is her husband will reinstatement on the zanex make the memories and terror go away
doctor
Answered by Dr. Shubham Mehta (8 hours later)
Brief Answer:
most probably yes.

Detailed Answer:
In my opinion, yes.

I would suggest her to restart xanax at the original dose and taper it gradually.

This should help.

Kindly discuss this with her doctor.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shubham Mehta (10 hours later)
just woke up from another night of taking that medicine I didn't sleep well at all!!! I feel really wierd....should I continue to take this mixture
doctor
Answered by Dr. Shubham Mehta (59 minutes later)
Brief Answer:
change of drugs needed

Detailed Answer:
As I told you earlier, gabapentin and mirtazapine cause drowsiness more than sleep.

I would not recommend the use of this mixture.

Kindly request your doctor to change the drugs.

Restarting of xanax must be considered.

Hope this helps.
Take care.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shubham Mehta (2 hours later)
if I had xanax here would you use it? will it work if I was having interdose withdrawal....can it lift my head out of this hell it's in....can I ever be happy and forget about this hell again? are you a benzo wise doc? just terrified
doctor
Answered by Dr. Shubham Mehta (1 hour later)
Brief Answer:
xanax will help you.

Detailed Answer:
I would most certainly use it for you.

I feel you never settled after stopping xanax 3 months earlier. You are experiencing, what i feel is, protracted withdrawal.

I prefer to use benzos in my patients when they have extreme depression and anxiety.

So, in my opinion, you would feel better with xanax.

Kindly discuss this with your doctor.

Take care.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shubham Mehta (29 minutes later)
ok how much should I take I quit at one milligram
doctor
Answered by Dr. Shubham Mehta (3 hours later)
Brief Answer:
start with same dose

Detailed Answer:
You should start with same dose as earlier


Thanks.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shubham Mehta

Psychiatrist

Practicing since :2008

Answered : 2145 Questions

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Suggest Medication For Sleeplessness

Brief Answer: benadryl. Detailed Answer: Hello Welcome to HCM. I can understand your concerns. If mirtazapine is nit working for you, you can take benadryl as a sleeping aid till you see your doctor. This is available as an OTC drug. Hope this helps. Take care. Thanks.