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Suggest Treatment For Chronic Insomnia
Question: I have had been sufferenig from chronic insomnia for 10 years. I have been treated with CBT extensively but did not work. Initially I started taking 20 mg Zopidiem and it wirked for few years bu it has reduced effective XXXXXXX inspite increasing the dosage to 40 mg during bed time. I am lucky if I can sleep 2 to 3 hours. I am 69 with multiple mentally ill children. I live in Redland Bristol. I need treatment program to be able to have normal sleep. The Zopidem does not work well even with increased dose. The CBT has been useless. This has progressively worsened over the years. I have anxiety because mentallly ill children. I am 68
I would like a long term treatment plan formulated if you are insomnia expert who can treat me. I need asap.
I would like a long term treatment plan formulated if you are insomnia expert who can treat me. I need asap.
Brief Answer:
I think seroquel can be a option for you
Detailed Answer:
Dear XXXX,
Thanks for using Healthcaremagic as your health partner.
I read your query and understand your concerns.
Although I am not sure what medicine you have tried till date other than Zolpidem but I think seroquel could be a better option at lower dosages such as 12.5 or 25 mg at bedtime.
In my practice many of the treatment resistant insomnia patients got substantial relief with seroquel particularly at the advancement of age.
This belongs to antipsychotic class of medication but acts as excellent sedative and anxiolytic at lower dosage.
This is prescription only medication and you will need a prescription to buy it from pharmacy. I often start with 12.5 mg and increase to 25 mg if there is incomplete response.
I must inform you that there is no definite treatment for insomnia and only trial and error can offer a optimum mode of treatment for you.
I hope this helps you.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
I think seroquel can be a option for you
Detailed Answer:
Dear XXXX,
Thanks for using Healthcaremagic as your health partner.
I read your query and understand your concerns.
Although I am not sure what medicine you have tried till date other than Zolpidem but I think seroquel could be a better option at lower dosages such as 12.5 or 25 mg at bedtime.
In my practice many of the treatment resistant insomnia patients got substantial relief with seroquel particularly at the advancement of age.
This belongs to antipsychotic class of medication but acts as excellent sedative and anxiolytic at lower dosage.
This is prescription only medication and you will need a prescription to buy it from pharmacy. I often start with 12.5 mg and increase to 25 mg if there is incomplete response.
I must inform you that there is no definite treatment for insomnia and only trial and error can offer a optimum mode of treatment for you.
I hope this helps you.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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