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Suggest Treatment For Insomnia

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Posted on Thu, 11 Dec 2014
Question: I have been having sleeping problems and i starter taking Benadryl cough syrup for a good sleep. After sometime it went use less and i am currently using Zolpidem for sleeping. Gradually even after taking 150mg of zolfresh i am not getting a proper sleep. I guess i am addicted to it.
doctor
Answered by Dr. Ravi Soni (38 minutes later)
Brief Answer:
You have to taper the drug

Detailed Answer:
Hi, thanks for your query. Welcome to HCM.

Do you mean 15 mg of zolfresh or 150 mg?
Because 150 mg is very high dose and you have to visit a psychiatrist or a physician immediately.

For the management of insomnia there are few steps one has to follow:
1. Identify whether it is a primary insomnia [without any other disorder or stressor, depression or anxiety or any physical illness] or secondary insomnia [secondary to other problems as mentioned above].
2. If it is a secondary insomnia then one has to go for treatment of the cause of insomnia.
3. Primary insomnia is treated by hypnotics and sedatives for short term only and response rate is high.
4. One has to follow the steps of sleep hygiene.
5. Avoid any addictive drugs, alcohol, caffeine, tea etc.

You can read about sleep hygiene from the internet because it is very difficult to explain here in detail.

You have to taper zolpidem and it is not simple for you to do without guidance and observation of psychiatrist. In my opinion you should visit a psychiatrist, undergo thorough evaluation. After evaluation he will tell you about further plan. If you are suffering from any psychiatric illness, he may prescribe medications and you need not take sleeping pills on your own. Even though your past experience with a psychiatrist was not fruitful, you have visit again.

Do not take benadryl syrup or any other substance for sleep, because if you become addicted to them then it will be very difficult for you to get out of it.

Give answers to my questions and read about sleep hygiene. Visit a psychiatrist, it will be more beneficial to you.

Hope I have answered your query. If you have further query then feel free to ask. Wish you good health.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Ravi Soni (30 minutes later)
Can you please provide me some other medications as a substitute for zolfresh?
doctor
Answered by Dr. Ravi Soni (5 minutes later)
Brief Answer:
Taking another medication wont solve issue

Detailed Answer:
Hi, thanks for writing again.

Substituting zolfresh with another drug will not be helpful because you may get addicted to that one. You require final solution and that will not be achieved by substituting drugs with one another. Reason for insomnia is very important to find out.

There are drugs like zopiclone, eszopiclone from the same class of zolfresh. Other options are benzodiazepines but they are more addicting then previous ones. You can not get these drugs on your own, you need prescription from the doctor.

hope I have answered your query. If you do not have further question then close the discussion and rate the answer. Wish you good health.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Ravi Soni (16 minutes later)
Can i get a online prescription for this?
doctor
Answered by Dr. Ravi Soni (23 minutes later)
Brief Answer:
You can not get prescription online

Detailed Answer:
Hi, thanks for writing again.

I ma sorry to say that you can not get online prescription for this.
This site provides solution to the query and advise for the consultation to respective doctor. we can give a strategy but doctors are not allowed to write prescription because site do not take any responsibility for medicolegal issues.

Doctors are bound to follow the policy of the site. So you can not get prescription from us.

Hope I have tried my best to help you. If you do not have further query then close the discussion and rate the answer. Wish you good health.
Note: In case of any other concern or query related to prevention, evaluation, diagnosis, treatment, or the recovery of persons with the any type of addiction or substance use, follow up with our Addiction Medicine Specialist. Click here to book a consultation now.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Ravi Soni

Psychiatrist

Practicing since :2010

Answered : 538 Questions

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Suggest Treatment For Insomnia

Brief Answer: You have to taper the drug Detailed Answer: Hi, thanks for your query. Welcome to HCM. Do you mean 15 mg of zolfresh or 150 mg? Because 150 mg is very high dose and you have to visit a psychiatrist or a physician immediately. For the management of insomnia there are few steps one has to follow: 1. Identify whether it is a primary insomnia [without any other disorder or stressor, depression or anxiety or any physical illness] or secondary insomnia [secondary to other problems as mentioned above]. 2. If it is a secondary insomnia then one has to go for treatment of the cause of insomnia. 3. Primary insomnia is treated by hypnotics and sedatives for short term only and response rate is high. 4. One has to follow the steps of sleep hygiene. 5. Avoid any addictive drugs, alcohol, caffeine, tea etc. You can read about sleep hygiene from the internet because it is very difficult to explain here in detail. You have to taper zolpidem and it is not simple for you to do without guidance and observation of psychiatrist. In my opinion you should visit a psychiatrist, undergo thorough evaluation. After evaluation he will tell you about further plan. If you are suffering from any psychiatric illness, he may prescribe medications and you need not take sleeping pills on your own. Even though your past experience with a psychiatrist was not fruitful, you have visit again. Do not take benadryl syrup or any other substance for sleep, because if you become addicted to them then it will be very difficult for you to get out of it. Give answers to my questions and read about sleep hygiene. Visit a psychiatrist, it will be more beneficial to you. Hope I have answered your query. If you have further query then feel free to ask. Wish you good health.