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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Fatigue And Insomnia Be Treated?

I have suffered from fibromyalgia for many years. I am 79 years old and the fatigue and fibro fog are debilitating. I take duloxetine 60 mg in the am, gabapentin 300 twice a day and mirtazapine 15 mg to sleep. I sleep well towards morning I have really awful nightmares. Am I taking too much medicine?
Mon, 31 Dec 2018
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General Surgeon,  's  Response
Hi,

Well, insomnia may be difficult to treat, but there are some methods which can be used. Treatment options include behavior and lifestyle changes, medicines, and complementary medicines.

You need to change your dietary habits and these include changing your sleep area or schedule, watching what and when you eat and drink, and being more active.

It's also important to keep regular bedtimes and wake times-7 days a week-and to try to avoid taking naps during the day.

Prescription sleep medicines may also help and include diazepam and similar medications. Melatonin is supplement which may be of help as well. In severe cases special testing is needed.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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How Can Fatigue And Insomnia Be Treated?

Hi, Well, insomnia may be difficult to treat, but there are some methods which can be used. Treatment options include behavior and lifestyle changes, medicines, and complementary medicines. You need to change your dietary habits and these include changing your sleep area or schedule, watching what and when you eat and drink, and being more active. It s also important to keep regular bedtimes and wake times-7 days a week-and to try to avoid taking naps during the day. Prescription sleep medicines may also help and include diazepam and similar medications. Melatonin is supplement which may be of help as well. In severe cases special testing is needed. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon