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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat A Sleep Disorder Caused By Anxiety Symptoms?

hi i am bala fro bangalore My problem is I get choking & gasping for air in the initial phase of the sleep say within 2-3 mins.After that due to anxiety I do not fall asleep.This happens in any sleeping postures but more in lay flat posture.I go to bed at 10-30 pm and gap between dinner & sleep is 3 hrs. I walk over a mile after supper.Iam taking coversyl 4mg & amlodipline for hyper tension & zapiz 0.25 mg for myoclonic jerks.This episode of choking does not happen every day , but at least once in 10 days.Doctor told me that these are anxiety symptoms & could be brought down by yoga & pranayama.I do yoga regularly.i have mild acid reflux.Almost every day I get up at 3 am & i do mot get sleep afterward. My sleep apnea test is negative for apnea episodes.Pl suggest what is to be done
Tue, 6 Jan 2015
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Psychiatrist 's  Response
Hi.

I understand your concern.

Many a times stress and anxiety disorder are associated with insomnia.

Treatment of anxiety can help to restore normal sleep pattern.

Zapiz .25 mg is anxiolytic but it can not help in sleep. Zapiz .5mg to 1 mg can help in sleep.

There are other benzodiazapine which can be useful for sleep like lorazepam and zilpidam.

Take advise from your treating doctor before taking any medicine.
continue to take medicines for hypotension and reflux.

Yoga /relaxation /meditation and exercise can help.

Maintain sleep hyigene and read about it from net.

Still if you have a query then feel free to ask.

Happy to help you.
Thank you.
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How To Treat A Sleep Disorder Caused By Anxiety Symptoms?

Hi. I understand your concern. Many a times stress and anxiety disorder are associated with insomnia. Treatment of anxiety can help to restore normal sleep pattern. Zapiz .25 mg is anxiolytic but it can not help in sleep. Zapiz .5mg to 1 mg can help in sleep. There are other benzodiazapine which can be useful for sleep like lorazepam and zilpidam. Take advise from your treating doctor before taking any medicine. continue to take medicines for hypotension and reflux. Yoga /relaxation /meditation and exercise can help. Maintain sleep hyigene and read about it from net. Still if you have a query then feel free to ask. Happy to help you. Thank you.