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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Lexomil Advisable For Chronic Insomnia?

I LOST MY SON 21 YEARS OF AGE IN A TRAGIC CAR ACCIDENT AND SINCE HIS DEATH YEARS AGO I CANNOT FALL ASLEEP AT ALL. MY DOCTORS IN CALIFORNIA GAVE ME DIFFERENT SLEEPING PILLS BUT NON OF THEM WORKED FOR ME. A CAMBODIAN DOCTOR WHO PASSED AWAY THIS YEAR GAVE ME A PILL NAMED LEXOMIL FROM ROCHE/BROMAZEPAM. THIS PILL HELPED ME A LOT AND I CAN SLEEP 5-6 HRS NIGHTLY BY TAKING ONE PILL OF 6 MG. THE QUESTION NOW IS WHERE CAN I FIND THIS FANTASTIC PILL IN THE USA OR ANY OTHER PHARMACY ABROAD, I HAVE A WRITTEN PRESCRIPTION FOR THIS PILL.
Thu, 2 Jan 2020
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General Surgeon 's  Response
Hello,

I understand that you have been suffering from early insomnia (difficulty in initiating sleep) for a long time.

Seroquel (Quetiapine) is an antipsychotic medication that has sedative properties and if sometimes used in the short-term management of insomnia.

Unfortunately, you have been experiencing multiple side effects of that medication.

Now, there are several other medications which can be used to treat insomnia.

Benzodiazepines are one such group, but the problem with this group of medication is the high risk for dependence.

One good alternative, especially for initial / early insomnia is Zolpidem. This is very effective in people who have trouble falling alseep.

It is a relatively safe medication and unlike benzodiazepines, there is no risk for dependence.

Low doses of certain antidepressants with sedative properties are also often used effectively in the management of insomnia.

Trazadone is one such medication that is used in low doses (25 - 50 mg) for treating insomnia.

Since you also mention that you suffer from anxiety-related symptoms also, another good option would be Mirtazapine - which is an antidepressant with both sedative and anti-anxiety properties.

So, I would suggest that you discuss about the above-mentioned options with your doctor, so that an appropriate choice of medication can be made.

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

Take care

Regards,
Dr Iven Romic Rommstein, General Surgeon
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Is Lexomil Advisable For Chronic Insomnia?

Hello, I understand that you have been suffering from early insomnia (difficulty in initiating sleep) for a long time. Seroquel (Quetiapine) is an antipsychotic medication that has sedative properties and if sometimes used in the short-term management of insomnia. Unfortunately, you have been experiencing multiple side effects of that medication. Now, there are several other medications which can be used to treat insomnia. Benzodiazepines are one such group, but the problem with this group of medication is the high risk for dependence. One good alternative, especially for initial / early insomnia is Zolpidem. This is very effective in people who have trouble falling alseep. It is a relatively safe medication and unlike benzodiazepines, there is no risk for dependence. Low doses of certain antidepressants with sedative properties are also often used effectively in the management of insomnia. Trazadone is one such medication that is used in low doses (25 - 50 mg) for treating insomnia. Since you also mention that you suffer from anxiety-related symptoms also, another good option would be Mirtazapine - which is an antidepressant with both sedative and anti-anxiety properties. So, I would suggest that you discuss about the above-mentioned options with your doctor, so that an appropriate choice of medication can be made. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Iven Romic Rommstein, General Surgeon