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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Depression And Severe Insomnia

I am skeptical regarding the drugs my psychiatrist prescriped and want to know the side effects due to combination of those I have a panic disorder and and severe insomnia worsened by my anxiety and prescribed me the following ambien 0.5 mg paxien 0.5 etizolam 0.5 mg divalproex 500mg I also have sucidial ideations when I do not sleep well and gets panicked Out of all I didn t take zolfresh but was able to sleep well in the last two days by the combination of others out of all others divalproex is prescribed me at morning paxil-cr at night and etizolam at both times... I am feeling the combination Might be a little harsh in lieu of my condition and wants to ask for the advice as my current depression only is due to sleeping not well and gets panicked when it comes to meds as i feel it dosen t works on me......But then i have episodes of extreme paniac situations but i f8inds solution on my own
Mon, 19 Aug 2019
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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 a 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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Suggest Treatment For Depression And Severe Insomnia

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 a 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