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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Insomnia And Tingling Sensation In The Body?

I am peri-menopausal, can t sleep do to hot and cold feeling and when I lay down my whole body feels tingling. on 1/25 Dr put me on 10 mg amatriptyline at bedtime along with the black cohosh and valerian root I was taking. It started to help, I think, but had 4 really bad nights, the 3rd night didn t get more than a few minutes sleep from 10am to 8am, I fall asleep but then wait up when I try to lay all the way down. Talked to Dr today she is prescribing Abien to take with the rest. I am worried about side effects. Also, After 4 days of crappy sleep I really feel out of sorts today, having quick hot flashes and getting the tingling feeling off and on which last for a few minutes. Thoughts?
Fri, 31 Mar 2017
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Psychiatrist,  's  Response
Hi, Mam you are going through peri-menopausal syndrome. The main reason is Hormonal Changes.. particularly progesteron and oestrogen.. These hormones are responsible for maintaining menstrual cycles and reproduction in females. As age advances towards menopause, these hormone level deplits which causes hot and cold flushes, irritable mood, frequent mood fluctuations, sleep disturbances. Vit D 3 is supportive treatment. Tab. amitryptiline can be given but 10 mg is quite a low dose or rather than increasing the dose of amitryptiline you can be tried with other medicines like fluoxetine or escitalopram along with sleep inducing medicines for few weeks.. You can continue with Abien till then. For these changes please visit nearby psychiatrsist or your physician.
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What Causes Insomnia And Tingling Sensation In The Body?

Hi, Mam you are going through peri-menopausal syndrome. The main reason is Hormonal Changes.. particularly progesteron and oestrogen.. These hormones are responsible for maintaining menstrual cycles and reproduction in females. As age advances towards menopause, these hormone level deplits which causes hot and cold flushes, irritable mood, frequent mood fluctuations, sleep disturbances. Vit D 3 is supportive treatment. Tab. amitryptiline can be given but 10 mg is quite a low dose or rather than increasing the dose of amitryptiline you can be tried with other medicines like fluoxetine or escitalopram along with sleep inducing medicines for few weeks.. You can continue with Abien till then. For these changes please visit nearby psychiatrsist or your physician. Thanks