A 33-year-old male asked:
Disclaimer

insomnia 2+ years. on pristiq, (desvenlafaxine) lithium for bipolar. no sleeping pills work. valium does not work. a high dose xanax can. 2 to 5 mg. what can i do?

3 doctor answers
Dr. Pamela Pappas
41 years experience Psychiatry
Not drugs alone: Xanax, (alprazolam) especially at high dose, is not a healthy long-term option for you. Evidently you have a good bit of tolerance already. If you're using other substances in addition to your meds (including alcohol), stop. Use good sleep hygiene steps in your day-to-day life. Find more info about this at: http://www.Sleepfoundation.Org/article/ask-the-expert/sleep-hygiene also yoga such as yoga nidra.
Answered on May 1, 2016
4
4 thanks
Dr. Robert Stewart
43 years experience Clinical Psychology
Insomnia suggestions: Regular sleep schedule, especially time to get up. Minimize light before sleep period, including tv & computer. Don't go to bed hungry or right after a big meal. Avoid or minimize caffeine & alcohol. Exercise regularly, but not within 3-4 hrs before bedtime. Use relaxing pre-sleep routine (warm bath, light snack, reading). Bedroom temp at 60-68f. Learn relaxation skills. Find sleep specialist.
Answered on May 14, 2016
2
2 thanks
Dr. Judith Tellerman
41 years experience Clinical Psychology
INSOMNIA: There are excellent medications for insomnia. A Psychiatrist can guide you to the best one. Insomnia might be due to several different reasons. First have a complete physical exam by a Dr. to rule out underlying biological problem. If no problem consult with a Clinical Psychologist for psychotherapy help & possible referral to a sleep study.
Answered on Oct 29, 2020

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
Unlimited visits
$10/month

Related questions:

A 38-year-old male asked:
Dr. K. Olson
Dr. K. Olson answered
38 years experience Psychiatry
Pristiq (desvenlafaxine) insomnia: This is a particularly pesky problem that is often accompanied with daytime tiredness that can be inordinate - even more than expected with the dimini ... Read More
1
1 thank
A 46-year-old female asked:
Dr. Donald Jacobson
A Verified Doctor answered
A US doctor answered Learn more
Pristiq (desvenlafaxine) insomnia: The first thing would be to make sure you switch the Pristiq (desvenlafaxine) to the morning. Then you could take trazodone 25-50 mg at bedtime. It is ... Read More
2
2 thanks
A 34-year-old member asked:
Dr. Sal Aragona
40 years experience Dentistry
Prevention: Not being able to sleep may indicated sleep problems that can be life shortening or life threatening. The only way to know if there are serious probl ... Read More
1
1 thank
A 47-year-old female asked:
Dr. Douglas Bey
56 years experience Psychiatry
Not dangerous but...: You r trying to adjust your neurotransmitters with your medicines--you r adding marajuana which is adding additional chemicals to the mix that may hav ... Read More
2
2 thanks

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
Unlimited visits
$10/month