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Doctor insights on: Insomnia Plus Medication

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Do you need to take medication in addition to having cbt to help with insomnia?

Do you need to take medication in addition to having cbt to help with insomnia?

Along with CBT use: Good sleep hygiene. 1. Keep a regular bedtime & wakening time (to include weekends). Get up the same time each day, regardless of what time you fell asleep. 2. Make a regular, relaxing bedtime routine. Relaxing rituals prior to bedtime may include a warm bath or shower, aroma therapy, reading, or listening to gentle music. 3. Sleep in a dark, quiet, cool room on comfortable mattress & pillows. ...Read more

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Dr. Heidi Fowler
1,717 doctors shared insights

Insomnia (Definition)

A sleep disorder in which a person cannot fall or stay asleep. It usually accompanies another sleep, medical, or psychiatric disorder, and can lead to memory impairment, mood changes, and increased risk of ...Read more


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I'm wondering what medication helps insomnia?

I'm wondering what medication helps insomnia?

There are many : Options such as antihistamines, melatonin, chamomile, valarian root, trazodone, ambien, halcion, lunestia, rozerem, silenor, sonata (zaleplon) etc. ...Read more

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How do I fight insomnia when my pain medications keep me awake?

How do I fight insomnia when my pain medications keep me awake?

Sleep: Concur w dr. Kondev - look at timing of meds & possible med changes w your doctor. Use good sleep hygiene. 1. Keep a regular bedtime & wakening time (to include weekends). Get up the same time each day, regardless of what time you fell asleep. 2. Make a regular, relaxing bedtime routine. Relaxing rituals prior to bedtime may include a warm bath or shower, aroma therapy, reading, or listening to. ...Read more

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I have chronic insomnia and no relevant medical conditions. I have tried everything holistic and medications. How do I improve this?

I have chronic insomnia and no relevant medical conditions.  I have tried everything holistic and medications.  How do I improve this?

Chronic insomnia: Here's the protocol: 1. Regular bedtime and wake-up time. 2. Relax before bedtime. 3. Quiet, peaceful bedroom. 4. Avoid work & tv in bedroom. 5. Don't eat in 3 hours before bedtime. 6. Avoid caffeine & alcohol within 2 hours of bedtime. 7. Exercise regularly for 20 minutes a day during daytime. 8. Avoid naps. 9. Don't go to bed unless you feel sleepy. 10. Address your stresses well before bedtime. ...Read more

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What are some lifestyle changes that can help fight insomnia? Are there things i can do at home, without medication, to help my insomnia? .

What are some lifestyle changes that can help fight insomnia? Are there things i can do at home, without medication, to help my insomnia? 

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Sleep hygiene : Good sleep hygiene is critical to relieving insomnia. 1) go to bed each night at the same time and get up each morning at the same time, at least seven hours later. 2) avoid large meals before bedtime. 3) don't do anything in bed except sleep or sex. No gadgets. 4) if you awaken, leave bed for a comfortable chair and read in soft lighting until tired and return to bed. Get up at prescribed time. ...Read more

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I was prescribed zopiclone for insomnia I started 2 nights ago and since then I’ve wet my bed both nights is this related to the medication?

I was prescribed zopiclone for insomnia I started 2 nights ago and since then I’ve wet my bed both nights is this related to the medication?

Unlikely: It may be because you were in deep sleep and weren't alarmed to wake up to empty your bladder. Try avoiding caffeinated beverages or drinking a lot before retiring, and empty your bladder as well before going to bed at night, if that doesn't work, call/see your doctor, best wishes ...Read more

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How to battle insomnia without medication?

Many options: Good question, as medication should be a last resort! practice sound "sleep hygiene." try relaxation techniques & consider 5-htp, magnesium, valerian and other natural remedies. For much more info see http://www.Psychologytoday.Com/blog/owning-pink/201106/how-treat-insomnia-naturally & http://altmedicine.About.Com/cs/conditionsitoq/a/insomnia.Htm & http://www.Drweil.Com/drw/u/art02037/sleep-aid. ...Read more

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Is there any OTC medications for insomnia?

Is there any OTC medications for insomnia?

Antihistamines: Antihistamines like Diphenhydramine (benadryl) or similar sedating antihistamines are helpful in causing drowsiness. Also, supplements like melatonin may be helpful in insomnia. ...Read more

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What medication is good to use longterm for insomnia?

What medication is good to use longterm for insomnia?

No to Sleeping Pills: The best longterm treatment for insomnia is the work to retrain your brain to sleep. There is no good sleeping pill that is safe for the long term. One can and one must learn how to breath themselves to sleep or to retrain the brain to sleep naturally. ...Read more

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What are some ways to relieve insomnia without getting medication?

Diet, sleep patterns: To relieve insomnia without medication, the evening diet should be evaluated. All caffeine and stimulants should be avoided in the evening. Sleep patterns, such as napping, amount of sleep should be considered. Melatonin, which is a natural supplement (not medication) helps rebalance sleep cycles. Proper amount of exercise will help as well as removing external stimulus (tv and lights) warm milk! ...Read more

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I have an insomnia t, which food or medications I take to improve sleeping ?

I have an insomnia t, which food or medications I take to improve sleeping ?

Difficulty falling: asleep is often associated w/anxiety while waking up early and not returning to sleep is associated w/depression. Periodic waking is associated w/overall light sleep. Please see you doc who may order a sleep study. A psychologist can help w/stress management. Peace and good health. Natural treatment includes melatonin supplement but w/professional guidance. Stop all stimulants after noon. ...Read more

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How can I treat insomnia without medication. Try to go to bed by 10:30pm sometimes up till 3am : I am caffeine free.

How can I treat insomnia without medication. Try to go to bed by 10:30pm sometimes up till 3am : I am caffeine free.

See below: Talk to you primary care doctor as to why you're experiencing insomnia. Meanwhile, establish time when you would like to go to bed. Create a bed time routine: warm showers, room on a slightly cooler side. Learn relaxation exercises to help put your body in a"i'm sleeeeeepy mode" :). Don't use your bedroom as your office. Our body likes schedules and routines. Remember that:). ...Read more

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I always wake up at around 3am and have trouble getting back to sleep. I used to take medication for insomnia. What seems to be the case now?

I always wake up at around 3am and have trouble getting back to sleep. I used to take medication for insomnia. What seems to be the case now?

A "classic" Sx of MD: Major depressive episodes often include the symptom of "early morning awakening"; thought to be a result of hormonal disturbances often found with biologically induced depression. Visit a psychiatrist, he/she will review your sleep hygiene; suggest a trial of non-rx melatonin; if these did not help, rozarem, or silenor; stronger antidepressants: trazadone Remeron (mirtazapine) or Elavil may be necessary, .. ...Read more

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During night time i usually can't sleep well, tried to take pills and still i can't sleep well. Any medications? Am i suffering from insomnia?

During night time i usually can't sleep well,   tried to take pills and still i can't sleep well. Any medications? Am i suffering from insomnia?

Insomnia is possible: sleep hygiene is key .Retire & rise same time each day. Bedroom should be dark & cool - used only for sex & sleep. Turn off tv. No naps. Exercise regularly but not in late evening. No caffeine for 6 hrs & no alcohol or tobacco w/i 2 hrs of sleep. Dinner should be moderate sized & finished at least 2 to 3 hours before sleep. Can try warm milk, chamomile tea or melatonin along w light reading, warm ...Read more

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Insomnia-tried every medication it seems. It works sometimes but only for maybe a week or two then i'm back up for days on only hours of sleep. ?

Insomnia-tried every medication it seems. It works sometimes but only for maybe a week or two then i'm back up for days on only hours of sleep.
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Sleep hygiene: Getting up at same time every day, 7 days per week, regular exercise but not right before bed, and going to sleep at the same time every night. If you aren't using stimulants and this doesn't help, see your doctor for a work up of the problem. ...Read more

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Can you please discuss the psychotropic medications for insomnia?

Agree w Dr. Refai: In addition to his list there are Elavil (amitriptyline) ; nortripytline. It is important not to forget good sleep hygiene. Retire ; rise same time each day. Keep bedroom dark ; cool ; use only for sex ; sleep. Turn off tv. No naps. Exercise regularly but not in late evening. No caffeine for 6 hrs ; no alcohol or tobacco w/i 2 hrs of sleep. Keep dinner moderate sized ; finish at least 2 to 3 hrs before sleep. ...Read more

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What are the top medications that are prescribed to a patient with chronic insomnia?

Sleep medications: are potentially addictive, have a variety of side effects that can impact daytime functioning & don't address the cause of the insomnia, so they are best used as short-term adjuncts to sleep hygiene, Cognitive-Behavioral Therapy & medical management of underlying physical & mental disorders. See your doctor for medical & neurological exams, a sleep study & referral to mental health providers. ...Read more

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Seeing my psych tomorrow, what is a good medication that helps insomnia from anxiety?

Seeing my psych tomorrow, what is a good medication that helps insomnia from anxiety?

Address the Anxiety: Your insomnia, as you state, is a function of your anxiety. Addressing the anxiety that you say is causing your sleep problems (you don't say whether the insomnia is sleep onset, sleep maintenance or early awakening) is the goal here. A short term fix on the sleep issue might be better addressed with some behavioral techniques (e.g. Deep muscle relaxation) while the root cause is addressed. ...Read more

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