Doctor insights on:
Prescription Drugs For Insomnia
It depends: Treatment is different for everyone since migraines are different for everyone, so there is no real answer. Basically, you need to discover through the process of elimination what works for you, be it over-the-counter meds or some herbal concoction or whatever. Until migraines are better understood, treatment will remain on a case-by-case basis. ...Read moreSee 1 more doctor answer
Many options: Chronic pain can be difficult to treat. What works for one person might not work for someone else. If you have chronic pain it is best to see a pain specialist to go over the various options. Some would include nsaids and anti-depressants. Narcotics are usually a last resort due to the risk of dependence, tolerance, and addiction. ...Read moreSee 1 more doctor answer
Clarify, please!: Do you want to know how to treat addiction? There are many addicting drugs out there and the medical treatment is different for all of them. But for all of them Narcotics Anonymous or Alcoholics Anonymous are extremely helpful and can often be the only treatment required. Often these programs, which are free, have success rates equal to many inpatient and outpatient costly rehab programs. ...Read moreSee 1 more doctor answer
Quite common: Many drugs have the side effect of causing or worsening depression. Even antidepressants can worsen depression or cause fatigue etc. Sadly, this is seen as a tolerable side effect by many drug companies. I usually recommend trying the "baby" dose of any medication that a physician prescribes with the exception of antibiotics. Especially for those who are medication sensitive. ...Read moreSee 1 more doctor answer
Taken trazodone, seroquel (quetiapine) and remeron for chronic insomnia with no success, any other long term solutions?
Evaluation: You haven't said what type of evaluations you've had for your chronic insomnia. Medicating it has so far not been effective for you. Insomnia can be part of certain psychiatric conditions -- like depression, anxiety disorders, & substance abuse. There are also primary insomnias, which formal sleep studies can discern and for which focused treatments can be given. Please ask your doc about this. ...Read more
Tried every sleep Rx and alternative therapies,apnea test, and crappy off market or new drug.. Will an MD ever script Seconal for lifelong insomnia?
Warnings to watch: Interactions of marijuana and a range of pain medications exist and raise risks of dizziness and in worst cases CNS depression that can be fatal in extreme instances. So, do NOT use pot in combination w/ pain meds w/out clearing it w/ your provider. But this drug has no interaction w/ marijuana at all . So, as long as it is legal where you'd use it - you're safe. The law can hurt you, so take care ...Read moreSee 1 more doctor answer
Abuse treatment: The treatment plan for someone potentially suffering from addiction needs to start with a high quality assessment best done by a physician certified in addiction medicine by the american society of addiction medicine (http://www.Asam.Org/). A comprehensive assessment will allow the development of a high quality treatment plan. Addiction is a progressive and fatal disease if left untreated. ...Read more
Any docs believe prescribing adderall/other prescription amphetamine effective/acceptable sub to prevent relapse, aid in withdrawal symptoms for meth addiction?
Harm Reduction. : The ideal treatment for meth addiction is one that does not include use of stimulants. The meth addict treated with stimulant replacement runs the risk of impaired control over use. At the same time, the physician should "first do no harm", and in rare case by case basis may have to employ the lesser of two evils for purposes of harm reduction. Ideally addressed by an addiction psychiatrist. ...Read moreSee 1 more doctor answer
Many: Benadryl (diphenhydramine) or melatonin can be enough for some people and those you can get without prescription. Trazodone helps many people. I have also used Amitriptyline and doxepin. Seroquel is sometimes used. It is very sedating, but has many potential side effects. Mirtazepine is another antidepressant that is usually sedating, but not used just for sleep ...Read more
Safe ones?: Well, "safe" is a matter of opinion . 1. Phentermine is given and is cheap (15.00 at costco pharmacy). It is a schedule 2 drug and needs to be monitored monthly. Usually good for 3-4 months only. 2. Topamax (topiramate) is another one. Lots of side effects though. 3. Any stimulant (adderall, concerta, ritalin....) causes appetite suppression. Diet and exercise are still the hallmarks of weight control. ...Read more
NSAIDs vs Tylenol (acetaminophen): Ibuprofen is a non-steroidal anti inflammatory that can be used to reduce pain and inflammation. Tylenol (acetaminophen) or Acetaminophen is a anti-pyretic medication used to reduce pain and fever, however tylenol (acetaminophen) does not reduce inflammation. ...Read moreSee 1 more doctor answer
Stopped hormone replacement therapy and now have symptoms including insomnia. Dr prescribed ativan (lorazepam) for sleep. Which is safer, ativan (lorazepam) or hrt?
Hrt: The best treatment for insomnia is to find its cause, often hormonal imbalances and deficiencies may play a significant role and hrt may contribute to eliminating or improving the sleep disorder. Ativan (lorazepam) simply relieves anxiety, which is not dealing with the root of the insomnia. It may be associated with dependence and side effects, such as hangover, memory loss, etc. ...Read moreSee 1 more doctor answer
What's the best way to treat insomnia when nothing else seems to work? I've tried cutting out caffeine, meditation, melatonin, prescription drugs…
A patchwork quilt: approach is best. Try improving sleep hygiene across the board. Sleep Hygiene is Key. 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. Can try warm milk, > ...Read moreSee 1 more doctor answer
What are good prescription medication that can be used to treat insomnia that are not addictive ?
What is safe to take for insomnia if its caused by "busy mind" and nothing else? Outside of prescription pills.
I have been prescribed klonopin for occasional insomnia periodically over the last several years. My dosage has always been 2mg to be taken at night prior to bed only. I have always stayed at this does and always taken my prescription exactly as prescribe
Klonopin, (clonazepam) Insomnia: I understand your concern about insomnia. You deserve good night sleep! We were born with natural function of our body and mind to have sleep Stresses of marriage, separation, divorce, parenting, children leaving home, work cause anxiety and insomnia Klonopin is for Anxiety, not a sleeping medication Use Breathing Relaxation, Visual Imagery, Relaxation Music See Psychiatrist for Diagnosis, Therapy ...Read more
I'm taking a prescription of 50-100 mgs of trazodone a night for insomnia. I cannot sleep, so for 2 weeks i added 3 unisoms a night. Is this dangerous?
Yes: It is more than prescription strength Diphenhydramine and destroys the part of the sleep cycle where you get refreshed and restored even though your eyes are closed and you are in the state of sleep. You will actually become sleep deprived! contact your doc for help with your sleep! ...Read moreSee 1 more doctor answer
Can i add Melatonin with another sleeping prescription such as Zolpidem.is it Safe?have severe insomnia. Zolpidem knock me out only 4 hours then wokep
I am bipolar and I have severe insomnia. I have been taking rozerem, (ramelteon) but I ran out on Friday and I can't more until Tuesday. I need a prescription.
Contact provider: Please contact your health care provider to possibly get you a refill early as we are requested not to fill sleeping medicine on HealthTap. ...Read more
What would you suggest for alleviating anxiety and insomnia due to prednisone? (do not like taking prescription sleep meds)
Challenge: Typically i don't break up the dose through the day unless you are on more than 60 mg. Also i recommend avoiding excess caffeine and other stimulant medications while on the medication. It is hard because it is exogenous steroid. Try to take in the morning. Good luck. ...Read moreSee 1 more doctor answer
What is the highest legal prescription dose of diphenahydramine? I have insomnia, and when i didn't have money for my prescription flurazepam 30 mg, i took benadryl. Reading somewhere that 200 mg was the max prescription dose, I've been taking it for mont
There : There is no "legal" dose of any medication. Recommended maximum doses are listed in plain view on medicine containers. Exceeding those recommended doses significant increases the chances of experiencing an adverse side effects which could include death. You need to be discussing your medication use with you physician as exceeding recommended does or combining medications can have unintended consequences even in the healthiest individuals. ...Read more
I have tried prescription HRT for perimenopausal symptoms ( hot flashes, insomnia, fluid retention) with no relief. Now I'm trying Estroven. ??
I've struggled with insomnia my entire life.. even when I decided to get off all medications.. I never could I sleep... my boyfriend's mom gives me her sonata prescription at times when needed... it helps me fall asleep... can't find doc ?
Why?: can't you find a doctor? Never use anyone else's medication. Consult a psychologist for relaxation techniques and speak to a medical doctor regarding newer therapies for insomnia.Not sure what you mean by "can't find a doctor". Consult local hospital referral services or your local county health clinic. ...Read more
I have treatment resistant insomnia and recently had a sleep study indicating no sleep apnea. I hear the prescription medicine Seconal is effective?
Bad Idea: Seconal is a barbiturate and habit forming, as are many other Benzo like sleep medicines. Try good sleep hygiene habits. Same bedtime, bed only for sex or sleep, no naps, wake same time, limit caffeine after noon, etc. Natural sleep hormone Melatonin can be helpful. If Rx meds are necessary I have found trazodone effective and safe. ...Read more
My psychiatrist prescription trazodone 50mg for insomnia on 4/3. Still having a hard time sleeping. No caffeine, take concerta early am. Thoughts/what can I do?
Sleep medications: Continue to talk to your psychiatrist about what the medication is or isn't doing for you. There may need to be a medication and/or dosage change with your medications. Also consult a psychologist or mental health practitioner to help learn skills that will assist with your sleep (such as relaxation exercises and other good techniques). ...Read moreSee 1 more doctor answer
Equivalent to seroquel but without the s/e of wt gain, hyperglycemia? I take it along Effexor (venlafaxine) prescription for sleep but still have trouble sleeping.
Have prescription for 1mg klonopin, (clonazepam) I normally take it every Sunday night, as I have anxiety and trouble sleeping. Is it ok to use this once a week?
That's a low dose: and an infrequent use pattern. Good for avoiding dependence, but I wonder why you need it only on Sunday PM's? Do you sleet the other nights? Are you dreading work/school on Monday AM's? Probably ought to check out why and address that. Psychologists are great for just this kind of problem. ...Read moreSee 1 more doctor answer
Usually yes: If you are basically health, and you take the medicine as prescribed, and don't combine it with other drugs or alcohol, or use one and then go out driving or using heavy equipment. Hypnotic drugs are usually most helpful short term, when there is a period of stress. If you need one long term you should get an evaluation for other problems - a sleep disorder or anxiety or depression. ...Read moreSee 1 more doctor answer
Try this : Sleep restriction therapy : (1) good sleep hygiene- try sleeping same time and out of bed same time(2) key is to be out of bed same time 7 days/week even cannot sleep (3) only go to bed when sleepy but still wake up same time like 6am (4) , regular exercise and same sleep wake cycle, (5) balance diet, cut or eliminate caffeine & stimulant intake (6) daily bm is key. See your doc prn. ...Read moreSee 2 more doctor answers
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