![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by banga on April 13, 2005, at 8:21:58
Hello!
I know this q. has come up several times lately, but can't find the more recent threads....What is the bottom line for treatment of insomnia? What is the best option outside of the habit-forming typical sleep aids? I know of melatonin (too weak), trazodone (groginess in am), Zyprexa (maybe a bit too much for someone without --well, at least undiagnosed serious disorder)...? Some other option?
This is not for me, this is for a relative who is suffering insomnia and anxiety.
Posted by Spriggy on April 13, 2005, at 10:38:42
In reply to Anxiety-induced Insomnia, posted by banga on April 13, 2005, at 8:21:58
My doctor gave me Seroquel for my anxiety induced insomnia.
It definitely knocks you out. I don't particularly like the next morning feeling but it might work fine for you.I stopped taking it for now until all other tests/physical things are taken care of.
But good luck. I know how frustrating it is!
Posted by banga on April 13, 2005, at 10:52:49
In reply to Re: Anxiety-induced Insomnia, posted by Spriggy on April 13, 2005, at 10:38:42
Thanks for the response! Yeah, the morning grogginess may be an issue....I am not sure what there is that does not produce the grogginess...
B.
Posted by Ritch on April 13, 2005, at 13:11:28
In reply to Anxiety-induced Insomnia, posted by banga on April 13, 2005, at 8:21:58
> Hello!
> I know this q. has come up several times lately, but can't find the more recent threads....
>
> What is the bottom line for treatment of insomnia? What is the best option outside of the habit-forming typical sleep aids? I know of melatonin (too weak), trazodone (groginess in am), Zyprexa (maybe a bit too much for someone without --well, at least undiagnosed serious disorder)...? Some other option?
>
> This is not for me, this is for a relative who is suffering insomnia and anxiety.The two best meds I've tried (which didn't leave me hung over the next day) which helped insomnia were Neurontin and Keppra. Benzos never really worked that well for me and the heavy hitters like Remeron, sedative AP's and TCA's, and traz. all make me hung over really badly. Right now, I'm just using one tab of dimenhydrinate (motion sickness med) at night and it's working pretty good. Benadryl (diphenhydramine) can work, but I think it has a shorter half-life than dimenhydrinate and I wake a little too early on Benadryl. The dimenhydrinate isn't nearly as drying as the Benadryl and that makes my sleep better. Another possibility might be Vistaril (hydroxyzine) at bedtime.
Posted by Phillipa on April 13, 2005, at 17:46:00
In reply to Re: Anxiety-induced Insomnia » banga, posted by Ritch on April 13, 2005, at 13:11:28
I wonder why I could give up the remeron so easily? Maybe it wasn't helping me sleep. Fondly, Phillipa
Posted by Maxime on April 13, 2005, at 20:29:16
In reply to Anxiety-induced Insomnia, posted by banga on April 13, 2005, at 8:21:58
Further discussion would have to go on the Alternative board. But what about hyponosis. And you can also teach yourself self-hypnosis.
Maxi
> Hello!
> I know this q. has come up several times lately, but can't find the more recent threads....
>
> What is the bottom line for treatment of insomnia? What is the best option outside of the habit-forming typical sleep aids? I know of melatonin (too weak), trazodone (groginess in am), Zyprexa (maybe a bit too much for someone without --well, at least undiagnosed serious disorder)...? Some other option?
>
> This is not for me, this is for a relative who is suffering insomnia and anxiety.
Posted by banga on April 13, 2005, at 20:40:53
In reply to Re: Anxiety-induced Insomnia » banga, posted by Maxime on April 13, 2005, at 20:29:16
Hi Maxime!
You are right, I actually am going to suggest not only relaxation and hypnosis, but also therapy..this would solve the difficulties better in the long run; But i also was thinking I could recommend a pharmacological sleep aid for rapid help....my brother has serious stess-induced illnesses that have sprung up recently. Sleep deprivation is not helping...B.
Posted by Lydia on April 13, 2005, at 22:18:03
In reply to Anxiety-induced Insomnia, posted by banga on April 13, 2005, at 8:21:58
warm milk? whilst reading german poetry, that always does the trick. for me anyway
Posted by banga on April 13, 2005, at 23:18:20
In reply to Re: Anxiety-induced Insomnia » banga, posted by Lydia on April 13, 2005, at 22:18:03
> warm milk? whilst reading german poetry, that always does the trick. for me anyway
Funny you should say that, I am having a cup of hot milk right now.....I believe my brother needs something stronger. His wife is very much into alternative medicines and methods, and homeopathy and acupuncture--all to little avail. He had to resort to meds, but the ones he has tried make him so groggy that he cannot work well the next day. Which then increased the stress.
But hot milk for me is great!
Posted by Phillipa on April 14, 2005, at 0:47:01
In reply to Re: Anxiety-induced Insomnia, posted by banga on April 13, 2005, at 23:18:20
Boy you're lucky! I wish I could fall asleep without meds. I often wonder if something happened to me as a child and that is why I can't sleep without meds. There are so many pieces of my dysfunctional childhood that I can't remember. I had a very ill mother from the time I was 2 who blamed me for her illness and had temper tantrums and told me I was killing her. My father is distant to me. The pdocs have always asked me where he was and I don't remember. My mom died when I was l7, and I soon married and started a family. My Dad was very involved with my kids and a very good grandfather. I can't see how he could have been a bad father. A little off the subject but I'm tired and going to bed. Sleep well. Fondly, Phillipa
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.