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Mahmoud Hindawi

Mahmoud Hindawi

Licensed Doctor

الأسئلة المجابة 27495 | نسبة الرضا 98.6%

Doctor

I am suffering from Insomnia. I was taking...

تم تقييم هذه الإجابة:
I am suffering from Insomnia. I was taking melatonin for 6 months which was helping and is not effective now. I was prescribed rivotril which I was taking 1 mg for 1 Week and now reduced to .5mg which is not helping. Pls advise

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إجابة الخبير: Dr. Mohammad Derbeih

Dr. Mohammad Derbeih

Dr. Mohammad Derbeih

Licensed Physician

الأسئلة المجابة 23118 | نسبة الرضا 98.9%

What is the treatment of insomnia?
Treatment depends on the cause after conducting the necessary tests , but the treatment can be summarized as follows:
exercise daily
Maintain a daily sleep schedule regularly
Avoid caffeine at night
Avoid smoking
Avoid going to bed with feeling of hunger
Ensure a comfortable sleeping environment.
Use relaxation techniques - such as meditation and relaxation of muscles.
Cognitive therapy - individual counseling or group therapy.
Stimulate mental control - just go to bed when you are sleepy. Avoid watching TV, reading, eating or worrying in bed. Set the alarm clock at the same time each morning , and avoid a long nap during the day
Medical treatments for insomnia include:
Antidepressants
zopiclone and Z group of drugs
short term use of benzodiazepines such as rivotril and xanax to avoid addiction
What causes insomnia?
Insomnia can be caused by physical and psychological factors. There is sometimes a major medical condition causing chronic insomnia, while transitory insomnia may be due to an event and insomnia usually results from:
Disorders in the rhythmic sleep routine - jet lag, career transformation changes, high altitudes, environmental noise, extreme heat or cold.
Psychological issues - bipolar disorder, depression, anxiety disorders, or psychotic disorders.
Medical conditions - chronic pain, chronic fatigue syndrome, congestive heart failure, angina, acid reflux disease, chronic obstructive pulmonary disease, asthma, sleep apnea, Parkinson's disease, Alzheimer's disease, hyperthyroidism
What tests should you do ?
medical history
physical exam
mental state exam
thyroid function test
blood pressure test

الرد من العميل

I am suffering from insomnia from 15-20 years and now it is extreme and was not able to sleep for more than 1 Week. Doctor has recommended Rivotril 1 mg for 1 Week and to reduce by 0.25 every week. Pls advise if I will get habituated

إجابة الخبير: Mahmoud Hindawi

Mahmoud Hindawi

Mahmoud Hindawi

Licensed Doctor

الأسئلة المجابة 27495 | نسبة الرضا 98.6%

okay I advised you to take rivotril too 
it will rellieve your symptoms 
and help yo to getting sleepy 
if not work 
try to use night calm tab 2 tabs daily before bed time 
but the previous 2 mentioned drugs can cause addiction so try to not use it all the time 

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Mahmoud Hindawi

Mahmoud Hindawi

Licensed Doctor

الأسئلة المجابة 27495 | نسبة الرضا 98.6%

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