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Suggest Treatment For Insomnia While On Losartan And Metformin

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Posted on Thu, 16 Feb 2017
Question: I have been taking Losartan and nefidepine together with metformin for about 3 years. I read sleep problems are side effects of both nefidepine and Losartan. I average about 4 hours of sleep per night and sometimes sleep aids don't even help. Any suggestions?
doctor
Answered by Dr. Klarida Papaqako (3 hours later)
Brief Answer:
Sleep problems are not side effects of these medicines

Detailed Answer:
Dear XXXXXXX

Thank you for using HCM to post your question.
I read it carefully and I understand your concern.

Sleep problems are not side effects of any of these medicines. I even double checked for you, and I am pretty sure they do not give sleep problems.

However, in some people, different medicines work in different ways.

So, what I would suggest to to try and take these medicines in the morning, instead of in the evening. This is what we do with medicines that give this side effect.

Also, work on your sleep hygiene is there is something that you are not doing it that way. Here are some practical advises:
-- Sleep as long as necessary to feel rested (usually seven to eight hours for adults) and then get out of bed
-- Maintain a regular sleep schedule, particularly a regular wake-up time in the morning
-- Try not to force sleep
-- Avoid caffeinated beverages after lunch
-- Avoid alcohol near bedtime (eg, late afternoon and evening)
-- Avoid smoking or other nicotine intake, particularly during the evening
-- Adjust the bedroom environment as needed to decrease stimuli (eg, reduce ambient light, turn off the television or radio)
-- Avoid prolonged use of light-emitting screens (laptops, tablets, smartphones, ebooks) before bedtime
-- Resolve concerns or worries before bedtime
-- Exercise regularly for at least 20 minutes, preferably more than four to five hours prior to bedtime
-- Avoid daytime naps, especially if they are longer than 20 to 30 minutes or occur late in the day.

Hope this is helpful.
Let me know if you need more clarifications.
Otherwise please kindly close and rate the answer.

Regards,
Dr. Papaqako
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
Dr.
Dr. Klarida Papaqako

General & Family Physician

Practicing since :2010

Answered : 1804 Questions

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Suggest Treatment For Insomnia While On Losartan And Metformin

Brief Answer: Sleep problems are not side effects of these medicines Detailed Answer: Dear XXXXXXX Thank you for using HCM to post your question. I read it carefully and I understand your concern. Sleep problems are not side effects of any of these medicines. I even double checked for you, and I am pretty sure they do not give sleep problems. However, in some people, different medicines work in different ways. So, what I would suggest to to try and take these medicines in the morning, instead of in the evening. This is what we do with medicines that give this side effect. Also, work on your sleep hygiene is there is something that you are not doing it that way. Here are some practical advises: -- Sleep as long as necessary to feel rested (usually seven to eight hours for adults) and then get out of bed -- Maintain a regular sleep schedule, particularly a regular wake-up time in the morning -- Try not to force sleep -- Avoid caffeinated beverages after lunch -- Avoid alcohol near bedtime (eg, late afternoon and evening) -- Avoid smoking or other nicotine intake, particularly during the evening -- Adjust the bedroom environment as needed to decrease stimuli (eg, reduce ambient light, turn off the television or radio) -- Avoid prolonged use of light-emitting screens (laptops, tablets, smartphones, ebooks) before bedtime -- Resolve concerns or worries before bedtime -- Exercise regularly for at least 20 minutes, preferably more than four to five hours prior to bedtime -- Avoid daytime naps, especially if they are longer than 20 to 30 minutes or occur late in the day. Hope this is helpful. Let me know if you need more clarifications. Otherwise please kindly close and rate the answer. Regards, Dr. Papaqako