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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Sleep Disorder With Insomnia Be Treated?

I cannot sleep. I've had this problem fo r 7 - 8 years and nothing seems to work I have had siome luck with valium in th oast but the doses I take are crazy high, 50mg 60 mg a night, and sometimes tht doesn't have any effect. Barbituates have worked int he past, and if I go to be earlier enough, 7PM - 7:3-PM the results are tolerable. The problem is that no on will percrine them. I have gone up to 8 - 9 days with no discernable.sleep. I can sit down to wath thenews at 5 PL. sleep like a log for 30 minutes, but then thati's it. I'll be up all might not even sleepy. Once I get out of bed in teh morning, get dressed, have a couple cups of tewa, I can fall out of my chair asleep. I'm really desperate. My insurance company diesn't even list insomnia as a diorder.
Thu, 28 Jul 2016
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Psychiatrist 's  Response
Dear HCM user

You seem to be suffering from chronic insomnia but whats worrisome is you are taking high dosages of benzodiazepines that can cause dependence and rebound insomnia as well as daytime sleepiness and accidents. Please don't self treat yourself as this can be dangerous. It can cause respiratory depression, sedation even coma. Barbiturates are to be completely avoided. First you need to taper and stop valium. There are much better and less dependence propensity treatments available for insomnia but should be taken only under supervision and for prescribed duration. Also I will advice you start practticing these simple steps of sleep hygiene and you may be able to reduce ongoing medication. It includes avoid napping during the day, avoid stimulants such as caffeine, nicotine, and alcohol too close to bedtime, exercising in morning,staying away from large meals close to bedtime, establishing a regular relaxing bedtime routine like reading, calm music. Not bringing your problems to bed, associating your bed with sleep by using it just for that and not for watching TV, laptop, mobile, sleeping and waking up at fixed timings.
Hope this will help you sleep better without medicines.Please donot self treat as this may harm you.
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How Can Sleep Disorder With Insomnia Be Treated?

Dear HCM user You seem to be suffering from chronic insomnia but whats worrisome is you are taking high dosages of benzodiazepines that can cause dependence and rebound insomnia as well as daytime sleepiness and accidents. Please don t self treat yourself as this can be dangerous. It can cause respiratory depression, sedation even coma. Barbiturates are to be completely avoided. First you need to taper and stop valium. There are much better and less dependence propensity treatments available for insomnia but should be taken only under supervision and for prescribed duration. Also I will advice you start practticing these simple steps of sleep hygiene and you may be able to reduce ongoing medication. It includes avoid napping during the day, avoid stimulants such as caffeine, nicotine, and alcohol too close to bedtime, exercising in morning,staying away from large meals close to bedtime, establishing a regular relaxing bedtime routine like reading, calm music. Not bringing your problems to bed, associating your bed with sleep by using it just for that and not for watching TV, laptop, mobile, sleeping and waking up at fixed timings. Hope this will help you sleep better without medicines.Please donot self treat as this may harm you.