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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Need Treatment For Loss Of Sleep With Depression.

Hi Dr. I am 30 Years old and Recently I have some depression, I used to use some sleep tablets like Xanax 5 ml and some others for 2-3 years. but still recently I can t sleep well, It takes long time for me during the night to sleep. Tonight I took half tablet of Xanax 5 to sleep. I felt sleepy but I thought my heart is betting faster, I came and check my blood pressure by myself it shows that my blood pressure is 154/ 90/93. Please instruct me what to do?
Tue, 10 Jun 2014
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Psychiatrist 's  Response
Hi,

I can understand the distress you seem to be having due to insufficient sleep and anxiety. In view of your symptoms, it would be preferable that you seek treatment for depression and anxiety rather than just taking xanax (alprazolam) for sleep. Alprazolam will induce sleep but without treating the primary cause, you will have to gradually increase its dose and there is a chance that you can become dependent on it.

I would suggest that you seek a psychiatric consultation for starting proper treatment. Medications like sertraline or escitalopram are safe and effective choices. Sedatives can be used for short term period till the anti-depressants show its proper effect. In addition, you should try to regularize your sleeping and waking up time, avoid day time naps and caffeine.

Since your blood pressure is on the higher side, regular monitoring for few days is recommended. In case it is persistently high, treatment for lowering blood pressure must also be instituted.

Hope this information was helpful. Best wishes.



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Need Treatment For Loss Of Sleep With Depression.

Hi, I can understand the distress you seem to be having due to insufficient sleep and anxiety. In view of your symptoms, it would be preferable that you seek treatment for depression and anxiety rather than just taking xanax (alprazolam) for sleep. Alprazolam will induce sleep but without treating the primary cause, you will have to gradually increase its dose and there is a chance that you can become dependent on it. I would suggest that you seek a psychiatric consultation for starting proper treatment. Medications like sertraline or escitalopram are safe and effective choices. Sedatives can be used for short term period till the anti-depressants show its proper effect. In addition, you should try to regularize your sleeping and waking up time, avoid day time naps and caffeine. Since your blood pressure is on the higher side, regular monitoring for few days is recommended. In case it is persistently high, treatment for lowering blood pressure must also be instituted. Hope this information was helpful. Best wishes.