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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Please Suggest Me A Good Treatment For Insomnia

I have terrible insomnia and it s driving me to the point where I can t stop thinking about suicide just so I can get some rest. Herbal medicine doesn t help, exercise doesn t help, I ve tried everything but pills because I have a history of overdose. What can I do?
Fri, 25 Feb 2011
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Psychiatrist 's  Response
Hi

Obviously, I would say this since I am a psychiatrist...there are many psychaitric conditions that can cause insomnia.

But before you go and see a psychiatrist, please go and see a good physician to rule out physical causes of insomnia. If there are no stresses in life and there are no environmental conditions like noise or heat in the room or light coming from outside, or you doing stimulating things like video games etc during nights or taking stimulants like tea/coffe/coke/smoking/stimualnt drugs like cocaine etc, then there is no reason why you should be having such a severe isnomnia, except that you may primary insomnia (i.e insomnia which is not secondary to any other reason) for which you may need extensive (and yes expensive as well) sleep tests.

If you are able to keep yourself safer, than no problem in trying out any system of medication to see if it helps as some of allopathic sleeping medication like alprazolam (alprax). daizepam, temazepam etc are all highly addictive.

But if you need quick solution so that you can be safe, given the fact that you are already having suicidal thoughts, please go first to a physician and if that does not help in few days, go for a psychiatric consultation.

Please ask one of your family members to hold all medications and other dangerous thigns with which you can hurt yourself under lock and key and if necessary, if the thoughts are so severe, for them to be with you day and night so that you can be kept safe till you are ok again. This will be needed only for a short period of time, as I am sure that you will recover with two - three nights of good sleep. If suicidal thoughts persist even after that, then it would eb the time to run to see a psychiatrist.


If you live alone and are not able to keep yourself safe, please consider voluntary admission to any hosp
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Psychiatrist Dr. B Raghavendra's  Response
to any hospital, to get that much needed sleep safely. If you live in USA/UK primary care physicians like family physician/GP respectively should be your first port of call. They will signpost you to the appropriate experts.

Good Luck
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Ayurveda Specialist Dr. Ram Mani Bhandari's  Response
Ayurvedic treatment wil be the best treatment for you complete relaxation without side effect. you mention about the herbal medicine. I recommend you to take the medication from registered ayurvedic physician.
According to Ayurveda insomnia is a fire disorder and its health restoring strategies encompass cooling off the burning in vata (nerve humour) and pitta (fire). The treatment concentrates on cooling off this bad junction by re-balancing pitta.
Mostly the drugs made from brahmi, vacha ,Jatamansi , Tagara,shankhapushpi,Yastimadhu and amalaki are prescribed.

Several yogic asanas are also prescribed, such as paschimottasana, shirasana, sarvangasana, uttanasana, etc.
You can fine some of the single drugs and combined drugs medicine in ther market like
1. Brahmi Capsules
2.Tagara Capsules
3. Aswagandha Capsule
4. Tapaswini Vati
etc
Along with this these days Panchakarma Therapy Especially
SHIRODHARA is popular for succesful tretment of depression and insomnia

Thanks
Get well soon
if you wanna know more you can write me mail
Info@rammani.com.np
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Please Suggest Me A Good Treatment For Insomnia

Hi Obviously, I would say this since I am a psychiatrist...there are many psychaitric conditions that can cause insomnia. But before you go and see a psychiatrist, please go and see a good physician to rule out physical causes of insomnia. If there are no stresses in life and there are no environmental conditions like noise or heat in the room or light coming from outside, or you doing stimulating things like video games etc during nights or taking stimulants like tea/coffe/coke/smoking/stimualnt drugs like cocaine etc, then there is no reason why you should be having such a severe isnomnia, except that you may primary insomnia (i.e insomnia which is not secondary to any other reason) for which you may need extensive (and yes expensive as well) sleep tests. If you are able to keep yourself safer, than no problem in trying out any system of medication to see if it helps as some of allopathic sleeping medication like alprazolam (alprax). daizepam, temazepam etc are all highly addictive. But if you need quick solution so that you can be safe, given the fact that you are already having suicidal thoughts, please go first to a physician and if that does not help in few days, go for a psychiatric consultation. Please ask one of your family members to hold all medications and other dangerous thigns with which you can hurt yourself under lock and key and if necessary, if the thoughts are so severe, for them to be with you day and night so that you can be kept safe till you are ok again. This will be needed only for a short period of time, as I am sure that you will recover with two - three nights of good sleep. If suicidal thoughts persist even after that, then it would eb the time to run to see a psychiatrist. If you live alone and are not able to keep yourself safe, please consider voluntary admission to any hosp