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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Insomnia Caused Due To Stress And Anxiety

hi my name is Haamed .i live in Denmark i have problem that during the night i cant sleep well and i am always thinking worryingly .
Many times i contact to my Doctor but she has been given me this (Saroten. amtriptylin.) and (mirtazapin HEZAL 30 mg) tablet that is very dangerous and when i eat that tablets that is making me Apathetic and i dont know what should i do
Thu, 18 Sep 2014
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Psychiatrist 's  Response
hi..thanks for writing...i have understood your concerns..

you have problems sleeping and the antidepressant drugs are making you lethargic and lazy, amotivated..

so, if you have been diagnosed as a case of anxiety disorder or depression, there are antidepressant medications that work as a activating drugs and shud be taken in the morning,,,

first of all, if you are facing the side effects with present drugs, and if i am your treating doctor then i will change the drug with activating antidepressant like prozac which can also cause some anxiety symptoms initially..

i would prescribe prozac in the morning with milder anxiolytic benzodiazepine...

for sleep, you can ask your psychiatrist to give you hypnotics like, zolpidem, zopiclone etc...if the symptoms were of anxiety mostly then benzos as a hypnotic work best...

finally change in a antidepressant drug with hypnotic will work best..

i hope this advice will be helpful to you..best luck..

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Suggest Treatment For Insomnia Caused Due To Stress And Anxiety

hi..thanks for writing...i have understood your concerns.. you have problems sleeping and the antidepressant drugs are making you lethargic and lazy, amotivated.. so, if you have been diagnosed as a case of anxiety disorder or depression, there are antidepressant medications that work as a activating drugs and shud be taken in the morning,,, first of all, if you are facing the side effects with present drugs, and if i am your treating doctor then i will change the drug with activating antidepressant like prozac which can also cause some anxiety symptoms initially.. i would prescribe prozac in the morning with milder anxiolytic benzodiazepine... for sleep, you can ask your psychiatrist to give you hypnotics like, zolpidem, zopiclone etc...if the symptoms were of anxiety mostly then benzos as a hypnotic work best... finally change in a antidepressant drug with hypnotic will work best.. i hope this advice will be helpful to you..best luck..