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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment Of Insomniac ?

i had been taking oxetol since 2007 for control of seizures. the dosage was gradually reduced from 600 mg to 450mg and then 300 mg at night in 2011. That was further reduced to 150 mg at night last month. From then onwards, my sleep pattern has completely reversed. I feel excessively sleepy from 11 a.m. to 5 p.m. I am not able to sleep at night. This is affecting my daily routine. Please suggest ways to set my daily routine right. (I tried to take the tablet in the morning, but still that did not help. Now I am taking it as prescribed in the night)
Wed, 30 Jul 2014
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Psychiatrist 's  Response
hiii dear

i admire you for positive outlook

i guess you have irregular phase insomnia

you have to set your sleep cycle by systematically

like

you have to delay your sleep 30 min everyday
means you start from 11 am
next day 11.30 than 12.00 like this

gradually delay in phase should complete in 15 days

after 15 days it will reach to 10 pm

than afterward you have to stick on fix schedule
no day time sleep

some medicines are useful to stay awake
but the method that i have told you is the best to achieve normal phase in sleep

get well soon
avoid smoking and drinking
avoid tea coffee soft drink before sleep

if require than take zolpidam at night for sleep

take care
thank you

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What Is The Treatment Of Insomniac ?

hiii dear i admire you for positive outlook i guess you have irregular phase insomnia you have to set your sleep cycle by systematically like you have to delay your sleep 30 min everyday means you start from 11 am next day 11.30 than 12.00 like this gradually delay in phase should complete in 15 days after 15 days it will reach to 10 pm than afterward you have to stick on fix schedule no day time sleep some medicines are useful to stay awake but the method that i have told you is the best to achieve normal phase in sleep get well soon avoid smoking and drinking avoid tea coffee soft drink before sleep if require than take zolpidam at night for sleep take care thank you