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Suggest Remedy For Anxiety And Insomnia

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Posted on Tue, 17 Nov 2015
Question: Due to divorce stress I developed bad anxiety & insomnia. I now take 100mg of seroquel / night for sleep. Some nights it works within 20minutes and other nights it can take 90 minutes. Is this variation due to my stress level? Also some nights Im totally knocked out for the night and others I may wake up a few times. All with the same dose.
doctor
Answered by Dr. Chintan Solanki (29 minutes later)
Brief Answer:
need to add some other drug

Detailed Answer:
Hi XXXXXXX

Thanks for writing back to us.

Seroquel helps in sleep through anti histaminic. adrenergic and muscarinic receptors. All these actions are variable according to symptoms. When you have more anxiety or more thoughts seroquel may not help completely. You guessed it right that problem is due to variation in stress level.

In my opinion adding specific drug for insomnia like ativan for short duration will help you for sound sleep. It is drug for insomnia and acts specifically through benzodiazepine receptors. Please discus the same with your treating doctor.
You can follow some measures called 'sleep hygiene' which may help in sleep. You can find the same in below link.

sleepfoundation.org/ask-the-expert/sleep-hygiene

Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki (18 minutes later)
How long after taking it should it induce sleep?
doctor
Answered by Dr. Chintan Solanki (17 minutes later)
Brief Answer:
within 1-2 hour

Detailed Answer:
Hi,

Thanks for follow up.

Ativan should be taken before 1-2 hours of going to bed. It will induce sleep in 1-2 hours in most of the patients.
If you are asking about seroquel it is variable depending upon the condition treated. Few patients only having insomnia gets good sleep with 25 mg while patients with severe psychiatric problem cannot sleep with even 400 mg. So induction time for sleep by seroquel is variable.

Take care.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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Suggest Remedy For Anxiety And Insomnia

Brief Answer: need to add some other drug Detailed Answer: Hi XXXXXXX Thanks for writing back to us. Seroquel helps in sleep through anti histaminic. adrenergic and muscarinic receptors. All these actions are variable according to symptoms. When you have more anxiety or more thoughts seroquel may not help completely. You guessed it right that problem is due to variation in stress level. In my opinion adding specific drug for insomnia like ativan for short duration will help you for sound sleep. It is drug for insomnia and acts specifically through benzodiazepine receptors. Please discus the same with your treating doctor. You can follow some measures called 'sleep hygiene' which may help in sleep. You can find the same in below link. sleepfoundation.org/ask-the-expert/sleep-hygiene Hope I have answered your query, I will be happy to help further. Regards, Dr.Chintan Solanki.