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Suggest treatment for anxiety disorder with insomnia

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Posted on Thu, 10 Jul 2014
Question: I take Klonopin 0.5 mg one tablet twice a day, I wake up every morning shaking until the pill works I hate that feeling sometime if I go to bed early I wake up around 3.am shaking
I have a lot of Anxiety, also take 40 mg Viibtyd
at night I take seroquel 25 mg that i cut in hafe because its puts me out i don't like
I love to have a glass of Red wine with dinner
thank you Dr. please help
doctor
Answered by Dr. Abhishek Kapoor (47 minutes later)
Brief Answer:
You can take mirtazapine or trazodone

Detailed Answer:
Hi
Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query.

I think, you have anxiety disorder with insomnia. In that case, you can try any sedative antidepressant like mirtazapine or trazodone. With these drugs, you would not get anxiety side effects. These drugs would help you to get sound sleep and to control anxiety symptoms. It would also help to maintain the dose of klonopin. You can also try some relaxation exercise like JPMR or deep breathing exercise. Rest, you can discuss with your psychiatrist.

In case, you have more query, you can ask.

Regards
Dr. Abhishek Kapoor
Psychiatrist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Abhishek Kapoor (20 minutes later)
Thank You I will talk to my Dr. I do yoga 3 times a week it has been the best thing for me
doctor
Answered by Dr. Abhishek Kapoor (7 minutes later)
Brief Answer:
Thanks

Detailed Answer:
Hi

You can talk to me anytime. I will be happy to help you.

Regards
Dr. Abhishek Kapoor
Psychiatrist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Abhishek Kapoor

Psychiatrist

Practicing since :2007

Answered : 2496 Questions

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Suggest treatment for anxiety disorder with insomnia

Brief Answer: You can take mirtazapine or trazodone Detailed Answer: Hi Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query. I think, you have anxiety disorder with insomnia. In that case, you can try any sedative antidepressant like mirtazapine or trazodone. With these drugs, you would not get anxiety side effects. These drugs would help you to get sound sleep and to control anxiety symptoms. It would also help to maintain the dose of klonopin. You can also try some relaxation exercise like JPMR or deep breathing exercise. Rest, you can discuss with your psychiatrist. In case, you have more query, you can ask. Regards Dr. Abhishek Kapoor Psychiatrist