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Suggest treatment for insomnia

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Posted on Wed, 14 Jan 2015
Question: i need to know what i can take to sleep i have siadh ive tried seroquel, trazodone, ambien, i try to sleep but with these meds i either have a racing heart, vivid bad dreams, and the 10mg ambien gives me a 2 hour nap.i really need help im so tired thank you

what is a good alternative to narcotic pain meds, ive been on norco 10/325 for 3 years it hurts my stomach and some how im in a viscious cycle

thank you so much for being part of this team and if it helps i have been in a mental hospital 4 times and that is where i got the meds, again thank you sir
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Answered by Dr. Ashok Kumar (3 hours later)
Brief Answer:
Ambien extended release is the option

Detailed Answer:
Hello,
Thanks for using healthcaremagic.

I read your query and understand your concerns.

For sleep problem I will not recommend you to try Seroquel or trazodone. These are anti-psychotics and antidepressants respectively and sleep is just side effect. For the proper management of sleep you can use Extended release Ambien which maintains sleep for four to six hours. I Think it will be suitable for you as ambien is doing good job for initial two hours. The other option which can be explored are Zaleplon and Zopiclomide both from same class as Ambien.

In case you still find difficulty with sleep than moving to Benzodiazepines is right option. The useful benzodiazepines includes Lorazepam, Klonopin, Temazepam and lot more. Visit your PCP so he can prescribe you the right medication. I like to inform you that Benzodiazepines are associated with dependence and you need to take it under supervision of your doctor.

Regarding alternative to Norco you can use Selective Cox inhibitor which are stomach friendly. The options include Etoricoxb and celecoxib. In case you do not get required pain relief with these medicines you can use Norco with proton pump inhibitors which include omeprazole, pentoprazole etc.

Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards
Dr Ashok Kumar
Above answer was peer-reviewed by : Dr. Yogesh D
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Dr. Ashok Kumar

Psychiatrist

Practicing since :2000

Answered : 3157 Questions

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Suggest treatment for insomnia

Brief Answer: Ambien extended release is the option Detailed Answer: Hello, Thanks for using healthcaremagic. I read your query and understand your concerns. For sleep problem I will not recommend you to try Seroquel or trazodone. These are anti-psychotics and antidepressants respectively and sleep is just side effect. For the proper management of sleep you can use Extended release Ambien which maintains sleep for four to six hours. I Think it will be suitable for you as ambien is doing good job for initial two hours. The other option which can be explored are Zaleplon and Zopiclomide both from same class as Ambien. In case you still find difficulty with sleep than moving to Benzodiazepines is right option. The useful benzodiazepines includes Lorazepam, Klonopin, Temazepam and lot more. Visit your PCP so he can prescribe you the right medication. I like to inform you that Benzodiazepines are associated with dependence and you need to take it under supervision of your doctor. Regarding alternative to Norco you can use Selective Cox inhibitor which are stomach friendly. The options include Etoricoxb and celecoxib. In case you do not get required pain relief with these medicines you can use Norco with proton pump inhibitors which include omeprazole, pentoprazole etc. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback. In future if you wish to contact me directly, you can use the below mentioned link: http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386 Thanks and regards Dr Ashok Kumar