Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

172 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes sleeplessness when there is no thyroid problem?

Answered by
Dr.
Dr. Abhishek Kapoor

Psychiatrist

Practicing since :2007

Answered : 2496 Questions

default
Posted on Tue, 5 Aug 2014 in Sleep Disorders
Question: Hi, This is for my wife who is having sleeplessness problems. She is having this since about 9 months. She can hardly sleep for about 3-4 hours in the night. She does not sleep during daytime. No thyroid problems.
doctor
Answered by Dr. Abhishek Kapoor 59 minutes later
Brief Answer:
Try sedative antidepressant

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

If she has had problem of insomnia, in that case, either she can try some benzodiazepine or sedative antidepressant. At age of 32, i would not suggest her to use benzodiazepine due to their dependence potential. She can try some sedative antidepressant like mirtazapine or trazodone. It would help her to get sound sleep and maintain mental balance. It does not have dependence potential and with time, she would able to control or stop the dose. Rest, you can discuss with your psychiatrist.

In case, you need further help, you can ask.

Regards
Dr. Abhishek Kapoor
Psychiatrist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Abhishek Kapoor 4 hours later
Thanks for the reply.
What dosage(mg and number of times per day) is recommended for mirtazapine and trazodone?

Thanks'n Regards
XXXX
doctor
Answered by Dr. Abhishek Kapoor 6 hours later
Brief Answer:
Mirtazapine 7.5mg or trazodone 50mg

Detailed Answer:
Hi

She can either take mirtazapine 7.5 mg or trazodone 50 mg at night. That would help to get sound sleep.

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

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication ,   ,  
Medical Topics

Recent questions on  Insomnia

doctor1 MD

Does the rocking of a ship increase insomnia in those who have recently had a stroke and exhibit an increased startle reaction? I recently shared a cabin with a stroke victim who claimed she could not sleep all night. What I noticed is that repeatedly in the middle of the night she would suddenly and violently wake up without cause and think I was making noise. She also the week before the trip underwent an invasive procedure endoscopicly to see if she needed a stint placed in her artery. Could she be reacting to that, too? She claimed she slept better once we were in a hotel on land and I got my own cabin. Others in my family report that I am a quiet sleeper, so I believe I am not the cause of her insomnia which has plagued her all her life. A very light sleeper, or is something more serious going on that her doctor needs to know about? Thanks for your answer in advance. Nina Daniel

doctor1 MD

HI,
I'm a yoga teacher/massage therapist, age 35, 98 lbs. I often experience fast resting heart rate (up to 80 from a normal 72). I've been having faint chest pain of late. My cholesterol is 198, trig 77, HDL 79, LDL 104. Also I've had insomnia problems for many years now. Is it possible that I'm over excersizing and straining my heart?
thanks, worried

doctor1 MD

Hi doc, i recently went to the hospital about heart palpitations fainting/passing out etc, and just really not feeling right they couldn't diagnose a specific problem but i have been doing a bit of research it sounds a lot like panic attacks i suffer from bad insomnia and people keep saying they think i am bipolar my moods are always changing i can be really high one minute then feel awful and depressed the next, i really don't know what to do! i have recently started the gym trying to sort my sleeping out and diet be as healthy as possible, i still am getting this, i am generally a happy person and very lively, as a kid people thought i had adhd, it never got properly diagnosed again! another thing is i have an enlarged labia which is really bugging me too i really want to get it removed is there anyway i can get this done on the nhs? i lead a pretty normal life, i get stressed sometimes but no more than normal people, do not know weather to go docs, the hospital did tell me i need to go back if i still am not feeling right, but i dont no if theres anything they can do, etc, thanks

doctor1 MD

I am 66 and my scalp is itchy, but only on the crown at top and back, my hair is falling out more than it ever has before. I am an insomniac, who only sleeps three hours per night. If I retire at 10.pm, it takes an hour to go to sleep and I wake at precisely 2.pm. Whatever the hour is when I doze off I still only get three hours. It almost seems as if my Cicardian Rythms have been programmed to sleep for three hours only. Is my loss of hair related to my insomnia?

doctor1 MD

Can fasting improve insomnia? To fast safely do I need professional supervsion or blood tests? Is fasting safe for slender people?

doctor1 MD

I have just started a phentermine/topamax combo for weight loss , very low dose. First day, having serious insomnia , so just took a 50 mg trazadone . Is there danger of an interaction?

doctor1 MD

Hi, I am suffering from insomnia from last 7-8 months and have started allopathic medicines from last 2 months