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

188 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.

Suggest treatment for anxiety and insomnia

I have chronic anxiety and sleep is an issue. I am taking imipramine which is suppose to help me sleep but some nights I get 2-3 hours of sleep and other nights maybe 4-6 on rare occasions I will sleep 7 hours but in all cases it is broken sleep. I have only slept 3 1/2 hours to 4 hours straight. This has been going on for over a month. Can I servive on this
Fri, 16 Jan 2015
Report Abuse
Question is related to
Diseases and Conditions ,  
Drug/Medication
Psychiatrist 's  Response
Hello thanks for asking from HCM for your health related queries

You have chronic anxiety and problems of sleep. You are taking Imipramine and the drug is helping to some extent but still you are not able to sleep properly. You only sleep for 2-3 hours a night and or you have multiple awakenings in night. Imipramine is a TCA drug and the drug helps in anxiety and depression. It also result in improvement of sleep but other drugs with strong sleep actions are needed to be added to your prescription. Drugs like Trazodon, Doxepine, Mirtazapine etc can be utilised for sleep and anxiety in your case. Trazodon is also a good antidepressant and it also help in strong sleep. Visit your psychiatrist for prescription of this drug.

Apart from that try to improve your sleep hygiene for better sleep.

Thanks, hope this helps you. Take care
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

my name is Nilanthi. After going through high doses of citalopram for moderate anxiety, I developed extreme anxiety and insomnia, 3 years ago. with much difficulty I m now out of extreme anxiety, but insomnia is still there. I tried virtually everything, but couldn t get out of it. I think remaining anxiety although it is not unbearable, is making me an insomniac. Please give advice, I m in Sri Lanka.

doctor1 MD

I was placed on seroquil 200mg, 2 weeks ago, I am bi-polar dealing w/ anxiety and insomnia. I was only getting 3-4 hours of sleep. The seroquil is working quite well. 1. I am concerned about my hands shaking. 2. And once a day during sleep I experience a deep painful stabbing feeling in my thigh muscle, it only happens 1x during sleep. It feels like a very large syringe being stabbed in the muscle on the outside of my left thigh almost to the bone. The pain is so painful my leg jumps upward, it has happened for 4-5 times, now becoming nightly. Now, I cannot feel the outside of my left thigh muscle.

doctor1 MD

I am suffering from extreme anxiety and insomnia. I am also trying to TTC my third at 39. What can i take to sleep that do not effect fertility. Today is day one of my cycle. Thank you for your advice. Can I take a 5mg of valium for a few nights to get my sleeping pattern back or piritin or Kalms? Thank you.

Recent questions on  Sleep disorder

doctor1 MD

I am 15 and for the last 4 days I have wet the bed. I do not have a UTI or a history of bedwetting. I am going to see a doctor this thursday but really cant stand waking up soaked till then. Should i buy something like a diaper and do they make them for people my age? What kinds do they have?

doctor1 MD

Hi Dr.David ...my name is meenu and have been suffering from anxiety and chronic insomnia because i have been diagnosed with hypothyroidism .......i have been prescribed thyroxin,thyrowell and nexito plus. Pls let me know if Nexito plus causes weight gain ....Thanks.

doctor1 MD

i am a 42 yr old male with 6 weeks of night sweats and sometimes drenching along with chills. I have also a pesistent cough that wakes me from my sleep. Also mood swings that include insomnia and then extreme fatigue but not always one after the other.

doctor1 MD

I wake up tired with a headache and severe nausea everyday around the same time? I usually go to bed by 11:30 and wake up about 7 so i m getting enough sleep. nothing seems to help and the nausea goes away within an hour but i feel tired for the whole day. i m only 18 and don t know what t could be

doctor1 MD

SIR I HAVE BEEN TAKING 2MG CLONAZEPAM SINCE 1998. MAY I BE TOLERENT TO IT? WITH IT I HAVE BEEN TAKING 400MG QUTIAPIN PLAIN +10MG ZOLFRESH+ 600MG GABANEURON SR AT NIGHT.I M OKAY WITH THIS DOSE FOR MY BIPOLAR/ SLEEP DISORDER . IS GABANEURO ADDICTIVE...

doctor1 MD

Hi. I have a 27 year old son, who appears healthy...very strong, good nutrition etc, drinks occasionally....he has episodes that are increasing in frequency now, where he feels tingly and foggy, then becomes really disoriented, angry, confused and...

doctor1 MD

A few years ago I began falling asleep at inappropriate times. I was so sleepy that I had to quit my teaching job because I would fall asleep in the middle of teaching a lesson, reading a story, grading papers, in the middle of lunch, etc. I...