Insomnia

What is Insomnia?

Insomnia, or sleeplessness, is a sleep disorder in which there is an inability to fall asleep or to stay asleep as long as desired. While the term is sometimes used to describe a disorder demonstrated by polysomnographic or actigraphic evidence of disturbed sleep, this sleep disorder is often practically defined as a positive response to either of two questions: "Do you experience difficulty sleeping?" or "Do you have difficulty falling or staying asleep?"

Insomnia is most often thought of as both a medical sign and a symptom that can accompany several sleep, medical, and psychiatric disorders characterized by a persistent difficulty falling asleep and/or staying asleep or sleep of poor quality. Insomnia is typically followed by functional impairment while awake. Insomnia can occur at any age, but it is particularly common in the elderly. Insomnia can be short term (up to three weeks) or long term (above 3–4 weeks); it can lead to memory problems, depression, irritability and an increased risk of heart disease and automobile related accidents.

Those who are having trouble sleeping sometimes turn to sleeping pills, which may help, but also may lead to substance dependency or addiction if used regularly for an extended period.

Insomnia can be grouped into primary and secondary, or comorbid, insomnia. Primary insomnia is a sleep disorder not attributable to a medical, psychiatric, or environmental cause. It is described as a complaint of prolonged sleep onset latency, disturbance of sleep maintenance, or the experience of non-refreshing sleep. A complete diagnosis will differentiate between free-standing primary insomnia, insomnia as secondary to another condition, and primary insomnia co-morbid with one or more conditions.

Questions and answers on "Insomnia"

I have suffered with insomnia for 13 years. I am 37. I have a rapid heart rate, could that cause insomnia?
I have suffered with insomnia for 13 years. I am 37. I have a rapid heart rate, could that cause insomnia?

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I have blood tinged disharge I bleed heavy every month somtimes months a time with maybe a few days not bleeding im having bad abdominal pains sometimes I have an odor I need this to go away its ruining my life im loosing hair I have insomnia im anemic now help..

doctor1 MD

Hello,

Thanks for posting on HCM,

It seems you are going through a serious medical condition that requires urgent medical attention.
Problems with your pelvic organs such as pelvic diseases, uterine/ovarian tumors, endometriosis etc can lead to the symptoms you have cited. You should normally...

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Ihave depression anxiety and insomnia...cymbalta 90mg in am....2tabs klonpin and 50mg elavil to sleep decrease depression and anxiety...i also take 3 buspars before bed...i do sleep and feel better but ive gained weight quickly and dont feel well after exercise...i eat a couple hours before exercise then 30 min during exercise i am starving and exhausted....can i get on better meds at night without these side effects????

doctor1 MD

Dear User,
Thanks for posting a query at Healthcare Magic.

Yes you can get n better without side effects but the other drug will be effective in your case can be determined only after good trial of proposed drug.

The choice of drug for anxiety, depression and insomnia depends on the patient...

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i was having insomnia and anxiety i have had anxiety for 17 years my blood pressure was 139/100 is usually 130 something over 80 something and sometimes its perfect is there anything i need to worry about and which number do you need to watch for top or bottom and what numbers are considdered bad heart rate was 110 whats a bad heart rate and i also experience anxiety almost everyday

doctor1 MD

Hi,

For blood pressure, the top number should be less than 140 and the bottom number should be less than 90. But these cut-offs are not absolute. Higher blood pressure may be normal in the elderly. For heart rate, the normal range is between 60 to 100, but this as well is not absolute. Heart rate...

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hey doc i have been suffering from insomnia and i do have a serious problem on the back of my head , a littile amount of fluid get deposit there so it pains a lot and then i have to take sleeping pills in order to get sleep so which slepping pills will be best and have the least side effects

doctor1 MD

Hello,
Welcome to HCM.
There are many sleeping pills like ativan, alprax, rivotril, zolpidem. All these medications are usually safe when taken in prescribed doses.
The major side effect is their habit-forming potential. When taken continuosly for more tahn 4weeks, these medicines can cause...

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hi i have insomnia i got 20mg temazepam prescribed i really cant sleep so i took 80mg yesterday it works fine... now im on the same amount and it works a little... am i allowed to take 120mg... just for one night to really sleep? without dangerous consequences

doctor1 MD

Dear User,
Thanks for using health care magic.

From the available description it appears that you are doing over with temazepam doses.
I failed to understand that how someone prescribed 20 mg to you. as 20 mg is not available strength in Market.
Doses of temazepam are in range of 7.5 mg to 30 mg...

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My doctor said he was giving me an anti- depressant and an antihistamine to help with my insomnia. I was prescribed 20 mg of citalopram and 100 mg of doxepin daily. Today I experienced nervousness, anxiety, and anxiousness. I come to find out both medications are anti-depressants. Are these drugs commonly prescribed together in these quantities for insomnia? Could the antihistamine the doctor was mentioning be doxylamine and not doxepin?

doctor1 MD

Hi.

I had gone through your query.

Citalopram can help in depression and sleep disturbances. It can useful in sleep disturbances is a prt of depression.Doxepin has sedative effect and very useful for insomnia.

Both drugs are not indicated in insomnia without depression. If you have only insomnia...

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Hi iv had anxiety problems on and off for years now and had a breakdown about 6years ago....i get panic attacks and have been so bad that iv had bouts of agraphobia....i even had iron defficeincy two years ago due to insomnia and not eatin...i do eat properly now ans has iron treatment that corrected it. Iv recently lost my dad to cancer and im startin to hide away again...i get dizzy spells on odd mornins and the room spins....not everymornin....im not sleepin good at all again so is it the insomnia causin the dizzy spells?

doctor1 MD

hi
sorry to hear about the loss of your dad.
i think that its not only insomnia that causing dizzy spells you have to see the bigger picture. what i can get you are suffereing from anxiety disorder and you need to get an expert opinion on that.
remember insomnia is not a disease but a symptom
so...

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I've got severe insomnia, taken a drug called 25-iMbome its a phenylthalamine that acts as a full agonist on 5HT receptors, and I feel that has definitely contributed to my mania and insomnia. I was recently prescribed 25mg Atarax to take a night and it simply did not work even when I doubled the dose myself to 50mg. A friend gave me their prescribed Trazodone and I was wondering if I should take it? It's 50mg and it's said that it's a 5HT antagonist so would that counteract on the 25-i? please I need to rest and get into the rhythm of doing more with my life

doctor1 MD

Hello.Phenylthalamine has been able to contribute to your insomnia.
Hydroxyzine 25 mg is a sedating antihistamine but is not suitable to treat insomnia.There are 3 types of insomnia: insomnia with depressive symptoms, insomnia with symptoms of anxiety and pure insomnia without anxiety and...

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Recent questions on  Insomnia

doctor1 MD

This is a really elaborate question.. but I'm very scared, and have been going through this for years. I'm finally giving in and asking any and all doctors for their opinion.

I'm a 26 year old male. 6'2 and 145 lbs. I've been having episodes of SVT since I was 18 years old. About 5 years ago a cardiologist I saw put me on 25mg of metoprolol twice daily. It seemed to help a lot. The episodes happened rarely, and I felt mostly normal. A year or so after that, my symptoms worsened again. He upped my dosage to 50mg twice daily, and scheduled me for an echo and a holter monitor. I had the tests and both can't back normal. I had no episodes of SVT while on the holter, sadly. After he increased my dosage again, I felt normal for a long time. Last March I traveled to Ireland. I was there until May. When I came back to my home, I was out of work for a few months and was living a sedentary life. After a while I started noticing symptoms. I was experiencing numbness and pain in my back, shortness of breath, dizziness upon standing, muscle weakness, heat and cold sensitivity, insomnia, and severe anxiety. I became very depressed and was afraid to go to the doctor. Eventually my girlfriend forced me to go. I was given full blood work and a chest X-ray. Everything came back fine and the doctors attributed it to anxiety/depression and months of inactivity. I felt slightly better after hearing that from the doctors, and went home. I secured a job and felt a bit better, but still felt nowhere near healthy. A year later, I started noticing my symptoms getting drastically worse. My legs would tremble when I walked up and down even stairs. If I tried lifting anything, my arms and hands would shake. I was extremely tired, the pain and numbness in my back had worsened, and now there was a new pain in my abdomen under my rib cage. A constant dull soreness. I also noticed my shortness of breath getting worse. I could no longer even sing or yell without feeling like my lungs were going to collapse. The breaking point for me was one night while I was having sexual relations with my girlfriend, and my heart went tachycardic. 280bpm for 15 minutes. It felt differed than the older episodes I used to have. It wasn't just fast. It was hard and felt like my heart was going to explode. When the paramedics got there, it converted. Since that incident, I haven't been able to have sex with my girlfriend, because as soon as I get excited, my heart starts beating very hard and slow, and erratic, instead of fast and steady as it should. This was in July. It's now November and things only feel worse. I feel like I can't do anything. The symptoms are all too much and too frequent. I'm seeing a doctor who actually seems to care, but I have to wait 2 weeks between visits, and he hasn't figured anything out yet. That's about the end of my story. I just want help. I don't care from where. My whole life is ruined and I feel trapped and scared.

Here are all of my symptoms:

Upper back pain/numbness
Dull pain under ribs in abdomen
Shortness of breath
Heart palpitations
PVCs
Tachycardia
Bradycardia
Tachycardia on standing
Insomnia
Weakness
Fatigue
Blurred vision
Purple fingernails and toenails
Cold and heat sensitivity
Angina
Severe anxiety

I also personally, think I have Marfan's syndrome. I'm 6'2, and 145lbs, and my fingers, toes and limbs are all very long and thin. My face is also long and thin. I just don't understand how I could be this old and not have been diagnosed already. Nobody else in my family has it. The only reason I even know of it's existence is because a friend of mine in medical school mentioned it.

I've also got a black pit for a wisdom tooth in the back of my mouth that's been there since I was 19 or 20 that I've never had taken care of. I know I've heard of tooth problems being related to cardiac problems.

I'm not looking for a cure or a diagnosis, only some insight into the situation from someone in experience. Reading about what COULD be wrong with me online is mostly useless because there are so many symptoms and variables. Anything would be helpful at this point.

Thanks in advance.

If I think of anything else I'll add it.

doctor1 MD

Recently I ve been having boughts of dizziness that feel like the world around me pulsates or moves when it isn t. I work overnight and thought it was from being overtired, but it has been continuing on days when I ve gotten plenty of rest as well. When it first started I did have headaches, but now the headaches are gone and the dizziness continues. I take medication for depression, anxiety and insomnia, but have been on all of my medications for at least 3 months, most a couple of years, and have not had this problem before. I m not sure what the cause could be or if I should see my doctor over this.

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

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

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