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This question was answered on Sat 24, Jan 2009 08:48am by Dr. Malathesh K
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sleep disorder



    
Asked by Unregistered (Male ) on Sat 24, Jan 2009 06:55am

I was experiencing sleep disorders when I was only 25 years old. But gradually the problem went away without any medication. In the year 1993, when my age was 37, I was discovered to be a hypertension patient as my blood pressure remained on higher side continuously. For the treatment my doctor prescribed amlodipin and alprazolam (0.25 mg.). But since then I have been taking alprazolam and in last three years I have been taking 0.5 mg. gradually it did not work also and I added Amitriptyline 12.5 mg with this drug and I have been using this combination for last one year. Now even both these drugs taken combined do not work and I spent sleepless nights. I was taking alcohol previously, but have completely quitted since two years. Please help.

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Answer by Dr. Malathesh K (doctor) on Sat 24, Jan 2009 08:48am:

Here are few measures that may help you to promote sleep. 1. Wake up at the same time each day. 2. Discontinue caffeine intake four to six hours before bedtime and minimize total daily use. Caffeine is a stimulant and may disrupt sleep. 3. Avoid nicotine, especially near bedtime and on night awakenings. It is also a stimulant. 4. Avoid the use of alcohol in the late evening to facilitate sleep onset. Alcohol can cause awakening later in the night. 5. Avoid heavy meals too close to bedtime, since this may interfere with sleep. A light snack may be sleep-inducing. 6. Regular exercise in the late afternoon may deepen sleep. Vigorous exercise within three to four hours of bedtime may interfere with sleep. 7. Minimize noise, light and excessive temperatures during the sleep period. 8. Move the alarm clock away from the bed if it is a source of distraction. There are many other types of treatments other than medicines. These include Behavioral Therapy, Sleep Restriction Therapy, Stimulus Control Therapy and Cognitive Therapy. All these can achieve the desired results without medications, and can be performed by an experienced psychologist. There are other medicines too, that may be tried by your doctor for helping you sleep, but these are likely to be of temporary benefit if you do not follow the steps mentioned above.
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