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Insomnia and episodes of night awaking
I am on clonazepam 1mg at night along with escitalopram 10 mg 1 year before i was taking mirtazapine 15 mg but my psychiatrist slowly reduced its dose and ultimately stop this because it contributed a lot of weight gain for me..
Is there any good alternative of mirtazapine which help me for a sound sleep over the night
And doesn't causes hypotension and weight gain..I have developed clonazepam dependency and sometimes need to increase it's dosage..
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I want to acknowledge how much courage it takes to voice these struggles. Often, we treat mental health as a matter of 'willpower,' but as a psychiatrist, I can tell you that what you are experiencing has a real biological and neurological basis.
Your brain, like any other organ, can sometimes struggle to maintain balance under stress. Seeking treatment isn't a sign of failure; it’s a proactive medical decision to regain your quality of life. We can work together to understand the 'why' behind these feelings and find a structured path back to your baseline. You don't have to navigate this alone.
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Hi,
Let's have a comprehensive and detailed clinical interview to understand the symptoms.
For a personalized plan, find me by searching "Dr Abhinav Tewari Neuropsychiatrist Lucknow" on Google Maps — my details are listed there.
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Insomnia is often secondary to an underlying psychiatric condition. When the underlying condition is properly treated, sleep usually improves on its own. I would recommend that you consult a psychiatrist and discuss your concerns in detail. This will help you understand the cause of your symptoms and decide on the most appropriate treatment plan.
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Consult a psychiatrist for proper evaluation and guidance.
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Yes there are some options you can explore.. along with a good sleep hygiene ritual.
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weigh in options with a psychiatrist/sleep medicine expert.
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Hi . You can use escitalopram instead of mirtazapine. Consult online for dose adjustment
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indeed mirtazapine may cause weight gain and sedation but it is not a sleep medication. clonazepam is prescribed in long term only s.o.s for sleep. insomnia is generally secondary to underlying psychiatric illness and when that gets corrected then insomnia gets corrected itself...
you should consult a psychiatrist and discuss the issue then you can decide how to correct your problems...
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cosult
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keep active, keep working, use sleep hygiene
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Hey, i understand, but more history is required, so please do consult the psychiatrist once
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Hello! You should consult to a psychiatrist so your symptoms can be evaluated in detail. And can be managed in best way.
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consultation
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.