Respected Doctors,
On Nexito 10 and Quitipine 50.Quitipine helping a lot in sorting out sleep disorders and ongoing for close to 3 months. But dependent on Quitipin for sleep. Any suggestions pr advise or alternatives will be highly appreciated. Regards
Answers (9)
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It's good to hear that Quetiapine (Quitipin) has helped you with sleep. However, long-term use, especially for primary insomnia, may not be ideal due to potential metabolic and sedative side effects.
Since you're also on Nexito (Escitalopram), it might help to assess and treat the underlying anxiety or depressive symptoms more comprehensively. Alternative, safer options for sleep include:
a. Melatonin (2–5 mg): Especially helpful for circadian rhythm-related sleep issues.
b. Trazodone (low dose): A non-addictive antidepressant often used off-label for sleep.
c. Mirtazapine (7.5–15 mg): May help with both sleep and mood, though appetite increase is a side effect.
d. CBT-I (Cognitive Behavioral Therapy for Insomnia): Gold standard for chronic insomnia, often effective long term.
Next Steps
Please consult your treating psychiatrist to discuss a gradual tapering of Quitipin and assess suitability of alternative medications or behavioral therapy. Do not stop medications abruptly.
Health Tips
1. Avoid alcohol, caffeine late in the day, and excessive screen time before bed.
2. Try maintaining a consistent sleep schedule.
3. Always make medication changes under supervision.
There are other options available for helping with insomnia .
Also whether it was primary insomnia or secondary insomnia (secondary to depressive/anxiety symptoms) needs to be assessed and accordingly treated
Next Steps
Consult a Psychiatrist
Health Tips
Do not self medicate and do not stop Quetiapine on your own
Usually quetiapine doesn't have any habit forming potential. But yes, underlying etiology needs to be addressed because quetiapine has multiple models of action (as sedative hypnotic antidepressants antipsychotic and as an adjuvant.)
Hence primary etiology needs to be addressed
Next Steps
consult a practisioner and be focussed regarding your core symptoms to arrive at a conclusive diagnosis
Health Tips
don't self medicate and don't stop medication on its own
Do discuss the issue with your treating Doctor.
There are other drugs also available for your issue.
In addition, Psychological interventions are also helpful.
Sleep hygiene will also likely be help you.
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.
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.
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