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REGARDING SLEEP CYCLE ISSUES
I always used to sleep later than normal but from the last 8-10 day i am unable to sleep rather i dont want to sleep till 5-6 am in the morning and then i wakeup at 2 pm at afternoon i am feeling terrible because of this and my all shedule and health is getting impacted please suggest me some techniques or any type of help so i should sleep at 12 am last to that i can complete my 8-9- hrs of sleep and wakeup at 8-9 am in morning
Pls guide me
Currently i am taking nexito 20 in morning and pantocid 40 empty stomach in morning nowadays afternoon😅
Answers (15)
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-Your symptoms are suggestive of delayed sleep phase/circadian rhythm disturbance, commonly seen with prolonged late-night schedules and stress
Next Steps
-Fix wake-up time first; wake up daily at the same time even if sleep is incomplete initially
-Avoid daytime sleeping, caffeine after evening, and screen exposure 1–2 hours before bed
-Get early morning sunlight exposure and regular physical activity daily
Health Tips
-Do not try to suddenly force sleep at 12 am; gradually shift sleep timing earlier by 30–45 minutes every few days
-Maintaining a consistent routine is more important than total sleep duration initially
Contact me anytime on Practo for further consultation
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Why are you taking tab nexito and pantaprazole? Please share details of your symptoms, then I can help you further.
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Kindly Consult your psychiatrist or treating doctor who prescribe Nexoto 20 for dose and time
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Meditation may be helpful
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Currently your sleep cycle is disturbed
Continue same medications currently
We can add on some medications and talk about daily routine change in your day to day activity to help you get out of this problem.
Kindly consult for further treatment.
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Shift in sleep wake cycle can be bothersome. Since you are on nexito that means you are already going through a stressful phase. The disturbance in sleep can be part of depression and Anxiety. Once you are in bed what happens. Are you overthinking? Are you delaying sleep because your mind refuses to rest and you continue to engage in mobile phones or something else so that you can get a distraction from all the thoughts on your mind? If this is the case then proper management can be taken and the medications can be changed a little. Especially the timing, if you feel drowsy after taking nexito then it can be taken at bedtime as in many patients nexito leads to sedation. Other than that you need to maintain sleep hygiene:
Keep a regular schedule: Go to bed and wake up at the same time every day, even on weekends.
Limit naps: If you must nap, keep it under 30 minutes and finish before 3:00 PM.
Power down screens: Turn off phones, tablets, and TVs at least one hour before bedtime.
Create a dark, cool room: Keep your bedroom quiet, dark, and comfortably cool.
Use the bed only for sleep: Avoid working, eating, or watching TV in bed.
Watch your caffeine: Avoid coffee, tea, and soda in the afternoon and evening.
Avoid heavy meals late: Don't eat large or spicy meals right before going to sleep.
Get moving during the day: Regular exercise helps you sleep, but avoid intense workouts late at night.
Wind down: Spend 30 minutes doing something relaxing, like reading or taking a warm bath, before bed.
Don't toss and turn: If you aren't asleep after 20 minutes, get out of bed, do something quiet in dim light, and only return when you feel sleepy.
If despite this you are unable to sleep. Please consult me for a second opinion. I provide online consultation and therapy support.
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Reduce screen time ,rest in dim light room ,listen calming music or meditational music .
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Looks like your schedule has changed drastically and obviously not to your liking. I prefer advising my patients to be mindful of changes done by then willingly or by circumstances that could contribute to the discomfort. So I'd like you to introspect on the following:
1. Any Change in work schedule?
2. Stress- current or lingering? ( I don't find this relevant, considering you are on Tab Nexito 20)
3. Over dose of screen?
4. Intake of caffeine - Coffee, Tea before bedtime
5. Have you tried meditation , reading or Listening ( not seeing) to music before bedtime? Did it work even temporarily?
Next Steps
Well now that you have a cheat sheet of risks above- Try deleting some and improving on some.
Health Tips
sleep medication to regulate is definitely an option but remember that you are giving the control to a pill and are likely to become dependent. In case you feel that you'd like to work and empower yourself , you can consult via Practo.
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Your sleep cycle has shifted significantly, a condition often called Delayed Sleep Phase Disorder. Since you are currently taking Nexito 20 (for anxiety/mood), it's important to note that these medications can sometimes interfere with sleep architecture if the timing isn't optimized. Feeling 'terrible' and having a schedule that ends at 5-6 AM creates a cycle of fatigue and social isolation, which further impacts your mental and physical health."
Next Steps
No Afternoon Caffeine: "Strictly avoid any tea, coffee, or energy drinks after 4 PM."
Digital Sunset: "Switch off all screens (phone/laptop) at least 90 minutes before your target sleep time. The blue light from your phone is your biggest enemy right now."
Bedtime Ritual: "Use your bed only for sleep. Do not work or use your phone on the bed. This builds a strong mental association between the bed and rest."
Caution: "Avoid taking over-the-counter sleeping pills without medical supervision, as they can interact with Nexito and make you feel more groggy."
Health Tips
Your sleep cycle is fixable, but it requires a disciplined 15-day reset protocol. Please book a full session to create a custom schedule that works with your current medications.
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Your sleep cycle seems shifted rather than permanently damaged and this is commonly seen with stress, anxiety, screen exposure and irregular routine, and it usually improves gradually with proper sleep hygiene and schedule correction 👍 a detailed consultation can help understand the trigger and guide practical techniques and treatment for restoring your sleep comfortably 🌸
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Needs meds revision
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Srushti Gopani
General Physician
4 yrs exp
Surat
The sleep disturbance appears to be largely related to anxiety, stress, grief, and a delayed sleep cycle rather than lack of sleep opportunity alone. Irregular sleeping and waking times are likely worsening both mental and physical exhaustion. Since the symptoms are affecting daily functioning, structured sleep correction and psychiatric follow-up are important.
Next Steps
Maintain a fixed wake-up time (8â9 AM) daily even if sleep is delayed, avoid daytime naps, reduce screen exposure at night, and get morning sunlight exposure regularly. Continue current medications as prescribed and follow up with the treating psychiatrist if insomnia persists or worsens.
Health Tips
Do NOT try to âforce sleep earlierâ first. You should first fix the wake-up time. Your brain clock resets primarily through: consistent wake time, morning light exposure, and avoiding late sleep extension.
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Shreya Pradip Gudka
General Physician
9 yrs exp
Mumbai
I need more details about your daily routine and then we can sort this problem
Taking only medicines will not help
You can consult on WhatsApp
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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.