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  5. I've been having trouble sleeping for less than three hours for the past two years. I've tried alprax, Clonafit, and other medications, but nothing has helped. Could you perhaps suggest some prescription for my insomnia?

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I've been having trouble sleeping for less than three hours for the past two years. I've tried alprax, Clonafit, and other medications, but nothing has helped. Could you perhaps suggest some prescription for my insomnia?

Asked by Male, 49 · 6 days ago

Y. Lakshmi Thulasi

Y. Lakshmi Thulasi

Pharm-D (Post baccalaureate)

6 days ago

Long-term severe Insomnia that hasn?t improved with medicines like Alprax or Clonafit needs a different approach rather than adding more sedatives. The most effective treatment is Cognitive Behavioral Therapy for Insomnia, along with strict sleep habits (fixed timing, no daytime naps, avoid screens/caffeine at night). A doctor may consider safer options like Melatonin or other non-habit-forming medicines after evaluation. Please consult a psychiatrist or sleep specialist to find the exact cause and plan proper long-term treatment.
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Other Related topics like...

What are the side effects of zolpidem for insomnia?How does melatonin receptor agonist help with sleep?Can sedative antidepressants improve my sleep quality?What is cognitive behavioral therapy for insomnia?When should I see a sleep specialist for insomnia?

  1. Possible Causes of Chronic Insomnia

    • Consider stress, anxiety, depression, medication side effects, and sleep disorders as potential causes.

  2. Importance of Comprehensive Evaluation

    • Seek a detailed medical and sleep history, physical exam, and possibly sleep studies.

  3. Medication Considerations

    • Acknowledge risks with alprazolam and clonazepam; suggest alternatives.

  4. Alternative Prescription Options

    • Consider non-benzodiazepine hypnotics (e.g., zolpidem), melatonin receptor agonists, or sedative antidepressants.

  5. Referral to Specialist

    • Consult a sleep specialist or psychiatrist and consider cognitive behavioral therapy for insomnia (CBT-I).

Answered 6 days ago

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