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Asking for Self, Male, 24 years old, Sargodha
I have problem of insomnia from last 4-5 months. Sometimes it gets better and sometimes worse. Main issue is staying asleep. I wake up around 2-3am, and afterward I cant sleep if I do, its shallow sleep.
I visited Psychiatrist here. He recommended amitriptyline with velium. I am on it from 5 days and having there sever side effects: (btw I am taking amitriptyline 25mg and half valium at night) -> Extreme thurst (I am drinking a glass of water every single hour or less) -> Not exactly constipation, but very less bowel movement (1 time in 2.5 days) -> Dark and smelly Urine and very less as compared how much I am drinking -> I also noticed decline in libido -> And hungover is also very bad, I dont feel sober until later half of the day
Please guide, do I need to visit my doctor again for this? And just for refrence 3 months back I was on Peroxitine and mirtzapine, and I had none of this issue.
looks your insomnia may b related to underlying depression , amitriptyline and valium are poor choice if Mirtazapine helped u, my advice ,go back on Mirtazapine
yes do visit your psychiatrist and also consult psychologist for psychotherapy
Patient
Post Owner
sir, can you plz tell me how long will I need to take medicines for permanent solution
3 months ago
Patient
Post Owner
btw sir my main issue was nocturia. Initially I would wake needing to pee and cant sleep afterwards. urologist said its psychiatrist issue not urological. And with time my sleep got so deteriorated that I would wake up 2-3hr after I sleep without any need to pee
3 months ago
MBBS, DPM, BCPsych, MRCPsych (UK), FRCPsych (UK), Diploma in Psychiatric Practice (UK) | Karachi | Book Appointment
so why highlight insomnia as main issue ! anyway it appears u got anxiety for which Mirtazapine is fine but if nocturia is contained on amitriptyline u should remain on it after seeing another nephrologist for second opinion. your case is bit complex so consult qualified Psychiatrist and ensure u visit him on quarterly basis even if well .
3 months ago
MBBS, DPM, BCPsych, MRCPsych (UK), FRCPsych (UK), Diploma in Psychiatric Practice (UK) | Karachi | Book Appointment
never ask online how long medication will be needed because without all the relevant details ,this question can not be answered even in mild cases Allah Hafiz
3 months ago