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Struggling with Insomnia for 35 Years: What's the Best Treatment?

Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1144 Answers  |Ask -

General Physician - Answered on Jul 12, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more
Asked by Anonymous - Jul 11, 2024Hindi
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I have had insomnia for the past 35yrs. At least twice a year it gets bad otherwise iam in control. Pl tell me what is the best treatment. A pychatrist prescribed me lorasepam. Pushpa

Ans: Sleep is very important for physiological system to function well. To have certain strict discipline with respect to sleep as hygienic practices is very important
No media or mind stimulating activities after 7 pm unwind from worldly activities from 8 pm
Slow down the pace and start preparing the sleep mode
Early dinner by 6 pm helps to achieve this
Exercise well with your physical it helps largely
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Hello sir,my age is 44.For the last 3 years i have suffering from insomnia(sleeplessness).I have approached a neuro surgeon.He prescribed me some medicines.As long as iam using the medicines i am ok.But when i stop using it i am not getting the sleep.i dont have diabetic or thyroid problem as well.To get deep sleep without medicines is there any remedy pls advice.
Ans: I can only recommend good "sleep hygiene". This is what the American Association of Sleep medicine recommends:

Follow these tips to establish healthy sleep habits:

Keep a consistent sleep schedule. Get up at the same time every day, even on weekends or during vacations.
Set a bedtime that is early enough for you to get at least 7-8 hours of sleep.
Don’t go to bed unless you are sleepy.
If you don’t fall asleep after 20 minutes, get out of bed. Go do a quiet activity without a lot of light exposure. It is especially important to not get on electronics.
Establish a relaxing bedtime routine.
Use your bed only for sleep and sex.
Make your bedroom quiet and relaxing. Keep the room at a comfortable, cool temperature.
Limit exposure to bright light in the evenings.
Turn off electronic devices at least 30 minutes before bedtime.
Don’t eat a large meal before bedtime. If you are hungry at night, eat a light, healthy snack.
Exercise regularly and maintain a healthy diet.
Avoid consuming caffeine in the afternoon or evening.
Avoid consuming alcohol before bedtime.
Reduce your fluid intake before bedtime.

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