Trazodone and Seroquel do not work for sleep, what should I do?

32-year-old woman2 years ago
insomnia related to anxiety
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4 days

Naji-tom Samaha · 2 years ago
Hello Madam, what exactly is your question?
32-year-old woman · 2 years ago
Ativan has been combined with sleep to prevent sleep
the doctors want me to continue with trazodone and ativan only as needed, but i'm not sleeping.
what should i do..
Naji-tom Samaha · 2 years ago
Thanks for the feedback!
First, we will need to look at non-pharmacological measures to improve sleep hygiene. Here are a few of them:
  • At least 1 hour before bedtime, turn off any type of screen: computer, phone, TV, and handheld readers too. Most of them emit a type of light that is stimulating.
  • Regardless of bedtime, I suggest getting up at the same time each day, which will help establish a sleep routine eventually.
  • Keep the bedroom for sleeping and intimacy only. No reading, work, or TV in bed. This way, the body will associate the bedroom with sleep as soon as you enter it.
  • Never look at the clock during the night as this can be a great source of stress
  • Avoid naps during the day, and avoid stimulants like coffee as much as possible, especially in the afternoon.
  • If you've been in bed for 15 minutes and still can't fall asleep, I suggest you get up, go to the kitchen or living room for a few minutes, and then return to the bedroom. This can have a reset effect.
  • If you have a lot of worries, write them down in a notebook or journal at night, so you can be reassured that they won't be forgotten and that you can address them the next morning.
These strategies can take up to 2 weeks to implement, so take your time, gradually, be patient and willing too.
If they don't work at all, I would advise you to re-consult a doctor to reassess your needs. Taking trazodone (and/or Ativan) alone may not be optimal management for you.
I hope this has been helpful to you, and if you have any further questions, please do not hesitate to contact me!
Tom Samaha, Pharmacist
32-year-old woman · 2 years ago
Thank you for your tools!
Naji-tom Samaha · 2 years ago
It was my pleasure, don't hesitate if there is anything!

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