How can insomnia and anxiety be effectively managed?

Hello,

Welcome to icliniq.com.

I have gone through the prescription attached (attachment removed to protect patient identity).

Diagnosis was anxiety with insomnia for which Stalopam plus (Escitalopram) was prescribed. It seems she has developed tolerance to this drug. So, either dose should be increased or new drug should be substituted.

To manage her insomnia and anxiety you need drug therapy such as starting on a sleep aid drug which also lessens anxiety like Clonazepam at dose of 0.5 mg to be taken half an hour before bedtime and continue to take the same. This will ensure quick relief of your mother's anxiety and insomnia but it has to be taken after consultation with a psychiatrist.

Proper sleep hygiene needs to be practiced daily, so as to help her maintain good sleep in the long run. Sleep hygiene entails following important points.

1. Adhering to a fixed sleep in and wake up time and also wearing loose cotton clothes at night for sleeping.
2. Keeping the room dimly lit and well ventilated and changing room or bed temporarily.
3. Avoiding stimulant substances in the late evening or night such as coffee, tea, etc., and also avoid watching television or listening to music late at night.
4. Avoid eating heavy, oil rich, fried meals late in the evening and at night. Take small frequent meals at regular intervals and dinner at 8 PM with good time interval between dinner and sleep.
5. A warm cup of hot milk before 15 minutes to bed can help in good sleep and avoid taking stress and do yoga or meditation for tranquility.

Hi,

Welcome back to icliniq.com.

Since insomnia is present, medicines has to be continued. But, Stalopam has to be tapered slowly first to prevent withdrawal symptoms and then only she can be put on Clonazepam. I would suggest you to consult a psychiatrist and have her examined before taking medication.