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Doxipan Tablet Health Feed

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Hello sir, I have sleep disorder problem. My age is 35 years. My EEG report is normal. From last 4 years I am taking mirtazapine 7.5 mg (1/2 tablet per night). With this tab. I sleep very well 8-9 hrs. Many times, I try to sleep without this tab. But sleep only 3-4 hrs with disturbing (awake 4-5 times during night) and feels laziness/tiredness in day which disturb my job/routine. So I am taking the mirtazapine continue. I also exercises daily at evening, take 1 glass of milk at night, Drink 8 glass water daily, walking after dinner 2 km but not sleeps properly. I read on internet that sleep medicine increases B.P. And lack of sleep also increases B.P. L want to know the following:- 1. Which is more predominant for high BP (lack of sleep/medicine for sleep). 2. What is long term side effects of mirtazapine, if I continue it. 3. If any serious side effects, please suggest any other medicine (allopathic/Ayurvedic) which has low side effects than mirtazapine. Thanks.

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DHMS (Hons.)

Homeopath•Patna
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Hello, Lybrate user, go for a walk in d morning to restore your blood circulation to nourish your body & brain.
 ⁃go for meditation to reduce your stress, anxiety and to calm your nerve to ease insomnia.
 ⁃Tk, banana,apples, coca, almonds,pumpkin -seeds, spinach  to ease insomnia.
 ⁃ Tk, plenty of water free from contaminants to eliminate toxins &'regulate your metabolism.⁃ Your diet b easily digestible, simple,non-irritant, on time. Your dinner b at least 2 hrs before going to bed w...more
Asked for male, 46 years old from Vijayawada
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MD - Psychiatry

Psychiatrist•Chennai
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You be tried with medicines to augment and remit depressive symptoms, consult with your psychiatrist. Also mood elevators can be tried apart from antidepressants. Your 20 years of symptom and medication history needs to be known, before suggesting something. All the best.
271 people found this helpful
Asked for male, 45 years old from Srinagar
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MD - Psychiatry

Psychiatrist•Chennai
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Your medications need augmentation to help you recover from the severe depressive episode, sine it has been 9 months, it is worth to take a 2nd opinion from a more experienced psychiatrist. All the best.
88 people found this helpful
Asked for male, 48 years old from Trivandrum
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MSW, Clinical Hypnotherapy, MBA, Post Gr...read more

Psychologist•Guwahati
We as life skills coaches don't prescribe ny medication, for that you need to consult a qualified physician,
You also need to consult a qualified counsellor in your area and take their advice to get yourself released of all emotional trauma you hold within
Symptoms suggests you are too much overworked and anxious
You can engage yourself in some form of yoga or relaxation to take care of your stress and anxiety as apparently from your situation it seems you are very anxious. You shoul...more
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MBBS, DPM

Psychiatrist•Bangalore
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Dear lybrate-user,
if you can make sulochana to accept all these with mirtazapine and deal with them, it is okay. Otherwise it can increase the chances of diabetes and dyslipidemia - not directly, indirectly by increasing weight and not exercising and dieting. It may not cause dependence directly but tolerance may develop in due course. Tolerance may be to side effects rather than antidepressant effect.
369 people found this helpful
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MBBS, DPM

Psychiatrist•Bangalore
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Dear lybrate-user,
it is nice of you to help sweta, even if she doesn't want it. If she stops medicines, relapse will occur and again to put her back to treatment is difficult - but not impossible. Teleconsult your doctor on your own, show sweta over video. Both mirtazapine and aripiprazole are available as melting dissolving tablets. Join un co operative patient group. Others will give you tips how to give her food and medicines. Doctor will only diagnose and prescribe. Worse comes to worse...more
Asked for male, 28 years old from Chittoor
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MBBS, DPM (Psychiatry)

Psychiatrist•Thrissur
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Increase your desvenla to 100 mg 1 0 1
depression is a very common problem. There are so ever so many much worse than u. Yours is a little problem no need to worry. Stop smoking and alcohol have regular exercise like walking swimming cycling jogging with friends for one hour holidays once in a week dailyyoga, scheduling activities hobbies social service take fish and vegetables exercise.
170 people found this helpful
Asked for female, 53 years old from Delhi
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MD - Psychiatry

Psychiatrist•Dharwad
Combining all these medications need not be feared as these are well within therapeutic range. But, are all these medications needed that too at lower levels of therapeutic range is a question only your mother's psychiatrist can answer as each patient varies. As such nothing to worry. But you can still consider second opinion about the choice of drugs and their dosages.
462 people found this helpful
Asked for female, 24 years old from Hyderabad
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MBBS Bachelor of Medicine and Bachelor o...read more

Psychiatrist•Kolhapur
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Also, it would be good if you had your dinner and those medicines about 1.5 to 2 hours before your bedtime. That way, the effect of those medicines will start early and you will not be as drowsy in the morning.
After a while if still the drowsiness persists, please consult the doctor who advised you the above combination for any modification.
165 people found this helpful
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