Insomnia Still a Problem
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Q:  Insomnia Still a Problem


I'm concerned about getting addicted to sleeping pills. I have been taking Sonata. I also have taken Trazadone and neurontin to help with sleep. How do you address sleeping problems in BP people?

My overall mood has been better since I have switched from neurontin to Trileptal, but insomnia is still a problem. Thanks.

Amy

Dear Amy -- 
In general I keep adding mood stabilizers (increase the dose or add another) until people can sleep without any extra medications just for sleep, because usually if they're still having trouble sleeping, they're still having other signs (sometimes pretty subtle) of mood instability.  That has worked really well for me in terms of helping people find a regimen that will prevent episodes for long periods of time.  

Dr. Phelps


Published September, 2001

 

 

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