Insomnia, not able to sleep without meds

2026-09-07 03:22:51
Hi, I was diagnosed with hyperthyroidism(Graves Disease) in 2014-15, then was treated for a long 2 years for the same. I developed anxiety and severe insomnia that time. As per psychiatry consultation got treatment for the same with antidepressants (pexep-cr 12.5, mitraz, amital) and quitipine 25mg(sometimes 12.5mg). Psychiatric treatment was continued upto Nov+2018. Things improved over time. After that till now I was overall fine. But now again the sleep problem has started. I'm currently taking levothyroxine for my hypothyroid. Once graves disease was treated it was identified as hasimoto thyroditis with anti tpo of 870. Currently sleep problem constantly since 3 weeks. My thyroidTSH levels are now 2.85(thyronom dose is 62.5mcg), Ft4 is 1.67, ft3 is 2.64) but sleep is not coming on its own. I have consulted psychriatist and has been prescribed mirtaz 7.5 for 10 days and zolphidem 5mg. It's now 5th day but I can't still sleep with these medicines. What to do in this scenario?
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Answered2026-09-07 16:10:58

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I understand your concern. The medication may need to be adjusted depending on your symptoms and how you are responding to the treatment. Please feel free to reach out for a consultation so that we can evaluate your concerns in detail and guide you with the most appropriate treatment. I’ll be happy to help.
Health Tips
- Practice simple muscle-relaxation exercises, especially before bedtime, to help reduce physical tension and promote relaxation. - Maintain good sleep hygiene—keep a regular sleep and wake time, limit screen exposure before bed, avoid caffeine late in the day, and keep your bedroom quiet and comfortable. - Try to maintain regular meals, adequate hydration, and some gentle physical activity as tolerated. - Most importantly, give yourself time and be patient with the recovery process. If symptoms persist or worsen, a consultation can help identify the underlying concerns and guide further treatment.

Answered2026-09-07 18:42:23

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you need further guidance, feel free to reach on WhatsApp eight seven four zero eight nine three eight one three.
Health Tips
sleep hygiene

Answered2026-09-07 11:00:44

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