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Sleep disorder

My friend has a problem sleeping even after getting into bed at 12.30-1.30 am but still cant fall asleep till 4.30 am. Her morning schedule starts at 9.30 am and she feels tired the whole day. She already have a migraine problem so this sleeping problem quite often triggers migraine attacks and also causes to build up acidity till the level that she starts feeling dizzy and nauseous. Is it a good idea starting sleeping pill considering its side effects and getting used to them.? Also suggest some measures precautionary measures.
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Dr. Anil Kumar Jain
General Physician Bangalore

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Hello there.  I can understand your concern.  There are two ways of treating this. 1st is by directly prescribing pills which will surely make your friend addicted to certain extent and wont solve the problem from grass root level. 2nd is to address the cause of it. If you want 2nd, then she would have to consult a psychiatrist in person for further evaluation and management.  Best regards. Dr. Anil kumar jain. Bangalore.
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Dr. Amarpreet Singh Riar
General Practitioner 10 yrs exp Delhi

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1. Tab Tryptomer 10 mg once daily at night. 2.Cap Betacap 40 mg Tr once daily after breakfast. 3.Cap Pan-D twice daily before meals. The above will definitely help.
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ARUNESH DUTT UPADHYAY
General Physician 31 yrs exp Pune
dear friend sleep apart from many other things is highly dependent on habit, it would help if your friend can come and discuss her daily routine with me and let us see if she is having a proper sleeping routine, sedatives ie sleeping tablets anr not a good idea to start with , maintaining a sleep discipline and a proper sleep hygiene works better , you can take an appointment with me or any other physician of your choice and near your place of residence and discuss out the issue that will be better alternative , please be quick about it because if once established insomnia is impossible to get rid of
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