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Anthony Bray, MD
Anthony Bray, MD, Doctor
Category: Medical
Satisfied Customers: 7133
Experience:  14 years experience in the field of Family Practice
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Suffer from insomnia need some assistance

Resolved Question:

Suffer from insomnia need some assistance
Submitted: 1 year ago.
Category: Medical
Expert:  Anthony Bray, MD replied 1 year ago.

Anthony Bray MD :

Hello!

Anthony Bray MD :

Do you mainly have trouble getting to sleep or wake up in night and can't get back to sleep??

Customer:

Hello doctor

Anthony Bray MD :

What have you tried so far??

Customer:

Just before we start

Customer:

I have payed 55$ and got no answer

Customer:

and payed again just now

Customer:

is thier a problem with the website?\

Anthony Bray MD :

I don't know about that I can set you up with customer service...

Anthony Bray MD :

I am happy to address your questions now if you wish...

Customer:

yes please

Customer:

Iam 20 years old

Customer:

I have'nt been able to sleep for 4 months

Customer:

I only sleep for 5 hours

Customer:

every 30 hours

Anthony Bray MD :

OTC aids that may be helpful include Melatonin, Benedryl, Sominex...

Customer:

it progressed to getting worse

Customer:

I tried 3mg melatonin before bedtime

Customer:

but it made it worse

Anthony Bray MD :

You may benefit to have thyroid function tested. Hyperactive thyroid may be a cause...

Customer:

Will I suffer from manic depression

Customer:

and anxiety disorder

Anthony Bray MD :

I would recommend that you consult your doctor >> prescription meds such as Lunesta or Ambien may be of help...

Customer:

yesterday I went

Customer:

to a sleep specialist he said I cannot perscribe ambien

Anthony Bray MD :

OK the insomnia may be a symptom of Bipolar disorder too... this would need to be well controlled with medication if you have Bipolar....

Customer:

Yes i spoke to a doctor on this site before

Customer:

he gave me a bipolar test

Customer:

I scored 36

Customer:

dont recall if thats moderate or a bit severe

Anthony Bray MD :

??? That seems odd that a sleep specialist could not prescribe Ambien...

Customer:

yes I know

Customer:

so then I went to a GP

Customer:

and explained my problem

Customer:

however she refused to give me ambien

Anthony Bray MD :

It depends on the specific test and scale used...

Anthony Bray MD :

What meds are you on currently??

Customer:

Rivotril

Customer:

only helps with my anxiety

Anthony Bray MD :

Do you know WHY she refused??

Customer:

but not with sleep

Customer:

She was scared to prescribe it I think

Customer:

I come from the Kingdom of Bahrain

Customer:

laws from my ministry about drug control are absurd

Customer:

So I went to a third GP

Customer:

and again the same thing

Anthony Bray MD :

Oh OK I see...

Customer:

they keep saying they do not have the license to perscribe these drugs

Customer:

I cannot sleep and it makes me very depressed and feel awkward with myself

Customer:

tommorow I have an exam

Anthony Bray MD :

It must be very highly regulated in Bahrain then... I'm not specifically familiar with your countries laws in that regard...

Anthony Bray MD :

There are many possible options to help you though....

Customer:

will it started when I was 15

Anthony Bray MD :

Elavil would be potential option...

Anthony Bray MD :

Trazodone is potential option...

Customer:

Is their any chance I can get an international perscription?

Anthony Bray MD :

Not that I know of... we can't prescribe from this site...

Customer:

So i can buy my ambien because my psychiatrist in the UK said it was best for me

Anthony Bray MD :

OK if you see a psychiatrist in the UK then that might be an option for you....

Customer:

The problem is I cannot take any anti depressants or anti cychotics

Anthony Bray MD :

Why is that??

Customer:

In june I have to take a medical test for a pilots exam

Customer:

I am not permitted to take any benzos or anti depressants

Anthony Bray MD :

If Bipolar then Lithium may be a treatment option which may help control mania and could help with insomnia if that is realted to the Bipolar..,.

Customer:

But will I pass my first class medical degree

Anthony Bray MD :

Well sleep deprivation does not seem to me to be any better option!!

Customer:

if Lithium is detected in either blood, urine, or saliva?

Customer:

I have alot of Rivotril

Anthony Bray MD :

It may be detected in blood yes...

Customer:

I take only 1.5mg a day

Customer:

0.5mg in the morning

Customer:

and 1mg at night

Customer:

but it is doing nothing to help me sleep

Anthony Bray MD :

OK >> same dose >> no change??

Customer:

I have an exam in 8 hours

Customer:

its a 3 hour paper exam

Customer:

I am so stressed

Customer:

that i could not sleep

Customer:

tonight

Anthony Bray MD :

You might try Benedryl 25 to 50 mg ...

Anthony Bray MD :

yes...

Customer:

is the perscription?

Customer:

this*

Anthony Bray MD :

No, Benedryl is over the counter...

Customer:

I have some seroquel

Customer:

the 25mg

Anthony Bray MD :

It is an anti-histamine that is normally associated with inducing drowsiness...

Customer:

but it leaves me dumbed down for the rest of the day

Anthony Bray MD :

The Seroquel should help... that usually would cause drowsiness...

Customer:

I tried anti histamines

Anthony Bray MD :

Not helpful??

Customer:

anti histamines with rivotril but to no avail

Anthony Bray MD :

I see....

Customer:

i weight 168 pounds

Customer:

at 5 foot 6

Customer:

is this dose enough for me?

Customer:

the rivotril

Customer:

or should I consult my doctor to inscrease it at night?

Anthony Bray MD :

I guess at your option you might try Seroquel tonight >> this is at least available but I understand the problem with feeling sluggish the next AM too....

Customer:

increase*

Anthony Bray MD :

You could consult your doctor on that >Yes

Customer:

ye it is very important to score well on my exam

Customer:

My depression started at 15

Anthony Bray MD :

I hope that you do well on your exam!! I hope that you overcome this problem!!

Customer:

at very moderate

Customer:

and increased when I was 17

Customer:

thank you

Anthony Bray MD :

You are very welcome>>

Customer:

so how do I try to sleep now?

Anthony Bray MD :

Based on our discussions and what you have avilable I would recommend the Seroquel 25mg tonight >> you might benefit to counteract the drowsiness in the AM with caffeine...

Customer:

should I go with 50mg or 25mg enough?

Anthony Bray MD :

I hope that this has been helpful for you. I would strongly recommend further follow up with your psychiatrist...

Customer:

The problem I cannot convince them to perscribe me any medication

Anthony Bray MD :

Try 25 mg and give that 30 to 45 minutes adn repeat dose if not asleep...

Customer:

all they want to do is drug me up with anti depressants and anti psychotics

Customer:

And at the morning just caffiene?

Anthony Bray MD :

Yes in the AM extra caffeine should benefit your alertness...

Customer:

So would you recommend ambien?

Anthony Bray MD :

2 cups coffe or the equivalent should be of help to you...

Anthony Bray MD :

Yes I would recommend that... It usually works most excellent for this problem....

Customer:

do you know a way of convincing these doctors of prescribing the ambien?

Anthony Bray MD :

I suppose just find the right one > best one for you...

Customer:

They just charge me so much money and I leave with nothing

Anthony Bray MD :

I'm sorry that you are frustrated in this way!!

Customer:

yes very

Customer:

I hate time limits

Anthony Bray MD :

Right, I understand>> with your test you mean??

Customer:

especially when my career depends on it

Customer:

yes

Customer:

Do you recommend gtraveling outside for aid?

Customer:

traveling*

Customer:

most psychiatrist here is pay your cash get inside for 5 min and get out with no prescription or just some prozac

Anthony Bray MD :

If necessary then you may need to travel. Your situation is very unusual in this regard....

Anthony Bray MD :

It sounds that your psychiatrist in the UK has been the most helpful for you...

Customer:

If i sleep I wake up very fine and full of energy

Customer:

however if i dont

Customer:

Iam so depressed

Customer:

and cannot function

Anthony Bray MD :

Well hopefully you may get some sleep tonight...

Anthony Bray MD :

Try the Seroquel and this should help you get to sleep. I think that would be better than risk a sleepless night prior to your exam...

Customer:

One more thing doctor

Customer:

is Bipolar a forever thing?

Anthony Bray MD :

ok

Customer:

or will my brain have its equilibrium back in a few months?

Anthony Bray MD :

Yes usually it is unfortunately...

Customer:

oh my god I am so fortunate -_-

Customer:

I tried anti depressants

Customer:

Seroxat, Fluxotine, and Zoloft

Anthony Bray MD :

Major depression alone is more likely to be a temporary thing but Bipolar is more often a chronic condition that needs treatment

Customer:

almost commited suicide

Anthony Bray MD :

I'm sorry >> I hope that you never resort to that >> it is never the right thing to do... always remember that your sense of misery may be intense but it will pass...

Customer:

you recommend anesthesia treatment?

Customer:

or ketamine

Anthony Bray MD :

I'm not familiar with that mode of treatment...

Customer:

I am very afraid of getting worse

Customer:

my neighbor has just died a week ago

Customer:

he had manic depression too

Customer:

heroin overdose

Customer:

this made thins much worse for me this week

Anthony Bray MD :

Well you should be able to benefit from treatment for the condition.. it is usually a matter of finding the best medication combination for a given patient...

Customer:

things*

Anthony Bray MD :

I'm sorry...

Customer:

If iam young at this age is their a chance I might recover quicker?

Anthony Bray MD :

It is possible...

Customer:

Doctor are you familiar with alpha and beta brain waves?

Anthony Bray MD :

I have interest in new strong magnetic therapy that is being used successfully in certain psychiatric conditions... this is cutting edge and I am not too familiar with details of this at this point however...

Anthony Bray MD :

A little bit familiar... I am not a neurologist or Psychiatrist and do not interpret EEGs for example....

Customer:

if it doesnt involve elctro shock therapy and wiping half my brain cells I would give it a try

Anthony Bray MD :

Right, no the magnetic therapy is not destructive in nature .. of that I am sure !! :)

Customer:

what kind of specialist are you doctor?

Anthony Bray MD :

Family Practice... kind of the middle of everything...

Customer:

like a GP?

Anthony Bray MD :

exactly...

Anthony Bray MD :

WE do a three year residency in FP...

Anthony Bray MD :

so 4 years med school and then 3 years in FP residency

Customer:

such a long time

Anthony Bray MD :

I also have a BS degree in Chemistry...

Customer:

oh thats great

Anthony Bray MD :

Yes it is a while!!

Customer:

than you can help me with something

Anthony Bray MD :

OK...

Customer:

on my upper back shoulder

Customer:

I got this skin problem

Anthony Bray MD :

Yes??

Customer:

it would be darker and itch and be all dried up

Anthony Bray MD :

What does it look like??

Customer:

a bit rid

Customer:

but no growths or pimples or bleeding or puss

Customer:

red*

Customer:

and no I do not sun tan

Anthony Bray MD :

It sounds that that MIGHT be Tinea Versicolor >> mihgt be fungal skin infection>> if this then it would benefit from topical anti-fungal

Customer:

will it started happening

Customer:

when i started shaving using a razor

Customer:

a sensitive one

Customer:

the mach 3 gillite

Customer:

usually do the whole body

Customer:

no problems

Anthony Bray MD :

IT would be best to have it examined to establish the diagnosis for sure but you might try selsun to see if that helps

Customer:

only my back shoulder

Customer:

is their a brand name for that medicine?

Customer:

or is it a topical cream?

Customer:

And yes I have very sensitive skin

Anthony Bray MD :

Topical Lamisil might be helpful for that if it is a tinea type fungal infection of the skin causing that...

Customer:

Did the razor cause that?

Anthony Bray MD :

Yes these two are topical (Lamisil is also oral and the oral is by prescription here in the US while the topical is over the counter...)

Customer:

do you no the compound name

Customer:

because it will be probably under another company name around this region

Anthony Bray MD :

I would not specifically blame the shaving but it may have helped it to spread...

Customer:

know*

Anthony Bray MD :

Lamisil is Terbinafine....

Customer:

thanks, XXXXX XXXXX you recommend stop using a razor for my shoulders now?

Anthony Bray MD :

Selsun is selenium sulfide...

Customer:

I will take note of them

Anthony Bray MD :

You may benefit to give it a break at least and clear up the skin condition... later I think it is OK for you to shave if you wish...

Customer:

I also stopped washing that region with soap or scrubbing it

Customer:

just with warm water in the shower

Customer:

but it does not itch anymore hence I stopped applying the shower gel on that area

Customer:

you think their is a correlation

Anthony Bray MD :

NO I would not think that soap would be likely to aggravate the condition... I think that if you had a sensitivity that it would be all over!!

Customer:

I also take vitamin B Complex supplements

Anthony Bray MD :

That is fine>> so do I!!

Customer:

some doctor long time ago told me it causes some skin reactions

Customer:

lol

Customer:

I do alot of gym work

Customer:

and take some supplements

Anthony Bray MD :

NO I don't think that the B complex is to blame >> your body requires these nutirnts!!

Customer:

but I had this condition for over a year now

Customer:

I usually shower with dail

Customer:

but the area has no smell so i do not think it could be fungal

Anthony Bray MD :

Well from your description that sounds likley to be tinea versicolor as a culprit but of course I can't be sure without benfit of examining you...

Customer:

just looks darker and drier

Anthony Bray MD :

Yes it can....

Customer:

and red if i scratch it which I try to avoid

Anthony Bray MD :

Right>> that sounds like a tinea type infection... they do not smell bad...'

Anthony Bray MD :

They itch...

Customer:

how did I get it?

Anthony Bray MD :

Dry appearing....

Customer:

did not understand

Customer:

oh

Anthony Bray MD :

Well the fungal spores are ubiquitous actually adn our body's main defense is to shed skin cells usually faster than the fungus grows... the right conditions may alter this balance and favor the fungal infection such as moist warm and dark conditions...

Customer:

I stay in the dark alot

Customer:

just go out at night

Customer:

and rarely go without clothes on lol

Customer:

that explains it

Customer:

go in the sun more should help it you think?

Anthony Bray MD :

Yes the sunshine would tend to benefit this but this alone not likley cure it once it has a foothold...

Customer:

I do sweat alot also

Customer:

so iam moist

Anthony Bray MD :

That would contribute...

Customer:

so cream and sun light

Customer:

and an anti biotic topical?

Customer:

or no reason too

Anthony Bray MD :

Yes if you can obtain an antifungal cream then I suspect that this would clear it up for you!!

Customer:

are they prescription?

Anthony Bray MD :

Some are but many are generally OTC >> at least here in the US and the UK they are...

Customer:

oh my god

Customer:

I need to own my own pharmacy

Customer:

do you know of any over the counter ones?

Customer:

which are not to strong

Anthony Bray MD :

Yes as I recommended the Lamisil should work well..

Anthony Bray MD :

Terbenifine...

Customer:

If i do not see results than what other options should I go for?

Customer:

I hate going to dermatologists

Anthony Bray MD :

Well you may ask your pharmacist to help you if you have trouble spotting a helpful product...

Customer:

our pharmacists here are incompetent to say the truth and have no idea what they are selling

Anthony Bray MD :

I think it OK for you to try this self treatment first for a few weeks..

Anthony Bray MD :

OK well I don't know specifically about that!!.....

Customer:

may it be connected to being this age?

Customer:

hormonal changes and all that

Anthony Bray MD :

NO your age is not the problem...

Anthony Bray MD :

Acne may be connected to age but it does not sound at all acne related...

Customer:

I have never had acne thankfully

Anthony Bray MD :

Well that is good>> that is a positive!!

Customer:

maybe the water I shower with is not so clean?

Anthony Bray MD :

Well I am not blaming that >> hopefully that is not the issue!!

Customer:

but thankfully I do not see any signs of spreading

Anthony Bray MD :

That's good...

Customer:

and once I gave a break to the shaving

Customer:

it kinda stopped being irritable

Customer:

and itchy

Customer:

it did get a bit lighter

Customer:

but not to that extent which I would like

Anthony Bray MD :

The shaving would tend to add an irritation to the skin which may be expected to increase the redness and itching > yes...

Customer:

i use an electric razor for that now

Customer:

and wipe it with an alcohol wipe before

Anthony Bray MD :

That is fine...

Customer:

you have been great help doctor

Anthony Bray MD :

That would help to reduce the risk of bacterial skin infections especially...

Anthony Bray MD :

I'm glad to be of help.

Customer:

If I want to chat with you again how do I get in touch?

Anthony Bray MD :

If my answers have been helpful and to your satisfaction then please remember to leave positive feedback. That would be very much appreciated! You may contact me at any time via my page on this site >> http://www.justanswer.com/medical/expert-anthonybraymd/

Anthony Bray MD :

That link brings you to my profile page on the site and if you ask your question in the box it should come to me...

Anthony Bray MD :

You may also just ask for Dr. Bray on the main site.. that also works...

Customer:

thank you will gonna take seroquel and get knocked out with the worst drug ever created and wake up to face the stress of existence

Customer:

hope you all the best

Customer:

at least I still got my sense of humor lol

Anthony Bray MD :

Good for the sense of humor!!

Anthony Bray MD :

Take Care and good luck to you!!

Customer:

thanks

Customer:

going to the pharmacy tomm

Customer:

thank you

Customer:

take care doctor

Anthony Bray MD :

You too >> Take care and best of luck to you!!

Anthony Bray, MD, Doctor
Category: Medical
Satisfied Customers: 7133
Experience: 14 years experience in the field of Family Practice
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Anthony Bray, MD
Anthony Bray, MD
3443 Satisfied Customers
14 years experience in the field of Family Practice