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Neuro Doctor
Neuro Doctor, Neurologist (MD)
Category: Neurology
Satisfied Customers: 3688
Experience:  American Board Certified Neurologist, Internal Medicine
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Hi there Im known to have tonic clinic & myoclonic seizures

Customer Question

Hi there I'm known to have tonic clinic & myoclonic seizures and I'm not sleeping well I've tried good sleep hygiene no caffine after 6 pm etc reg bed times etc I did tell my neurologist this but all she advised was good sleep hygiene I'm taking kalms sleep tablets with keppra 1250 mg bd and 5mg of clobazam tds what would you recommend I do
Submitted: 2 years ago.
Category: Neurology
Expert:  Neuro Doctor replied 2 years ago.

Hi, this is Dr Sathya. Thanks for your question and I am very glad to help you.

 

I see that you have tried different things for your insomnia including good sleep hygiene, avoiding caffeine, kalms tablets etc but in vain.

 

There are plenty of medication options available too for insomnia treatment however they work great usually on a short term basis but not if there is a long history of insomnia (chronic insomnia) like in your case, so it is better to use non-medication options that are available (they are mentioned below later).

 

The medications that help with insomnia are grouped as below:

 

Allopathic medications like;

 

Pregabalin

Gabapentin

Zolpidem

Zopiclone

Eszopiclone

Lunesta

Benadryl

Clonazepam etc

 

The non-allopathic/over the counter medications like;

 

Melatonin etc

 

Alternative/complementary medicine options/non-medication options like;

 

Hypnotherapy

Acupuncture

Biofeedback

Yogas/Meditations etc

 

Another wonderful option for insomnia, especially for chronic or long standing insomnia like you are having is behavioral therapy and it is considered as the best treatment, because its effects are long lasting as well as there are no side effects related to the medications.

 

Please go through the following article to learn more about the behavioral therapy for insomnia;

 

http://www.medscape.com/viewarticle/462938_4

 

Please go through the following article to learn more about insomnia;

 

http://www.mayoclinic.com/health/insomnia/DS00187

 

Hope one of the above treatments will help you with your bothersome insomnia condition.

 

Please ask me if there are any further questions.

 

Thanks for the waiting!

 

All the best!

 

Best regards,

 

Dr Sathya.

 

-----------------------------------------------------------------------------------------------

 

If you have any additional questions, concerns or clarifications then please let me know.

 

-----------------------------------------------------------------------------------------------

 

Sathyashankar Subbanna, MD

 

Neurology 1998 batch, New York University Medical Center, New York, NY, USA

 

A total of more than 22 years of clinical experience (Graduated from the medical school in 1989)

 

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