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Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 32717
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
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iam 71yrs old suffer from anxety and depression on 45mg mirtazpine

Resolved Question:

iam 71yrs old suffer from anxety and depression on 45mg mirtazpine and zolidem 10mg per night all started back in 2011 when I woke up with a very server headach pain lasting about 1hour since then I have not been able to fall back to to sleep without aid as said-could I have damage something in my brain as I have lost my houmor and cant laught at funny things still the same now can you help or give me some advice
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Chip replied 3 years ago.
Hi--are you seeing a psychiatrist and is the mirtazepine the only medication that's been tried?
Customer: replied 3 years ago.

not seeing anyone and i was on trazone but still not let me sleep

Expert:  Dr. Chip replied 3 years ago.
OK Patrick. Are you asking about perhaps a different sleeping medication?
Customer: replied 3 years ago.

no just why i cant go to sleep mornally

Expert:  Dr. Chip replied 3 years ago.
I understand. Tell me what happens if you try to get to sleep without medication Patrick
Customer: replied 3 years ago.

i just toss and turn all night

Expert:  Dr. Chip replied 3 years ago.
O--the headache you had--was that ever investigated with an MRI of your brain?
Customer: replied 3 years ago.

no

Customer: replied 3 years ago.

no never

Expert:  Dr. Chip replied 3 years ago.
And Patrick have you ever seen a sleep specialist MD about the problem?
Customer: replied 3 years ago.

yes but i was taken trazone at the timei had sleep appena

Expert:  Dr. Chip replied 3 years ago.
How is your sleep apnea being treated and what did the sleep specialist have to say?
Customer: replied 3 years ago.

they said it was ok

Expert:  Dr. Chip replied 3 years ago.
OK Patrick, and we can continue after this if you'd like. For one thing your sleep apnea may be part or all of the problem and you probably now need a CPAP machine to treat that. You need the brain MRI to look for any scarring from a potential bleed in the brain that caused that headache in the past. Finally, acupuncture and hypnotherapy can help with your sleep problems
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