Your Medications: Sleep Aids and Circulation Issues - Pharmacology

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Medication consultation


Hello, pharmacist.
I originally got my insomnia medication from a clinic, but since it's too far, I switched to getting my medication from Kaohsiung Chang Gung Memorial Hospital, which is closer to home.
At the clinic, I mentioned to the doctor that sometimes my body twitches, and the doctor prescribed me a capsule for peripheral circulation.
I understand that this medication is for peripheral blood circulation issues.
When I went to Chang Gung, I told the doctor that sometimes I experience pain in the back of my head and ears on both sides.
The doctor prescribed me Nankang Fugu Brain Tong, which I noticed is also indicated for peripheral blood circulation and circulation disorders.
The clinic mentioned that I have poor nerve function and prescribed me the capsule for peripheral circulation, while Chang Gung prescribed me Fugu Brain Tong for the pain in the back of my head.
Both medications seem to be related to blood circulation issues.
I would like to ask for your advice, pharmacist.
I was originally taking the insomnia medication Clonazepam, but Chang Gung switched it to Rohypnol.
After taking Rohypnol for a few days, it seems like I sleep for a long time, and I don't hear my phone alarm when it goes off.
Normally, I don't have this issue.

Cai Xiansheng, 40~49 year old female. Ask Date: 2017/06/14

Dr. Hou Fangmin reply Pharmacology


Hello:
1.
Mecobalamin (MECOBALAMIN) is indicated for vitamin B12 deficiency, improving nucleic acid and protein metabolism in nerve cells, repairing nerve tissue, and alleviating abnormal sensory and motor disturbances.
2.
Flunarizine (復腦通) is indicated for nausea, dizziness, vestibular disorders, motion sickness, and peripheral vascular circulation disorders.
3.
Rivotril (RIVOTRIL 2mg) is used for epilepsy, alleviating anxiety-related symptoms, aiding sleep, and has various uses such as treating eyelid twitching and improving mental conditions.
4.
Keppra (克癇平) and Rivotril (利福全) contain the same active ingredient but are from different manufacturers.
Rivotril may cause prolonged sleep, which could be due to switching brands; you can gradually adjust to it.
Wishing you good health.

Reply Date: 2017/06/14

More Info


When it comes to managing sleep disorders, particularly when medications are involved, it's crucial to understand the interplay between sleep aids, circulation issues, and overall health. Based on your description, it seems you have been prescribed various medications for insomnia and possibly for circulation problems, which can complicate your sleep patterns and overall well-being.

Firstly, let's address the medications you mentioned. Clonazepam (克癇平) is a benzodiazepine often prescribed for anxiety and sleep disorders. It can help you fall asleep faster and stay asleep longer, but it may also lead to increased drowsiness the next day, which could explain why you have trouble waking up to your alarm. This medication can also cause dependency if used long-term, so it’s essential to use it under strict medical supervision.

On the other hand, Rifampicin (羅氏利福全) is an antibiotic primarily used to treat tuberculosis and certain bacterial infections. It is not typically used as a sleep aid and may have side effects that could impact your sleep. If you are experiencing excessive drowsiness or difficulty waking up, it’s important to discuss these side effects with your healthcare provider, as they may need to adjust your medication regimen.

The Peripheral Circulation medications you mentioned, such as the ones prescribed for circulation issues, can also have an impact on your sleep. Medications that affect blood flow can sometimes lead to side effects like dizziness or fatigue, which can further complicate your sleep patterns. If you are experiencing pain in the back of your head or ears, it’s essential to communicate this to your doctor, as it could indicate an underlying issue that needs to be addressed.

In terms of managing your sleep issues without solely relying on medications, consider implementing some non-pharmacological strategies:
1. Sleep Hygiene: Establish a regular sleep schedule by going to bed and waking up at the same time every day, even on weekends. Create a bedtime routine that signals to your body that it’s time to wind down. This could include activities like reading, taking a warm bath, or practicing relaxation techniques.

2. Limit Stimulants: Reduce your intake of caffeine and nicotine, especially in the hours leading up to bedtime. These substances can interfere with your ability to fall asleep and stay asleep.

3. Create a Comfortable Sleep Environment: Ensure your bedroom is conducive to sleep. This means a dark, quiet, and cool environment. Consider using blackout curtains, earplugs, or a white noise machine if necessary.

4. Physical Activity: Regular physical activity can help improve sleep quality. However, try to avoid vigorous exercise close to bedtime, as it may have the opposite effect.

5. Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, or yoga can help reduce anxiety and promote better sleep.

6. Limit Naps: If you find that napping during the day affects your nighttime sleep, try to limit naps to 20-30 minutes and avoid napping late in the day.

7. Consult a Sleep Specialist: If your sleep issues persist despite these changes, it may be beneficial to consult a sleep specialist. They can conduct a thorough evaluation and may recommend a sleep study to better understand your sleep patterns and any underlying issues.

In conclusion, while medications can be helpful for managing sleep disorders, they should be used judiciously and in conjunction with lifestyle changes. It’s essential to maintain open communication with your healthcare provider about any side effects or concerns you have regarding your medications. By combining medical treatment with healthy sleep practices, you can work towards achieving better sleep quality and overall health.

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