Sleep Medications: Concerns About Seizures and Side Effects

I often have racing thoughts before bed, making it difficult for me to fall asleep?

Doctor, I often find myself thinking about various things at night when I try to sleep.
I visited a clinic, and the doctor prescribed medication for me, which I've been taking for about three years.
Recently, I was in a car accident and dislocated a joint, requiring surgery.
The anesthesiologist asked if I was taking any medications and if I had a history of epilepsy.
I told him I was taking medication for high blood pressure and insomnia.
He then asked to see my medication list, and when I showed it to him, he mentioned that one of the insomnia medications I was taking is also used for epilepsy.
I was shocked because I do not have epilepsy, so I wondered why the clinic doctor prescribed me an epilepsy medication.
I looked up the medications on the list, and I found that I take two pills before bed: one for insomnia and one calcium supplement called calcium carbonate 500 mg.
I would like to ask the doctor if it is safe for me to continue taking the insomnia medication, as I am a bit worried since I do not have epilepsy and I have sufficient calcium.

Additionally, I want to mention that after the car accident, I have been unable to leave the house for a month, and I have not taken the insomnia medication.
While lying in bed, my body sometimes twitches, and I occasionally have jerking movements.
I would like to ask the doctor what I should do about this.

P.S.
The clinic often recommends that we purchase an over-the-counter supplement called Xinbo Ning, which they say is a health product.

Cai Xiansheng, 30~39 year old female. Ask Date: 2016/03/03

Dr. Gao Chunde reply Neurology

Antiepileptic drugs can be used to treat various non-epileptic conditions, such as involuntary movements, neuropathic pain, migraines, and certain types of anxiety or panic disorders.
As for Sinopril, I personally do not have knowledge in that area, and I couldn't find any information online to provide you with advice.

Reply Date: 2016/03/03

More Info

It sounds like you have a lot of concerns regarding your sleep medications and their potential side effects, especially in light of your recent accident and the discussions with your anesthesiologist. Let's break down your concerns and provide some clarity.

Understanding Sleep Medications
1. Types of Medications: Sleep medications can vary widely in their mechanism of action. Some, like benzodiazepines (e.g., Clonazepam), are primarily used for anxiety and sleep disorders, while others, like certain anticonvulsants (e.g., Gabapentin), may also be prescribed off-label for sleep issues. It's essential to understand that while some medications used for sleep can have anticonvulsant properties, they are not necessarily prescribed for epilepsy unless there is a specific diagnosis.

2. Concerns About Seizures: If you are not diagnosed with epilepsy, the use of anticonvulsant medications for sleep should not inherently put you at risk for seizures. However, if you have been prescribed a medication that is primarily used for seizure disorders, it is crucial to discuss this with your healthcare provider. They can clarify why this medication was chosen for you and whether it is appropriate given your medical history.

3. Side Effects: Common side effects of sleep medications can include dizziness, drowsiness, confusion, and in some cases, more severe reactions like memory issues or unusual behaviors (e.g., sleepwalking). If you are experiencing unusual muscle movements or "jumping" sensations while trying to sleep, this could be a side effect of your medication or a symptom of anxiety or stress related to your recent accident.

4. Calcium Supplements: The calcium supplement you mentioned (Calcium Carbonate) is generally safe and is often used to support bone health. It should not interfere with your sleep medications, but it’s always good to take supplements as directed and discuss them with your doctor.

Recommendations
1. Consult Your Doctor: Given your concerns about the medications you are taking, especially in light of your recent accident and the potential for side effects, it is crucial to have an open discussion with your prescribing physician. Ask them to clarify the purpose of each medication, especially those that may seem inappropriate for your condition.

2. Monitor Symptoms: Keep track of any new symptoms or side effects you experience, especially after stopping your sleep medication. If you notice increased anxiety, difficulty sleeping, or unusual muscle movements, report these to your doctor.

3. Consider Non-Pharmacological Approaches: In addition to medication, consider incorporating non-drug strategies for managing sleep issues. Techniques such as cognitive-behavioral therapy for insomnia (CBT-I), mindfulness, and relaxation techniques can be beneficial.

4. Avoid Self-Medicating: Be cautious with over-the-counter supplements or medications that claim to aid sleep, such as the one you mentioned (欣波寧). Always consult your healthcare provider before starting any new medication or supplement, especially if you are already on prescribed medications.

5. Follow-Up Care: Since you are currently unable to leave your home, consider telehealth options for follow-up appointments. This can help you stay connected with your healthcare provider and ensure your treatment plan is appropriate as your situation changes.

Conclusion
Your health and safety are paramount, especially after experiencing a traumatic event like a car accident. Understanding your medications and their effects is crucial in managing your health effectively. Always feel empowered to ask questions and seek clarification from your healthcare providers regarding your treatment plan.

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