I am a ocd patient. I am taking fluvoxamine for the last two months. initially everything was fine but after some days I have problems like insomnia. Some times I keep awake for the whole night. This is creating a huge problem in my life as I am a student. My ocd is fine but insomnia is troubling me. Please help me with that.

Dr. R.N.ChaturvediPsychologist37yrs exp

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The problem of ocd can be removed permanently by psychological counseling and psychological autosuggestion therapy through the online process within three weeks without any medication you can contact me for this on Lybrate website thank you.  

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Dr. Sreepada Kameswara RaoHomeopathy Doctor35yrs exp

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Your OCD and side effects of the medicine you are taking. As you are aware, the medicine you are taking should not be continued for long. This is addictive with harmful side effects and sudden stoppage cannot be done. You have to quit gradually, step by step to come out of addiction. Your OCD, insomnia can be effectively treated by homeopathy with your determination to quit the other medicine. It is safe and has no side effects. Not habit forming like sleeping pills. You can opt for comprehensive homeopathic treatment covering your health issues. Please start taking homeopathic medicine Aconite 200 in the evening and Arsenic album 200 at night for 5 days. You take some time to overcome the habit of the other medicine. Consult me through ?lybrate text consult? for further prescription and treatment. Rs 149/ 

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Dr. Saranya DevanathanPsychiatrist51yrs exp

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Dear lybrate-user, nice to know that your ocd is fine with fluvoxamine. Fluvoxamine is not a sedating tablet. Try taking it in the day time instead of at night. Now you need assessment of insomnia. There are different reasons for it. There are also sleep studies to diagnose. Please consult your psychiatrist. He may refer to other specialist if need arises.  

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Dr. Nk TakPsychiatrist16yrs exp

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Hi! you have insomnia is due to medicine or due to your illness! you need add benzodiazepine,(clonazepam) with your treatment. So consult psychiatrist.  

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Mr. Saul PereiraPsychologist51yrs exp

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It is one of the side effects of fluvoxamine. You need to consult your doctor to see if he should reduce your dosage or change the medication. In the meantime you could use some of the suggestions mentioned below: in your case particularly, do not sleep during the day; don?t even lie down. Go for regular exercise (breathing through your nostrils only) at a fixed time (at about 6 am) every day, whether you sleep or not. You must develop this habit of sleeping by 10 pm latest every night and wake up at a uniform time by 6 am every morning, even if you do not get sleep. If you do not get sleep, just lie down and if you have a bed lamp (or you could get one) lie down and read something light but not exciting. Your eyes will tire and you will fall asleep. If you like you may also put on light and soft music with the sleep function on. Depending on whether you are a visual or auditory person, you may watch tv in a lying down position until you feel sleepy. Have a warm bath before going to bed (for some people a cold bath at night seems to induce sleep! if you are one of them, please do so). Place the head side of your bed in a north-south position. The room must be as dark as possible and there should be no electronic items that give off even a light led glow. There must be ample ventilation in the room. Avoid strong odors, except lavender, on your body or in the room, or on your sheets and clothes. There should not be any live plants in your bedroom. Sleep with the lightest of clothes or without any clothing. When lying down to sleep, lie down on your left ear as much as possible. Do not sleep directly under an overhead fan. You must eat a good breakfast, a fairly light lunch, and an early dinner, which should be a very light meal. Whatever you eat in the other meals, have only a pure carbohydrate meal at night with any vegetables, and preferably before 8 pm. Do not drink much liquids after or near about dinner time. If you know emotional freedom technique or eft (check this out either on youtube or google), then please practice this too for sleep induction. Self-hypnosis and slow relaxation techniques, at night will be tremendously useful. Acupuncture or acupressure will both be very useful too. You can also try the 4-7-8 breathing pattern, which is to breathe in for four counts, hold your breath for 7 counts and exhale with a whoosh sound for 8 counts. This is to be four times at a time first thing in the morning and last thing at night, and any number of times during the day. While doing this exercise place the tip of your tongue on the roof of your mouth. The effects will be seen after a few days. You may also reduce your speed of breathing i.e. Breathe in for 4 counts/seconds and exhale for 5 counts. Pray last thing at night before you sleep.  

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Dr. Shweta BadghareHomeopathy Doctor19yrs exp

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you can take valeriana root for the insomnia follow up with me  

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Dr. Subhash DivekarGeneral Physician9yrs exp

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Received this querry only now. Ocd requires consultation, counselling, medication, follow up, supervision by a psychiatrist and is managed by psychotropic medication etc. Sleeplessness is also part of same diorder at least for treatment. Sleeping pills are sold always against valid prescription of a qualified, registered doctor, with details of hospital. Hence your regular psychiatrist will be best placed to guide and help you.  

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