I have depression since last 10 years and improved with medication. Currently taking paroxetine 50 mg lamictal 200 mg and buspin 10. But my sleep quality is very poor at night. I keep shouting and talking in sleep, getting weird dreams and act accordingly which is causing lot of inconvenience to my wife and others. This is happening since long. This will be more severe when I miss any medication on a particular day. Kindly advise good add on medication so that I can sleep without disturbance during nights. I don't want to disturb current medication as I am comfortable wrt to depression.

Dr. Jitendriya BiswalPsychiatrist8yrs exp

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Hi Thanks for seeking help here. After carefully listening to your history n evaluating the issue we suggests.... When we advice to use SSRI in night it may cause sleep disturbance. if that's the case first you need switch to day time. coming to other factors. As u know sleep hygiene is a major factor for good sleep, so try to maintain that. coming to add on medication... as per this treatment history it seems you have a bipolar depression. You may consider Quitipin 50 mg to add on. Feel free to consult with me here in lybrate for further clarification and doubts if any with nominal fees. Happy to help you. Wish you good health. Get well soon. Regards  

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Mr. Rajan PPsychologist31yrs exp

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Dear Lybrate user, no doubt you are on good medications. But, you do need to increase your physical activities and have talk therapy (psychological counseling) in addition to your medicines, which may help you get quality sleep.  

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