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Are you struggling with insomnia, difficulty falling asleep, or frequent night awakenings? In this video, Dr. Mayank Agrawal, a leading psychiatrist and mental wellness expert from Surat, explains everything you need to know about:
✅ FDA-approved sleep medicines✅ When and how to use sleep medication safely✅ Types of sleep disorders and common causes of poor sleep✅ Top sleep hygiene tips for natural, drug-free sleep improvement

FDA-Approved Medications for Insomnia
1. Non-Benzodiazepine Hypnotics ("Z-Drugs")
These medications enhance GABA activity to promote sleep.
• Zolpidem (Ambien, Edluar, Intermezzo):
o Effective for initiating sleep.
o Available in immediate and extended-release forms.
o Potential side effects: dizziness, drowsiness, and complex sleep behaviors (e.g., sleepwalking). ​

• Eszopiclone (Lunesta):
o Aids in both sleep onset and maintenance.
o May cause a metallic taste and next-day drowsiness.​

2. Orexin Receptor Antagonists
These drugs block orexin, a neurotransmitter that promotes wakefulness.
• Lemborexant (Dayvigo- 5 mg
o Approved for treating insomnia characterized by difficulties with sleep onset and/or maintenance.
o Generally well-tolerated with a favorable side effect profile

3. Melatonin Receptor Agonists
These mimic the action of melatonin to regulate the sleep-wake cycle.
• Ramelteon (Rozerem):
o Effective for sleep onset insomnia.
o Not associated with dependence or withdrawal symptoms.​

4. Sedating Antidepressants
At lower doses, these can be effective for insomnia, especially when coexisting with depression or anxiety.
• Doxepin (Silenor):
o Approved for sleep maintenance insomnia.
o Minimal risk of dependence.​
• Trazodone and Mirtazapine:
o Used off-label for insomnia.
o May be beneficial for patients with comorbid mood disorders.​
Melatonin Supplements:
o Helpful for circadian rhythm disorders and jet lag.
o Generally safe for short-term use; consult a healthcare provider for long-term use. ​
Chronic Stress/Anxiety with Insomnia

Best options:
• Trazodone or Mirtazapine – sedating antidepressants
• Low-dose Amitriptyline or Doxepin
• CBT-I (non-drug therapy) – proven long-term success

Maintain a Consistent Sleep Schedule

• Go to bed and wake up at the same time every day, even on weekends.
• Helps regulate your body’s internal clock (circadian rhythm).

2. Limit Naps
• Avoid daytime naps longer than 30 minutes.
• Avoid napping late in the day—it can make falling asleep at night harder.

3. Create a Relaxing Bedtime Routine
• Unwind with calming activities 30–60 minutes before bed:
o Reading a book
o Listening to soft music
o Gentle stretches or meditation

4. Avoid Stimulants Before Bed

• No caffeine, nicotine, or heavy meals at least 4–6 hours before bedtime.
• Avoid alcohol too—it can disturb deep sleep.
5. Limit Screen Time at Night
• Blue light from phones, TVs, and computers suppresses melatonin.
• Avoid screens at least 1 hour before bed.
Tip: Use “Night Mode” or blue light filters in the evening.

6. Make Your Bedroom Sleep-Friendly
• Keep it cool, dark, and quiet.
• Use blackout curtains, white noise machines, or earplugs if needed.
• Reserve your bed only for sleep and intimacy — not for work or scrolling.

7. Get Morning Sunlight
• Natural light exposure in the morning helps reset your circadian clock.
• Aim for at least 15–30 minutes of sunlight after waking up.

8. Exercise Regularly (but not too late)
• Daily physical activity improves sleep quality.
• But avoid vigorous workouts within 2–3 hours of bedtime.

9. Manage Stress and Worry
• Use relaxation techniques:
o Deep breathing
o Mindfulness or meditation
o Journaling
Tip: Keep a "worry journal" to write down concerns before bed.

10. If You Can’t Sleep, Get Out of Bed
• Don’t toss and turn for more than 20–30 minutes.
• Get up, do something relaxing (dim lights), then try again.

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Disclaimer-The content on this video is offered only as information and it does not constitute solicitation or provision of Medical advice. The content here should not be used as a substitute for obtaining Medical advice from a licensed health care practitioner authorized to practice in your jurisdiction. You should always consult a qualified health care practitioner regarding any specific medical problem or issue.