Talk to Psychiatry on Depression
Asking for Self, Male, 30 years old, Hydrabad
About 4 months ago, due to some things not happening, I was suffering from despair and had followed a very busy schedule. After that, I started feeling pain in my heart, and experiencing fear, and a condition like numbness in my brain started to occur. After a lot of medication and diagnosis, I started taking depression medication. After that, I got addicted to the sleeping tablet Zolpidem, and if I didn't take 50mg once a day, I would feel restlessness and shivering. Along with that, the doctor prescribed Sertraline 50mg twice and Estazolam 2mg with Deprel medicine. Now, suddenly stopping the sleeping tablet, I have been taking these two medicines for only 4 days. As soon as I stop them, the condition worsens. Please suggest what should be done about this situation."
Dr. Shehla Arshad Khan - General Physician
MBBS, MRCP – UK, ARDMS, Diploma Aesthetic medicine (Canada), Certified in FamMed essentials | Karachi
slowly withdraw
with aerobic exercise to maintain sleep rhythm
Farhana Shams - Clinical Psychologist
BS.Hons (Psychology), Post Graduate Diploma (Clinical Psychologist), M.Phil (Applied Psychology) | Mansehra
114 Positive Reviews
consult a clinical psychologist for therapy.
you can also book an appointment with me for therapy and further guidance.
thank you
Your symptoms suggest sedative-hypnotic dependence, particularly to Zolpidem. Taking 50 mg daily is a high dose (usual maximum recommended dose is much lower), and restlessness, shivering, anxiety, and worsening symptoms after stopping indicate withdrawal.
Consult a psychiatrist urgently (not just a general physician).
A gradual taper plan is required — never abrupt stopping.
Usually, doctors:
Slowly reduce Zolpidem dose over weeks
Sometimes switch to a longer-acting benzodiazepine temporarily for controlled taper
Continue SSRI (Sertraline) for underlying anxiety/depression
Psychological therapy (especially CBT for insomnia and anxiety) is essential to prevent relapse.
you need psychological sessions for the therapies and treatment of your problems. If feasible book your appointment.
Benazir - Clinical Psychologist
BS. Applied Psychology, MS. Psychology | Rawalpindi
5 Positive Reviews
u need psychological help and support
if possible for you book ur appointment with me
Benazir - Clinical Psychologist
BS. Applied Psychology, MS. Psychology | Rawalpindi
5 Positive Reviews
u need psychological help and support
if possible for you book ur appointment with me
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