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Re: Flushes vs insomnia

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Caroline

I think the drug you refer to might be Dosulepin - the new name for Dothiepin.

Tricyclic antidepressant, also sometimes prescribed in smaller amounts nocte for

insomnia. I expect BNF.org will have the details.

Helen Duxbxury

Flushes vs insomnia

Recently saw a new patient suffering from hot flushes following HRT w/drawal

4 years ago. Aged 58 with a stressful home life, she has a good diet but

unfortunately is a heavy smoker and a little overweight.

She is prone to insomnia but manages this with Horlicks laced with rum!

Rx:

sinensis

Verbena off

Leonurus cardiace

Verbena officinalis

Carduus marianus

Borago officinalis

Tarax rad

After only 2 days on this mix she reports reduction in frequency of flushes

(so soon I wondered about placebo effect) but has had 2 sleepless nights.

Could sinensis be too stimulating ? I can't think that any of the

other herbs are.

Another problem with this lady. She is taking a drug which I cannot find in

the books. I've asked her to bring the bottle next time because I think she

must be misspelling and mispronouncing it. Dithiapine/Disolupene ? Thought

to be anti-depressant. Has anyone come across this?

Caroline Wheeler

East Anglia

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