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Can you diagnose this Dr. Bob
May 7, 2007

40 years male cd4 400 UD on atazanavir ritonavir and truvada, healthy but 1 problem I can't sleep at night even my eyes closed but my mind seems quite awake it make me so tired please help. by the way my red blood count is normal, I believe it 14.5

Response from Dr. Frascino

Hi,

Can I diagnose your inability to fall asleep? Sure. You've got insomnia. Next question!

OK, I'll bet you knew that already and were really more interested in what's causing your insomnia, right? Well, there are lots of common causes, such as anxiety, depression and certain drugs (caffeine, amphetamines, etc.). In addition, there are loads of less common causes, including pain, restless leg syndrome, obstructive sleep apnea, sleep bruxism, reflux, movement disorders, etc. I suggest you discuss this problem with your HIV specialist. He should be able to help sort out the cause and/or provide you with a mild sleep aid if needed.

Pleasant dreams!

Dr. Bob


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