Open Care Medical Center - Orange County's Leading Multispeciality Clinic

- Individualized strategy depending on your specific needs
- Integrated approach towards Insomnia involving evaluation, counseling and treatment
- Same day appointments and walk-ins Monday through Saturday
- Knowledgeable and friendly staff answers calls and returns messages quickly
- Fast response to patient needs with convenient location

All of our doctors are board certified Doctors licensed by the Medical Board of California.

Our physicians, and medical staff work together with you to assure you of the best outcomes. During your initial visit our doctors will speak with you and evaluate you, and your medical history and other relevant information. With this information our physician will formulate a plan and diagnosis of your situation. Next, we will work with you to customize a treatment plan together that is specifically tailored to your needs.

Treatment options will be provided, with their benefits, and side effects discussed. This is part of our integrated approach towards a complete and effective solution. If we believe we are not able to help with your situation effectively, we have a list of experienced referral clinics and psychiatrists. Ultimately, you can rest assured that your needs will be taken care of one way or another.

You're not just another number.

At One Care, we really take the time to get to know you and what you want help with. Our physicians work intensively at helping you feel better again, quickly and efficiently. Since we are all in this together, we are fully committed to helping you and teaching you effective strategies that can last a lifetime.

We strongly advise against purchasing any Insomnia medication illegally - you are taking a serious health risk as well as a risk with the law. Someone who is not a medically trained professional may not be able to distinguish between various drug interactions and psychiatric symptoms, mental health and medical conditions. The most effective and most thorough evaluations, diagnosis, counseling and treatment planning for psychiatric disorders are done by licensed physicians or psychiatrists with special medical training. Vendors who are not medically trained may not fully understand how psychiatric conditions, especially psychiatric conditions that remain undiagnosed and untreated, may adversely affect one's medical health - they are most often interested only in your money and not your health. If you are self medicating you should come in and see our doctor - do it the safe way and save yourself from future legal problems and health risks.

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Getting enough sleep is an important part of a healthy lifestyle. Insomnia can affect you mentally and physically. It can make you feel tired, depressed and irritable. It can also make it hard for you to concentrate or perform tasks during the day. If you don’t get enough sleep on a regular basis, you’re at increased risk of diseases such as high blood pressure, heart disease and diabetes.

Everyone has an occasional sleepless night, and this is not a problem for most people. However, as many as 25% of Americans report occasional sleeping problems, and insomnia is a chronic problem for about 10% of people.

The lack of restful sleep can affect your ability to carry out daily responsibilities because you are too tired or have trouble concentrating. All types of insomnia can lead to daytime drowsiness, poor concentration, and the inability to feel refreshed and rested in the morning.

Most adults do best with about 8 hours of sleep each night until age 60, after which 6 hours may be enough. Even though the elderly need less sleep, almost one half of people over 60 experience some degree of insomnia.

The best measure of the amount of sleep needed is how you feel. If you awaken feeling refreshed, you are getting enough sleep. For some people, this may take only 4 hours. Others can need up to 10 hours to feel rested.

Insomnia is difficulty getting to sleep or staying asleep, or having nonrefreshing sleep for at least 1 month.

Treatment

In addition to lifestyle and behavior changes, a prescription sleep medication may be required. One type (or class) of drugs used for insomnia is the hypnotic such as zaleplon (Sonata®), zolpidem (Ambien®) and certain benzodiazepines. These medications usually are recommended for short-term use. The newer hypnotic medications generally are well-tolerated and have little risk of abuse.

The use of tranquilizing drugs to solve chronic insomnia is not recommended by
conventional or alternative medicine. The problem arises when the insomniac becomes accustomed to the good night's sleep the drugs induce and does not want to stop taking the medication. The other problem is tolerance, which means the drug slowly stops working, even when higher doses are taken. The dual problems of addiction and tolerance cause physicians to be extremely cautious when prescribing sleep medications.

Prescription medications for insomnia should be taken at the lowest dose possible. Various types of prescription medication include:

Benzodiazepines. Benzodiazepines are the ones most commonly prescribed hypnotics. Originally developed to treat anxiety, these drugs reinforce a chemical in the brain that inhibits neuron excitability. They include lorazepam (Ativan), alprazolam (Xanax), triazolam (Halcion), and temazepam (Restoril), among others. Side effects include respiratory symptoms, daytime drowsiness, memory loss, and odd mood states. Benzodiazepines are potentially dangerous when combined with alcohol and should not be taken by people who use the ulcer medication cimetidine (Tagamet).

Non-benzodiazephines. Newer short-acting nonbenzodiazepines are available that can induce sleep with fewer side effects than the benzodiazepines. These hypnotics include zolpidem (Ambien), zaleplon (Sonata), and zopiclone (Imovane). They include zolpidem (Ambien), zopiclone, and zaleplon. Side effects include nausea, dizziness, nightmares, agitation, and headache. These hypnotics may pose less of a risk of dependence. The brands have some differences, Zaleplon (Sonata) is the shortest-acting hypnotic available. It can be taken even in the middle of the night and if a patient needs to awaken in only four hours. Zolpidem (Ambien) may be useful for people who take it as soon as they go to bed, since it is longer acting than Sonata.

Antidepressants. These can relieve insomnia associated with depression or early morning awakening. A combination of newer antidepressants and structured psychotherapy is proving to be very effective for improving both depression and insomnia in patients with both conditions. Researchers are particularly interested in investigating nefazodone (Serzone), a newer antidepressant that appears to improve sleep efficiency. Newer antidepressants include trazodone (Desyrel), nefazodone (Serzone), and paroxetine (Paxil). These medications have far fewer side effects, and much less danger for overdose, than other anti-insomnia drugs.

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