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Summary

Insomnia is a medical condition which can be defined as difficulty in initiating or maintaining sleep, or both, despite adequate opportunity and time to sleep. People suffering from insomnia often face impaired daytime functioning. Insomnia can affect people of any age and gender. However, the prevalence is more common in elderly people and women. Insomnia leads to daytime lethargy, anxiety, irritability, mood swings and a general feeling of being unwell. Insomnia also when left untreated for a long duration poses a great risk to the physical and mental health of an individual. Good news is insomnia can be medically treated with the help of prescribed medicines and lifestyle modification. Read on to find out more.

  1. Types of Insomnia
  2. What is insomnia
  3. Symptoms of Insomnia
  4. Causes & Risk Factors of Insomnia
  5. Prevention of Insomnia
  6. Diagnosis of Insomnia
  7. Treatment for Insomnia
  8. Complications of Insomnia
  9. Ayurvedic medicine, treatment and remedies for Insomnia
  10. Homeopathic medicine, treatment and remedies for Insomnia
  11. Medicines for Insomnia
  12. Doctors for Insomnia

Types of Insomnia

Adjustment insomnia

This type is also called as acute insomnia or short-term insomnia, disturbs your sleep and usually occurs because of stress. The sleep problem ends when the source of stress is gone or when you adapt to the stress. The stress does not always come from a negative experience. It has been observed that even something positive can make you too excited and not sleep well.

Behavioural insomnia in children

This condition occurs when children don't go to bed on time unless a parent or guardian enforces a bedtime. If the children are made to go to bed at a specified time, then they tend to fall asleep at a normal hour. If they are not given strict bedtimes, then they may linger awake for hours at night.

Idiopathic insomnia

Idiopathic insomnia is a lifelong sleep disorder that starts during infancy or childhood and continues into adulthood. This insomnia cannot be explained by other causes. It is not a result of any of the following.

  • Other sleep disorders
  • Medical problems
  • Psychiatric disorders
  • Stressful events
  • Medication use
  • Other behaviours

It may result from an imbalance in your body, such as an overactive awakening system and/or an underactive sleep system, but the true cause of this disorder is still unclear. Insomnia due to a drug or substance. This type of insomnia is directly related to the use of any of the following substances:

  • Medication
  • Caffeine
  • Alcohol
  • A food item

Your sleep is disrupted by your use of the any of the above substances. It may come as a surprise to you but this type of sleep problem may also occur when you stop using a substance.

Insomnia due to a medical condition

This type of insomnia is caused as a result of certain mental health disorders. Insomnia is a symptom of mental disorders. The course and severity of insomnia are directly linked to that of the mental health disorder, but this particular type of insomnia is a separate focus of treatment. This insomnia is a disorder only if it is severe enough to require separate treatment.

Insomnia nonorganic, unspecified

This type of insomnia suggests that known substances and other physical causes of insomnia have been ruled out. This means that the cause of insomnia is most likely due to an underlying mental health disorder, psychological factor, or sleep-disruptive behaviours. This particular type may be predicted by doctors on a temporary basis while further evaluation and testing are being conducted. It is the name unspecified used when a person with insomnia does not meet the criteria for another type of insomnia.

Insomnia organic, unspecified

This type of insomnia is caused by a medical disorder, physical condition, or substance exposure. But the specific cause remains unclear. Further testing is required to discover the exact cause. The name may be used on a temporary basis while further evaluation and testing are completed.

Paradoxical insomnia

Paradoxical insomnia is a complaint of severe insomnia. It occurs without objective evidence of any sleep disturbance. Daytime side effects of insomnia vary in severity, but they tend to be far less severe than one would expect given the state of the condition. People with this disorder often report little or no sleep for one or more nights. They also describe having an intense awareness of the external environment or internal processes consistent with being awake. This awareness suggests a state of hyperarousal. A key feature which can be highlighted is an overestimation of the time it takes them to fall asleep. They also underestimate their total sleep time.

Psychophysiological insomnia

This type of insomnia is associated with excessive worrying, specifically focused on not being able to sleep. Insomnia may begin suddenly following an event or develop slowly over many years.

People with this sleep disorder worry too much about their insomnia and about being tired the next day. As a result, they learn to become tense and anxious as bedtime approaches. They may have racing thoughts that all relate to insomnia and trying to fall asleep. As they worry about falling asleep, they become more and tenser, which makes it less likely that they will be able to fall asleep

What is insomnia

The definition of insomnia is “habitual sleeplessness or the inability to sleep.” Most of us in today's fast-paced life struggle to get a good night’s sleep, but insomnia is different because it’s an ongoing condition that causes sleep disruptions despite someone having the chance to get good sleep (for example, you can’t stay asleep even though you lay in bed for many hours at night).

Symptoms of Insomnia

Impairment of daytime functioning is the defining and the most common symptom of insomnia. There are many signs and symptoms that are associated with insomnia:

  • Difficulty falling asleep at night.
  • Waking during the night.
  • Waking earlier than desired.
  • Still feeling tired after a night's sleep.
  • Daytime fatigue or sleepiness.
  • Irritability, depression, or anxiety.
  • Poor concentration and focus.
  • Being uncoordinated, an increase in errors or accidents.
  • Tension headaches (feels like a tight band around head).
  • Difficulty socializing.
  • Gastrointestinal symptoms.
  • Worrying about sleeping.

Causes & Risk Factors of Insomnia

Insomnia can be caused by physical and psychological factors. There is sometimes an underlying medical condition that causes chronic insomnia, while transient insomnia may be due to a recent event or occurrence. Insomnia is commonly caused by:

  • Disruptions in circadian rhythm due to reasons such as jet lag, job shift changes, high altitudes, environmental noise, extreme heat or cold.
  • Psychological issues such as bipolar disorder, depression, anxiety disorders, or psychotic disorders.
  • Medical conditions chronic pain, chronic fatigue syndrome, congestive heart failure, angina, acid-reflux disease, chronic obstructive pulmonary diseaseasthma, sleep apnea, Parkinson's and Alzheimer's diseasehyperthyroidismarthritis, brain lesions, tumoursstroke.
  • Hormones such as estrogen, hormone shifts during menstruation.
  • Other factors external factors such as sleeping next to a snoring partner, parasites, genetic conditions, overactive mind and pregnancy.
  • Insomnia caused by stress and lifestyle factors

Common situational and stress factors leading to acute or adjustment insomnia may include:

  • Physical discomfort (hot, cold, lighting, noise, unfamiliar surroundings)
  • Working different shifts
  • Stressful life situations (divorce or separation, a death of a loved one, losing a job, preparing for an examination)
  • Illicit drug use
  • Cigarette smoking
  • Caffeine intake prior to going to bed
  • Alcohol intoxication or withdrawal
  • Certain medication

Risk Factors

  • Insomnia can affect people of any age; it is more common in adult females than adult males. It can undermine school and work performance, as well as contributing to obesity, anxiety, depression, irritability, concentration problems, memory problems, poor immune system function, and reduced reaction time.
  • Some people are more likely to experience insomnia. These include: travellers, particularly through multiple time zones
  • shift workers with frequent changes in shifts (day vs. night)
  • the elderly.
  • users of illegal drugs.
  • adolescent or young adult students.
  • pregnant women.
  • menopausal women.
  • those with mental health disorders.

Prevention of Insomnia

Best way to prevent getting insomnia is to improve your "sleep hygiene". Improving sleep hygiene consists of the following strategies:

  • Sleep as much as possible to feel rested, then get out of bed (do not over-sleep).
  • Maintain a regular sleep schedule. Go to bed and wake up at the same time daily.
  • Do not force yourself to sleep.
  • Do not drink caffeinated beverages or other stimulants in the afternoon or evening.
  • Do not drink alcohol prior to going to bed.
  • Do not smoke, especially in the evening.
  • Adjust the bedroom environment to induce sleep.
  • Avoid watching television in bed and for 30 minutes before bed.
  • Do not go to bed hungry, but avoid foods that may cause reflux.
  • Resolve stress and anxiety before going to bed.
  • Exercise regularly, but not 4-5 hours prior to bedtime.
  • Using relaxation techniques: Examples include meditation and muscle relaxation.
  • Stimulus control therapy only goes to bed when sleepy. Avoid watching TV, reading, eating, or worrying in bed. Set an alarm for the same time every morning (even weekends) and avoid long daytime naps.
  • Sleep restriction: Sleep restriction refers to another non-medical behavioural therapy for insomnia which involves limiting the time spent in bed for sleeping only. Decreasing the time spent in bed and partially depriving the body of sleep can increase tiredness, ready for the next night.
  • Many people aren’t aware that they suffer from low potassium or have signs of a magnesium deficiency, as both are crucial nutrients you need to help your body feel relaxed so you can sleep.

Diagnosis of Insomnia

Evaluation and diagnosis of insomnia may start with a thorough medical and psychiatric patient history taken by the doctor or other healthcare professional. A doctor will perform an examination on the patient to assess for any abnormal findings as well. Portions of the exam may include:

  • Assessment of mental status and neurological function
  • Heart, lung and abdominal exam
  • Ear, nose and throat exam
  • Measurement of the neck circumference and waist size.
  • Questions about any routine medications you are currently taking, and use of any illegal drugs, alcohol, tobacco, or caffeine.
  • Laboratory or blood work pertinent to these conditions can also be a part of the assessment.
  • Sleep patterns: The patient's family members and bed partners also need to be interviewed to ask about the patient's sleep patterns, snoring, or movements during sleep.
  • Sleep habits: Specific questions regarding sleep habits and patterns are also a vital part of the assessment. A sleep history focuses on the below mentioned points.
    • Duration of sleep
    • Time of sleep
    • Time to fall asleep
    • Number and duration of awakenings
    • Time of final awakening in the morning
    • Time and length of any daytime naps
    • The typical sleep environment
  • Sleep logs or diaries: Sleep logs or diaries may be used for this purpose to record these parameters on a daily basis for more accurate assessment of your sleep patterns.
  • Sleep history: Sleep history also typically includes questions about possible symptoms associated with insomnia. You may be asked about daytime functioning, fatigue, concentration and attention problems, naps, and other common symptoms of the condition.

Diagnostic tests

  • Polysomnography is a test that is done in sleep centres if medical conditions such as sleep apnea are suspected. In this test, the person will be required to spend a full night at the sleep centre while being monitored for heart rate, brain waves, respiration, movements, oxygen levels, and other parameters while they are sleeping. The data is then analyzed by a specially trained physician to diagnose or rule out sleep apnea or other disorders of sleep.
  • Actigraphy: An actigraph is a motion detector that senses the person's movements during sleep and wakefulness. This test may be useful in cases of primary insomnia disorder, circadian rhythm disorder, or sleep state misconception.

Treatment for Insomnia

Good sleep hygiene, including avoiding electronics before bed, can help treat insomnia. Some types of insomnia resolve when the underlying cause is treated or wears off. In general, insomnia treatment focuses on determining the cause. For example, if insomnia is related to a transient stressful situation, such as jet lag or an upcoming examination, it will then be cured when the situation resolves. Once identified, this underlying cause can be properly treated or corrected.

The treatment of insomnia depends largely on the cause of the problem. The treatment of insomnia can be divided into two therapies

  • Non-medical or behavioural approaches
  • Medical therapy: The main classes of medications used to treat insomnia are the sedatives and hypnotics, such as the benzodiazepines, non-benzodiazepine sedatives and antidepressant medications.

Several medications in the benzodiazepine class have been used successfully for the treatment of insomnia, and the most common ones include:

  • quazepam (Doral),
  • triazolam (Halcion),
  • estazolam (ProSom).
  • temazepam (Restoril).
  • flurazepam (Dalmane).
  • lorazepam (Ativan).

Non-benzodiazepine sedatives are also used commonly for the treatment of insomnia and include most of the newer drugs. Some of the most common ones are:

  • zaleplon (Sonata),
  • zolpidem (Ambien or Ambien CR), and
  • eszopiclone (Lunesta).

Some anti-depressants trazodone (Desyrel amitriptyline (Elavil, Endep) or doxepin (Sinequan, Adapin)) can be used effectively to treat insomnia in patients who also may suffer from depression. Some anti-psychotics have been used to treat insomnia, although their routine use for this purpose is generally not recommended.

A doctor or sleep specialist is the best person to discuss these different medications and to decide which one may be the best for each specific individual. Many of these drugs have a potential for abuse and addiction and need to be used with caution. Several of these medications can not be taken without the supervision of the prescribing doctor. Both approaches are necessary to successfully treat the problem, and combinations of these approaches may be more effective than either approach alone.

Complications of Insomnia

According to the American Association of Retired Persons (AARP), the following medications can cause insomnia in some patients which causes complications:

  • corticosteroids
  • statins
  • alpha blockers
  • beta blockers
  • SSRI antidepressants
  • ACE inhibitors
  • ARBs (angiotensin II-receptor blockers)
  • cholinesterase inhibitors
  • second generation (non-sedating) H1 agonists
  • glucosamine/chondroitin
Dr. Swati Narang

Dr. Swati Narang

न्यूरोलॉजी

Dr. Megha Tandon

Dr. Megha Tandon

न्यूरोलॉजी

Dr. Shakti Mishra

Dr. Shakti Mishra

न्यूरोलॉजी

Medicines for Insomnia

Medicines listed below are available for Insomnia. Please note that you should not take any medicines without doctor consultation. Taking any medicine without doctor's consultation can cause serious problems.

Medicine NamePack SizePrice (Rs.)
ZollyZolly 10 Mg Tablet55.0
BenjBenj 1 Mg Tablet20.0
LarposeLarpose 1 Mg Tablet18.0
LopezLopez 1 Mg Tablet16.0
Lora (Mano)Lora 2 Mg Injection15.0
LoranzaLoranza 1 Mg Tablet20.0
LoriconLoricon 1 Mg Tablet19.0
NeuloraNeulora 1 Mg Tablet25.0
OrazepOrazep 1 Mg Tablet15.0
ProlineProline 1 Mg Tablet22.0
TrapexTrapex 1 Mg Tablet20.0
AlmazineAlmazine 1 Mg Tablet14.0
AnxilorAnxilor 1 Mg Tablet19.0
AnxiposeAnxipose 0.5 Mg Tablet10.0
ArkapamArkapam 1 Mg Tablet12.0
Atipam (Kc Lab)Atipam 1 Mg Tablet12.0
AtivanAtivan 1 Mg Tablet108.0
CalmeseCalmese 1 Mg Tablet8.0
LaroxLarox 2 Mg Tablet18.0
LoginLogin 2 Mg Tablet29.0
Lok (Organic)Lok 2 Mg Tablet21.0
Lok AcidLok Acid 40 Mg Injection49.0
LopamLopam 1 Mg Injection17.0
LoranxitLoranxit 1 Mg Tablet16.0
LorawelLorawel 1 Mg Tablet16.0
LoraxLorax 1 Mg Tablet10.0
Loraz (Theo)Loraz 1 Mg Tablet15.0
LorazenLorazen Injection14.0
LorelLorel 1 Mg Tablet15.0
LoripamLoripam 1 Mg Tablet29.0
LorivanLorivan 1 Mg Tablet14.0
LorvanLorvan 1 Mg Tablet95.0
LorvinLorvin 1 Mg Tablet10.0
LosedLosed 2 Mg Tablet31.0
LoxumLoxum 1 Mg Tablet19.0
LozipamLozipam 1 Mg Tablet18.0
L. PamL. Pam 1 Mg Tablet18.0
LzepamLzepam 1 Mg Tablet7.0
MeriposeMeripose 1 Mg Tablet18.0
TanzepamTanzepam 1 Mg Tablet13.0
T LorT Lor 2 Mg Tablet17.0
Zelor (Nusearch)Zelor 2 Mg Tablet17.0
ZepnapZepnap 1 Mg Tablet13.0
AgipamAgipam 1 Mg Tablet10.0
AticoolAticool 2 Mg Tablet19.0
Atipam(Ind Swift Lab)Atipam(Ind Swift Lab) 1 Mg Tablet15.0
CerpamCerpam 1 Mg Tablet28.0
LoracalmLoracalm 1 Mg Tablet11.0
LorazLoraz 2 Mg Tablet17.0
LorazineLorazine 2 Mg Tablet14.0
LorenLoren 1 Mg Tablet12.0
LorpikLorpik 1 Mg Tablet13.0
NirsanNirsan Md 1 Mg Tablet8.0
Clonafit TabletClonafit 0.25 Mg Tablet22.0
ClonotrilClonotril 0.25 Mg Tablet24.0
ClozeCloze 0.5 Mg Tablet30.0
EpitrilEpitril 0.25 Mg Tablet Md21.0
LonazepLonazep 0.25 Mg Tablet Md17.0
MelzapMelzap 1 Mg Tablet37.0
PetrilPetril 0.5 Mg Tablet30.0
RivotrilRivotril 0.5 Mg Tablet30.0
Zapiz TabletZapiz 0.25 Mg Tablet13.0
ZicamZicam 0.25 Mg Tablet Dt17.0
AdnilAdnil 0.5 Mg Tablet20.0
AnxicloAnxiclo 0.25 Mg Tablet Md10.0
AnxolepAnxolep 0.5 Mg Tablet25.0
AplazAplaz 0.25 Mg Tablet Md16.0
Aplaz DAplaz D 0.25 Mg Tablet16.0
CalmnirCalmnir 0.5 Mg Tablet17.0
CalmstayCalmstay 0.25 Mg Tablet14.0
CaspaCaspa 0.25 Mg Tablet30.0
CatierCatier 0.25 Mg Tablet11.0
ClepsCleps 0.5 Mg Tablet29.0
Clh MdClh Md 0.5 Mg Tablet18.0
Clodep (Par)Clodep Md 0.25 Mg Tablet14.0
ClodepClodep Md 1 Mg Tablet19.0
ClogisClogis 0.25 Mg Tablet11.0
ClomidClomid 0.25 Tablet22.0
ClonamClonam 0.5 Mg Tablet30.0
Clonam IrClonam Ir 0.25 Mg Tablet23.0
ClonapaxClonapax 0.5 Mg Tablet19.0
ClonasigClonasig 0.25 Mg Tablet17.0
ClonaxClonax 0.25 Mg Tablet17.0
Clonax (Consern)Clonax 0.5 Mg Tablet16.0
ClonaxylClonaxyl 0.5 Mg Tablet36.0
CloneClone 0.5 Mg Tablet14.0
ClonexClonex 0.25 Mg Tablet11.0
ClonogemClonogem 0.25 Mg Tablet21.0
ClonopamClonopam 0.25 Mg Tablet18.0
ClonorestClonorest 0.25 Mg Tablet16.0
ClopamClopam 0.5 Mg Tablet29.0
Clopam (Pacific)Clopam 0.5 Mg Tablet29.0
ClosedClosed 0.25 Mg Tablet19.0
ClosisClosis 0.25 Mg Tablet17.0
ClotasClotas 0.25 Mg Tablet19.0
Clotas Plus HClotas Plus H 0.5 Mg Tablet32.0
Clotrin (Stadmed)Clotrin 0.25 Mg Tablet12.0
ClovasClovas 0.5 Mg Tablet20.0
ClozepamClozepam 0.25 Mg Tablet Md17.0
Clozet (Organic)Clozet 0.25 Mg Tablet12.0
ClozyClozy 0.5 Mg Tablet12.0
ConvaclonConvaclon 0.5 Mg Tablet13.0
CzamCzam 10 Mg Tablet68.0
CzpamCzpam 0.25 Mg Tablet25.0
EcotrilEcotril Tablet22.0
EmclozEmcloz 0.25 Mg Tablet17.0
EminazEminaz 0.25 Md Tablet19.0
EpconEpcon 0.25 Mg Tablet10.0
Epizam (Cipla)Epizam 0.25 Mg Tablet Md9.0
FilinFilin Md 0.25 Mg Tablet12.0
HopeHope 0.5 Mg Tablet18.0
KlonKlon 0.5 Mg Tablet24.0
KlonazKlonaz 0.25 Mg Tablet18.0
KolaveryKolavery 0.25 Mg Tablet15.0
LibertaLiberta 0.25 Mg Tablet45.0
LinotrilLinotril 0.25 Mg Tablet17.0
LonacenLonacen 0.25 Mg Tablet Md12.0
LonafestLonafest 0.25 Mg Tablet17.0
LonapamLonapam 0.25 Mg Tablet16.0
LozepLozep 0.5 Mg Tablet17.0
Lozep (Dd Pharma)Lozep 1 Mg Tablet16.0
MelopraMelopra Lotion73.0
MelopraxMeloprax 0.25 Mg Tablet22.0
MonazepamMonazepam 0.5 Mg Tablet23.0
NaazNaaz 0.5 Mg Tablet29.0
NoanxNoanx 0.25 Mg Tablet9.0
Norep (Mankind)Norep 0.25 Mg Tablet22.0
Ona MdOna Md 0.25 Mg Tablet14.0
OnapilOnapil 0.5 Mg Tablet13.0
Onatril MdOnatril Md 0.25 Mg Tablet9.0
OzepamOzepam 0.25 Mg Tablet15.0
Prozepton MdProzepton Md 0.5 Mg Tablet21.0
RestovelRestovel 0.25 Mg Tablet Md13.0
StrozipStrozip 0.5 Mg Tablet17.0
XenotrilXenotril 0.25 Mg Tablet12.0
Xenotril SlXenotril Sl 0.25 Mg Tablet12.0
ZeeZee 0.5 Mg Tablet26.0
ZeeloZeelo 1 Mg Tablet105.0
ZeficarZeficar 0.5 Mg Tablet17.0
ZepamZepam 0.5 Mg Tablet22.0
ZonaZona 0.25 Mg Tablet17.0
AsiclopamAsiclopam Tablet22.0
ClonapikClonapik 0.25 Mg Tablet12.0
CloniaClonia 100 Mg Tablet69.0
Clonzy (Mcastro)Clonzy 0.25 Mg Tablet12.0
ClopinClopin 0.25 Mg Tablet22.0
ClopizClopiz Tablet25.0
HalopamHalopam 0.5 Mg Tablet30.0
Klon (Stadchem)Klon Tablet23.0
NazeNaze 0.5 Mg Tablet20.0
NozepNozep 0.25 Mg Tablet13.0
OffzepOffzep Md 0.25 Mg Tablet14.0
Q ZepamQ Zepam 1 Mg Tablet35.0
SezopamSezopam 0.5 Mg Tablet25.0
TruzepTruzep 0.25 Mg Tablet20.0
FulniteFulnite 2 Mg Tablet89.0
ZolniteZolnite 1 Mg Tablet44.0
AndantAndant Capsule27.0
StilniteStilnite 10 Mg Capsule61.0
ZalepZalep 10 Mg Capsule61.0
ZaplonZaplon 10 Mg Capsule76.0
ZasoZaso 10 Mg Capsule40.0
ZonestaZonesta 10 Mg Capsule61.0
EtilaamEtilaam 0.25 Mg Tablet Md20.0
EtirestEtirest 0.25 Mg Tablet71.0
EtizepEtizep 0.25 Mg Tablet21.0
EtizolaEtizola 0.25 Mg Tablet25.0
EzolentEzolent 0.25 Mg Tablet22.0
Lam EtLam Et 0.25 Mg Tablet18.0
MacfreshMacfresh 0.25 Mg Tablet25.0
SoloposeSolopose Md 0.5 Mg Tablet39.0
SuprabenzSuprabenz 0.25 Mg Tablet31.0
SylkamSylkam 0.25 Mg Tablet23.0
AteaseAtease 0.5 Mg Tablet35.0
EtiblissEtibliss 0.5 Mg Tablet50.0
EtimedEtimed 0.25 Mg Tablet21.0
EtinapEtinap 0.25 Mg Tablet23.0
EtipaxEtipax 0.25 Mg Tablet18.0
EtisureEtisure 0.25 Mg Tablet25.0
EtizoramEtizoram 0.25 Mg Tablet20.0
Ezolent BetaEzolent Beta 0.5 Mg Tablet43.0
MezilorMezilor 0.25 Mg Tablet38.0
New ZomniaNew Zomnia 1 Mg Tablet74.0
EtilaxEtilax Tablet33.0
Ambulax ZAmbulax Z 10 Mg Tablet62.0
FreshupFreshup 10 Mg Tablet87.0
LopitasLopitas 10 Mg Tablet44.0
Nidra (Jagsonpal)Nidra 10 Mg Tablet83.0
SedopeeSedopee 10 Mg Tablet57.0
Sove TabletSove 10 Mg Tablet98.0
SozaSoza 5 Mg Tablet34.0
Stilnoct TabletStilnoct 12.5 Mg Tablet135.0
Zilion SlZilion Sl 10 Mg Tablet77.0
ZleepZleep 10 Mg Tablet45.0
Zolcalm TabletZolcalm 10 Mg Tablet69.0
ZolcentZolcent 10 Mg Tablet67.0
ZoldemZoldem 10 Mg Tablet92.0
ZoldyZoldy 10 Mg Tablet76.0
ZolipZolip 10 Mg Tablet57.0
ZolmetZolmet 10 Mg Tablet56.0
ZolnapZolnap 10 Mg Tablet85.0
ZolnytZolnyt 10 Mg Tablet78.0
ZolpZolp 10 Mg Tablet81.0
ZolpigressZolpigress 12.5 Mg Tablet109.0
ZolpiniteZolpinite 10 Mg Tablet72.0
ZolrestZolrest 10 Mg Tablet57.0
ZolwayZolway 10 Mg Tablet42.0
ZopidZopid 10 Mg Tablet58.0
AmbizAmbiz 10 Mg Tablet62.0
BenzopamBenzopam 2 Mg Tablet9.0
DactiveDactive 10 Mg Tablet30.0
GoodnoctGoodnoct Xr 12.5 Tablet114.0
InsoniaInsonia 5 Mg Tablet77.0
Inzofresh TabletInzofresh 10 Mg Tablet46.0
JoynapJoynap 0.5 Mg Tablet30.0
Lexa HLexa H Tablet47.0
Nitrest TabletNitrest 10 Mg Tablet82.0
PedoPedo 50 Mg Suspension40.0
Ped O (Dexter Lab)Ped O 5 Mg Tablet51.0
SobriumSobrium 10 Mg Tablet103.0
Sove ItSove It 12.5 Mg Tablet121.0
Soza (Gentech)Soza 10 Mg Tablet69.0
Z8Z8 10 Mg Tablet75.0
ZappyZappy 10 Mg Tablet20.0
ZedtimeZedtime 10 Mg Tablet81.0
ZodenZoden 10 Mg Tablet19.0
Zolfresh TabletZolfresh 10 Mg Tablet123.0
ZolicalmZolicalm 10 Mg Tablet14.0
Zolnite (Nectar)Zolnite 10 Mg Tablet75.0
ZolpidZolpid 10 Mg Tablet108.0
ZolpilZolpil 10 Mg Tablet69.0
Zozo (Zee Lab)Zozo Tablet64.0
CalmtraCalmtra 10 Mg Tablet35.0
NapNap 100 Mg Suspension12.83
NipamNipam 10 Mg Tablet28.6
NitabNitab 10 Mg Tablet38.9
NitcalmNitcalm 10 Mg Tablet38.0
NiteNite 10 Mg Tablet35.0
NitravetNitravet 10 Mg Tablet58.0
NitrosunNitrosun 10 Mg Tablet40.0
SoporSopor 10 Mg Tablet35.0
TrinitTrinit Tablet17.13
BaroniteBaronite 10 Mg Tablet11.48
HypnocentHypnocent 10 Mg Tablet16.63
HypnopamHypnopam 5 Mg Tablet8.01
Hypnopam PlusHypnopam Plus 10 Mg Tablet15.38
HypnorilHypnoril 10 Mg Tablet24.0
Insomin ForteInsomin Forte 10 Mg Tablet13.0
NicareNicare 10 Mg Tablet15.56
NiraNira 10 Mg Tablet25.0
Nira (D.D. Pharma)Nira 5 Mg Tablet12.0
NitasNitas 10 Mg Tablet16.5
NitavanNitavan 10 Mg Tablet13.99
Nitpro (Sigmund)Nitpro 10 Mg Tablet22.86
NitraminNitramin 10 Mg Tablet18.0
NitrazNitraz 10 Mg Tablet Sr48.58
NitrofenNitrofen 10 Mg Tablet19.25
NitrozunNitrozun 10 Mg Tablet15.55
N TraN Tra 10 Mg Tablet16.56
NzmNzm 10 Mg Tablet13.86
SedipamSedipam 10 Mg Tablet22.0
StressbanStressban 0.25 Mg Tablet14.5
DorminDormin 10 Mg Tablet20.5
GentravitGentravit 10 Mg Tablet22.36
NigapNigap 10 Mg Tablet22.35
Nitraplan(Mkp)Nitraplan 10 Mg Tablet20.8
NitrosumNitrosum 2.5 Mg Tablet24.08
Ntp (Kivi Lab)Ntp Tablet26.0
BeetalBeetal Tablet5.04
EmgardEmgard 15 Mg Tablet7.5
EpitanEpitan 30 Mg Tablet9.77
FenobarbFenobarb 200 Mg Injection17.5
GardenalGardenal 20 Mg Syrup56.7
LuminalLuminal 15 Mg Tablet104.76
LuminalettesLuminalettes 15 Mg Tablet2.61
NytoinNytoin Tablet15.05
PhenobarbPhenobarb 30 Mg Tablet7.38
PhenotonePhenotone 30 Mg Tablet3.78
BarbeeBarbee 30 Mg Tablet6.25
PiplarPiplar Drop28.0
Db6Db6 Tablet37.71
ElsieElsie Tablet35.0
FilbetFilbet 10 Mg Tablet19.71
FresheFreshe 10 Mg Tablet35.65
Freshta PlusFreshta Plus Tablet27.43
FreshtaFreshta Tablet20.95
PregronPregron Tablet19.88
PrezenPrezen Tablet24.06
TaurnateTaurnate Tablet21.83
VomisafeVomisafe Syrup36.23
Dopy PlusDopy Plus Tablet28.77
DopyDopy Tablet19.18
Folimom DFolimom D Tablet29.0
DolbyDolby Forte Tablet123.11
FreshmonFreshmon Tablet28.08
PyrinatePyrinate Tablet21.18
Sifdox DrSifdox Dr Capsule43.0
DoxedepDoxedep 25 Mg Tablet40.7
DoxepinDoxepin 25 Mg Capsule56.83
DoxinDoxin 10 Mg Capsule26.5
DoxyrilDoxyril 10 Mg Tablet19.0
PsychopinPsychopin 25 Mg Capsule24.0
SidopinSidopin 10 Mg Capsule25.71
SomaronSomaron 3 Mg Tablet9.0
SpectraSpectra 10 Mg Capsule49.5
XeprichXeprich 10 Mg Capsule25.0
WoxepinWoxepin 25 Mg Capsule75.0
CofrylCofryl 25 Mg Syrup68.5
DifDif 25 Mg Suspension37.9
ZendrylZendryl 25 Mg Capsule17.25
AldrylAldryl Soft Gelatin Capsule11.12
BioclockBioclock 0.25 Mg Tablet21.51
LamoninLamonin 0.25 Mg Tablet15.0
Macugold PlusMacugold Plus Tablet 3 Mg164.0
MelosetMeloset Tablet33.0
Tricomax MTricomax M Scalp 60 Ml Lotion690.0
ZytoninZytonin Tablet19.15
FlurazFluraz 15 Mg Capsule47.5
NindralNindral 10 Mg Tablet18.8
ZomniaZomnia 0.5 Mg Tablet34.28
ZecloneZeclone 7.5 Mg Tablet45.12
ZonapZonap 7.5 Mg Tablet46.27
ZopiconZopicon 10 Mg Tablet86.0
Caladryl(Piramal)Caladryl Lotion56.45
MeladrylMeladryl 1% W/V Lotion45.0
NoctadermNoctaderm 5% Cream39.28
RamitaxRamitax 8 Mg Tablet109.0
LullabyLullaby Syrup57.0
NapkidNapkid Syrup59.0
NuclorylNucloryl 500 Mg Syrup61.0
PediclorylPedicloryl 500 Mg Syrup69.0
SilenceSilence 500 Mg Syrup65.0
Alamin SnAlamin Sn 560 Mg/1.250 Gm/450 Mg Infusion460.0
Alprax ZAlprax Z 0.25 Mg/3 Mg Tablet19.72
StresnilStresnil 0.25 Mg Tablet25.0
TresnilTresnil Tablet19.35
ZobaraZobara Tablet25.0
Ambulax EtAmbulax Et 0.5 Mg/20 Mg Tablet43.0
Ambulax EtmAmbulax Etm 0.25 Mg/20 Mg Tablet29.0
Etilaam ProEtilaam Pro 0.5 Mg/20 Mg Tablet48.5
Etizola BetaEtizola Beta 0.25 Mg/20 Mg Tablet35.05
Solopose BetaSolopose Beta Tablet45.0
AnxiflyAnxifly Tablet82.0
Anxiset PlusAnxiset Plus 0.5 Mg/10 Mg Tablet95.59
Caspa PlusCaspa Plus Tablet69.12
Celor PlusCelor Plus 10 Mg/0.5 Mg Tablet86.9
Censpram LiteCenspram Lite 0.25 Mg/10 Mg Tablet85.0
Cilapam HCilapam H 5 Mg/0.25 Mg Tablet61.6
Cilapam LsCilapam Ls 10 Mg/0.25 Mg Tablet79.2
Cilapam PlusCilapam Plus 10 Mg/0.5 Mg Tablet106.48
Ciprex CCiprex C Tablet85.0
Citalin ForteCitalin Forte Tablet98.0
Citapure PlusCitapure Plus Tablet61.0
Cita S ForteCita S Forte 10 Mg/0.5 Mg Tablet92.5
Cita S PlusCita S Plus 5 Mg/2.5 Mg Tablet62.0
Citofast XCitofast X 10 Mg/0.5 Mg Tablet73.95
Clonaxyl PlusClonaxyl Plus 10 Mg/0.5 Mg Tablet95.0
Clonogem PlusClonogem Plus 0.5 Mg/10 Mg Tablet77.8
Clonotril PlusClonotril Plus 0.5 Mg/10 Mg Tablet112.0
Closed PlusClosed Plus 10 Mg/0.5 Mg Tablet79.0
Clotas EhClotas Eh 5 Mg/25 Mg Tablet52.37
Depitame PlusDepitame Plus 10 Mg/0.5 Mg Tablet78.57
DepranDepran 0.5 Mg/10 Mg Tablet116.0
Depran ForteDepran Forte 0.5 Mg/20 Mg Tablet181.0
Depran HDepran H 0.25 Mg/10 Mg Tablet101.0
Depran LDepran L 0.25 Mg/5 Mg Tablet70.0
Deptune PlusDeptune Plus Tablet65.37
EctionEction 10 Mg/0.5 Mg Tablet85.0
Ection LsEction Ls 10 Mg/2.5 Mg Tablet46.0
Escigress CzEscigress Cz 10 Mg/0.25 Mg Tablet93.0
Esciptal PlusEsciptal Plus 10 Mg/0.5 Mg Tablet84.76
Escitalent PlusEscitalent Plus 0.5 Mg/10 Mg Tablet100.0
Escitapax PlusEscitapax Plus 0.5 Mg/10 Mg Tablet77.0
EscizamEscizam Tablet72.0
Esclo ForteEsclo Forte 10 Mg/0.5 Mg Tablet102.0
Esclo PlusEsclo Plus 5 Mg/0.25 Mg Tablet62.0
Es Ok PlusEs Ok Plus 10 Mg/0.5 Mg Tablet81.9
Esopam ZEsopam Z 10 Mg/0.5 Mg Tablet71.0
Esredep ForteEsredep Forte 10 Mg/0.5 Mg Tablet88.0
Estajoy PlusEstajoy Plus 10 Mg/0.5 Mg Tablet89.52
Esta PlusEsta Plus 10 Mg/0.5 Mg Tablet95.0
Estomin SfEstomin Sf 5 Mg/0.25 Mg Tablet37.91
Ezeepam PlusEzeepam Plus 0.5 Mg/10 Mg Tablet85.8
Feliz S PlusFeliz S Plus 0.5 Mg/10 Mg Tablet112.0
Firsito PlusFirsito Plus 10 Mg/0.5 Mg Tablet92.16
Galop LsGalop Ls 0.25 Mg/10 Mg Tablet80.0
Halotil PlusHalotil Plus Tablet99.0
Jopram PlusJopram Plus 0.5 Mg/10 Mg Tablet95.0
Joycom PlusJoycom Plus 10 Mg/0.5 Mg Tablet92.4
Klonaz EsKlonaz Es 10 Mg/0.5 Mg Tablet105.9
Kolavery ForteKolavery Forte 10 Mg/0.5 Mg Tablet103.84
Lexadep AxLexadep Ax Tablet69.0
Libotryp EzLibotryp Ez 0.5 Mg/10 Mg Tablet98.5
Newcita LiteNewcita Lite 0.25 Mg/10 Mg Tablet73.0
Norep PlusNorep Plus 0.5 Mg/10 Mg Tablet88.0
Norep Plus HNorep Plus H 0.25 Mg/10 Mg Tablet79.7
PanicalmPanicalm 0.5 Mg/10 Mg Tablet57.75
Petril PlusPetril Plus 0.5 Mg/10 Mg Tablet130.0
Prasilex PlusPrasilex Plus 0.5 Mg/10 Mg Tablet85.71
Pridep PlusPridep Plus 10 Mg/0.5 Mg Tablet84.52
Recita ForteRecita Forte 10 Mg/0.5 Mg Tablet103.0
Recita LiteRecita Lite 0.25 Mg/10 Mg Tablet85.5
Restovel DRestovel D 10 Mg/0.50 Mg Tablet85.0
Restovel HdRestovel Hd 5 Mg/0.025 Mg Tablet60.0
RevorestRevorest 10 Mg/0.5 Mg Tablet85.0
S Citapad PlusS Citapad Plus 10 Mg/0.5 Mg Tablet65.0
Sri CzSri Cz 10 Mg/0.25 Mg Tablet70.0
Sri Cz PlusSri Cz Plus Tablet84.32
S Vocita PlusS Vocita Plus 10 Mg/0.5 Mg Tablet98.0
Szetalo PlusSzetalo Plus Md Tablet110.0
Talo CzTalo Cz 10 Mg/0.5 Mg Tablet86.66
Taloprex LsTaloprex Ls 10 Mg Tablet81.0
Taloprex PlusTaloprex Plus 10 Mg Tablet95.0
TruzapTruzap 10 Mg/0.25 Mg Tablet76.0
ViltadenViltaden Tablet80.0
Xitzen CzXitzen Cz 10 Mg/0.5 Mg Tablet80.95
Zee PlusZee Plus 10 Mg/0.5 Mg Tablet80.0
Calmpax EsCalmpax Es Tablet90.7
Censpram PlusCenspram Plus Tablet99.0
Cilentra PlusCilentra Plus Tablet87.5
CitcloCitclo Tablet62.5
Clodep Plus HClodep Plus H 10 Mg/0.25 Mg Tablet40.75
Clodep PlusClodep Plus 10 Mg/0.5 Mg Tablet74.62
Clonafit PlusClonafit Plus Tablet100.0
Clonasig PlusClonasig Plus Tablet60.0
Desilam PlusDesilam Plus 10 Mg/0.5 Mg Tablet65.5
Dipwell PlusDipwell Plus Tablet100.0
Elcita PlusElcita Plus Tablet79.2
Enzycare LcEnzycare Lc 0.25 Mg/10 Mg Tablet70.0
Enzycare PlusEnzycare Plus 0.5 Mg/10 Mg Tablet75.0
Equlok CEqulok C 10 Mg/0.5 Mg Tablet85.0
Escada PlusEscada Plus 10 Mg/5 Mg Tablet88.06
Esciram ClEsciram Cl 10 Mg/0.5 Mg Tablet60.0
Esipram PlusEsipram Plus Tablet97.9
EsitacEsitac 10 Mg/0.5 Mg Tablet80.0
Esjoy PlusEsjoy Plus 0.5 Mg/10 Mg Tablet90.0
Esopam LiteEsopam Lite 0.25 Mg/10 Mg Tablet95.7
Esopam PlusEsopam Plus 0.5 Mg/10 Mg Tablet98.95
Esredep PlusEsredep Plus Tablet58.88
Estadep Plus TabletEstadep Plus Tablet90.0
Newcita PlusNewcita Plus Tablet113.0
Nexito ForteNexito Forte Tablet110.0
Nexito LsNexito Ls Tablet94.0
Nexito PlusNexito Plus Tablet73.0
Recita PlusRecita Plus Tablet37.91
Restovis DRestovis D Tablet64.28
Rexipra ForteRexipra Forte Tablet106.0
Rexipra LsRexipra Ls Tablet93.0
Rexipra PlusRexipra Plus Tablet67.5
Stalopam LiteStalopam Lite Tablet89.0
Stalopam MiniplusStalopam Miniplus Tablet64.5
Stalopam Plus TabletStalopam Plus Tablet103.0
Szetalo LsSzetalo Ls Tablet90.0
Xitpram PlusXitpram Plus 0.25 Mg/10 Mg Tablet87.5
Atease EsAtease Es 0.5 Mg/10 Mg Tablet83.0
Etilaam SEtilaam S 0.5 Mg/10 Mg Tablet102.0
Etipax ForteEtipax Forte 0.5 Mg/10 Mg Tablet81.0
Etipax PlusEtipax Plus 0.5 Mg/5 Mg Tablet60.0
Etizola LiteEtizola Lite 0.25 Mg/10 Mg Tablet99.0
Etizola PlusEtizola Plus 0.5 Mg/10 Mg Tablet108.5
Etizoram PlusEtizoram Plus 0.5 Mg/10 Mg Tablet86.0
Ezolent ForteEzolent Forte 10 Mg/0.5 Mg Tablet87.0
Ezolent PlusEzolent Plus 0.5 Mg/5 Mg Tablet71.0
Feliz S EzFeliz S Ez 0.5 Mg/10 Mg Tablet87.0
Placida PlusPlacida Plus 0.5 Mg/10 Mg Tablet96.8
Suprabenz PlusSuprabenz Plus 0.5 Mg/10 Mg Tablet85.0
Cipam PlusCipam Plus Tablet80.95
Esjoy EEsjoy E 0.5 Mg/5 Mg Tablet51.27
Etinap PlusEtinap Plus Tablet56.77
Solopose PlusSolopose Plus Tablet99.0
Somafresh PlusSomafresh Plus Tablet88.0
BarbitoinBarbitoin 30 Mg/100 Mg Tablet0.0
EpiphenEpiphen 30 Mg/100 Mg Tablet0.0
Episol PlusEpisol Plus 30 Mg/100 Mg Tablet0.0
Phen PhenPhen Phen 30 Mg/100 Mg Tablet9.66
PhensobarPhensobar 30 Mg/100 Mg Tablet0.0
CobarbCobarb Tablet34.28
EpicomEpicom 30 Mg/100 Mg Tablet91.3
GaroinGaroin 50 Mg/100 Mg Tablet26.0
PhenbarbPhenbarb Tablet12.5
PhenytalPhenytal 30 Mg/100 Mg Tablet12.0
Calm BetaCalm Beta 10 Mg Tablet27.11
Calmpax PCalmpax P 0.5 Mg/20 Mg Tablet40.38
Calmpax PmCalmpax Pm 0.5 Mg/10 Mg Tablet28.0
Cardimol CpCardimol Cp 0.5 Mg/20 Mg Tablet41.25
Cardimol CphCardimol Cph 0.25 Mg/20 Mg Tablet35.75
Closis PlusClosis Plus Tablet79.0
Clotas PlusClotas Plus 0.5 Mg/20 Mg Tablet49.0
Clotas Plus HdClotas Plus Hd 10 Mg/0.25 Mg Tablet27.0
Dizeral CpDizeral Cp 0.5 Mg/20 Mg Tablet34.0
Naaz PlusNaaz Plus 0.5 Mg/20 Mg Tablet48.5
Petril BetaPetril Beta 0.25 Mg/10 Mg Tablet32.2
Provanol ForteProvanol Forte 0.25 Mg/20 Mg Tablet41.0
Clozet PlusClozet Plus Tablet38.6
Dizeral C HdDizeral C Hd Tablet31.0
Klocalm PlusKlocalm Plus Tablet43.0
Coryl TabletCoryl Tablet0.0
Zyven Od PlusZyven Od Plus 100 Mg/0.5 Mg Tablet217.3
Nexvenla Od PlusNexvenla Od Plus Tablet127.0
Ventab PlusVentab Plus 50 Mg/0.5 Mg Tablet115.0
E Ova ME Ova M 100 Mg/3 Mg Tablet349.0
Ovanac DsrOvanac Dsr 75 Mg/3 Mg Tablet285.0
Paroxta PlusParoxta Plus 12.5 Mg/0.5 Mg Tablet100.0
Xet Cr PlusXet Cr Plus 12.5 Mg/0.25 Mg Capsule125.2
ZaptraZaptra 12.5 Mg/0.25 Mg Capsule124.0
Zaptra LsZaptra Ls 12.5 Mg/0.25 Mg Capsule109.0
Panazep LsPanazep Ls 12.5 Mg/0.25 Mg Tablet110.0
Pari Cr PlusPari Cr Plus Tablet120.0
Pari FortePari Forte Tablet160.0
Paro CrParo Cr Forte Tablet142.0
ParozepParozep Tablet106.0
SensitusSensitus 300 Mg/60 Mg/24 Mg Syrup49.0
Ascodex PlusAscodex Plus Syrup43.52
ZolsomaZolsoma 3 Mg/5 Mg Tablet55.0
Schwabe Aconitum PentarkanAconitum Pentarkan Tablet140.0
ADEL 19Adel 19 Lassitul Drop215.0
Adel 1Adel1 Apo Dolor Drop215.0
ADEL 23Adel 23 Ricura Drop215.0
ADEL 25Adel 25 Somcupin Drop215.0
ADEL 51Adel 51 Psy Stabil Drop215.0
ADEL 7Adel 7 Apo Tuss Drop215.0
ADEL 85 TonicAdel 85 Neu Regen Drinking 10 Ml Ampoule880.0
ADEL 8Adel 8 Co Hypert Drop215.0
ADEL Alfalfa Tonic with GinsengAdel Alfalfa Tonic230.0
ADEL Alfalfa Mother Tincture QAlfalfa Mother Tincture Q200.0
SBL Alfalfa TonicAlfalfa Tonic80.0
Schwabe Alpha-CFAlpha Cf Tablet93.0
Schwabe Alpha-RCAlpha Rc Tablet186.0
Schwabe Alpha-TSAlpha Ts Drop89.0
Dr. Reckeweg Avena Sativa DilutionAvena Sat Mother Tincture Q200.0
ADEL Avena Sativa DilutionAvena Sativa Dilution 1 M155.0
ADEL BC No 19Biocombination No. 19 Tablet135.0
ADEL BC No 25Biocombination No. 25 Tablet135.0
Dr. Reckeweg Gelsemium DilutionGelsemium Dilution 1 M155.0
ADEL Gelsemium Mother Tincture QGelsemium Sempervirens Dilution 1 M155.0
Mama Natura NisikindNisikind Globules180.0
NomosicNomosic Plus Tablet28.72
NvNv Tabcap127.5
Omeo Alfa Alfa MaltOmeo Alfa Alfa Malt Energy Booster130.0
Omeo Alfa and Ginseng Sugar freeOmeo Alfa Ginseng Syrup75.0
Omeo Arthritis SyrupOmeo Arthritis Sugar Free Syrup79.0
Omeo Flu TabletsOmeo Flu Tablet109.0
Omeo Sleep DropsOmeo Sleep Drop218.0
Omeo Strength SyrupOmeo Strength Drop269.0
Dr. Reckeweg Opium DilutionOpium Dilution 1 M155.0
Dr. Reckeweg Passiflora Inc. QPassiflora Mother Tincture Q230.0
Bjain Passiflora incarnata Mother Tincture QPassiflora Incarnata Mother Tincture Q79.0
ADEL Plantago M DilutionPlantago Major Mother Tincture Q200.0
Dr. Reckeweg Plantago M. DilutionPlantago Major Dilution 1 M155.0
Dr. Reckeweg R95Reckeweg Alfalfa Tonic490.0
Dr. Reckeweg R14Reckeweg R14 Sleep And Nerve Drop200.0
Dr. Reckeweg R16Reckeweg R16 Migraine And Headache Drop200.0
Dr. Reckeweg R66Reckeweg R66 Irregular Heart Beat Drop200.0
Dr. Reckeweg R6Reckeweg R6 Influenza Drop200.0
Dr. Reckeweg R81Reckeweg R81 Analgesic Drop200.0
Dr. Reckeweg R89Reckeweg R89 Hair Care Drop230.0
Schwabe Sabal PentarkanSabal Pentarkan Drop140.0
SBL Drops No. 4Sbl Drops No. 4125.0
ADEL Strychninum Phos DilutionStrychninum Phosphoricum Dilution 1 M155.0

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