### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Can you give me some guidance on the best medication for my symptoms please? I am looking for something to help me deal with anxiety and insomnia; however my situation is complicated by chronic ibs, so that my gut is particularly sensitive to any drugs. This is also the main source of my anxiety as it is very stressful to plan to go out anywhere. I have recently been prescribed 10 mg amytriptyline to help my ibs, but found during 2 weeks of taking it that the side effects were worse than my condition. In fact it made my insomnia much worse. There are so many anti-depressants and my own GP doesnt seem to know where to start. I need something which can be taken at a low dose, is mildly sedating to help sleep at night, and does not cause diahrea (which I still cant spell!). I am a 58 year old woman: research also suggests that post-menopausal women need different medication to those who have estrogen present. Thank you

### output:

His understand your concern. You have required treatment in many aspects to correct your emotion and anxiety. For your gut the medicines best to treat your symptoms is mirtazapine. Mirtazapine has excellent review in IBS plus sleep problem. It has dual role in both in anxiety and sleep problem. You have to follow sleep schedule for better sleep. Certain routines and lifestyle modification will help you like fix sleep schedule and stick on into daytime sleep exercise that makes you fatigue avoid heavy meal in dinner avoid tea coffee soft Chat Doctor. Avoid alcohol and smoking use bed when you feel sleepyhead up to when you will sleepy calm and cool bed rainfall of this will help you to restore good sleepBesides this there are some medicines like benzodiazepine and zolpidame which are useful in treat sleep problems well shorthand you