Dr. Gary H. Miller M.D.
Pulmonologist | Pulmonary Disease
2021 k St Nw Suite 512 Washington DC, 20006About
Specializing in internal medicine, pulmonary disease, and sleep medicine, Dr. Gary Miller, MD is one of the country's most highly rated doctors. He currently treats patients in Washington, District Of ...
Education and Training
New York Univ Sch of Med, New York Ny 1977
Board Certification
American Board of Internal Medicine
Pulmonary Disease (Internal Medicine)
Sleep Medicine (Internal Medicine)
American Board of Sleep Medicine
Internal MedicineAmerican Board of Internal MedicineABIM- Pulmonary Disease
Provider Details
Dr. Gary H. Miller M.D.'s Expert Contributions
When is a person recommended to take sleeping tablets?
There is real reason to avoid giving sleep medicines to elderly patients. It increases their risk of falls and also their risk of cognitive impairment (confusion). Insomnia is a serious and challenging problem. Common reasons need to be explored rather than simply covered up. Look for anxiety, depression, sleep apnea, periodic limb movement disorder, medication side effects, maladaptive behaviors, and other medical conditions. Each has its own treatment. There is a behavioral technique called cognitive behavioral therapy for insomnia which in controlled studies is as effective as sleeping medication. It may be worth seeing a sleep specialist rather than a general physician, who may not have the experience required to pursue this in detail. READ MORE
Is there a connection between lack of sleep and constipation?
Irritable bowel syndrome is more common in patients with insomnia. So is heartburn and indigestion. Both insomnia and digestive problems are extremely common and there really isn't much data to support a mechanistic link between insomnia and constipation. Anxiety, however, is known to cause both. Medications can also do this. Treat the constipation as you always would with a healthy diet, fiber, and stool softener if necessary. READ MORE
My BP medicine is causing me to sleep too much. What should I do?
Only a handful of modern blood pressure medicines can cause sleepiness. If it is in fact 1 of those medicines, it should get changed. Just stopping it for a few days with doctor's permission would allow you to know how important the medicine is at causing sleepiness. If it is in fact the cause, there are likely many suitable alternatives. It's dangerous to be sleepy because of the risk of falling asleep driving. Please be careful until this is fully addressed. READ MORE
I am traveling next week to a foreign country. Is Zolfresh safe for regulating my sleep cycle?
That is a brand of zolpidem. It's a standard sedative hypnotic. In the United States, the maximum dose for women recommended by the FDA is 5 milligrams. It is 10 milligrams for men. Like all sedative hypnotics, it can be associated with poor cognitive function until it has worn off, and if it is used for sleep on an airplane, it should be taken at least 7-8 hours before getting off the airplane. This is to ensure that the traveler is not impaired for transfers or driving, etc. It is probably wise to take medicine such as this at least once at home in the safety of one's house to be sure that there are no unexpected sedative side effects before using it. READ MORE
Is it considered safe to be on sleep medicines for over eight months?
The medicines described above are generally used for anxiety, depression, seizures, or motion disorders. They are not typical sedative medications and are usually given long-term. The underlying illness that causes their use is generally a long-term illness and one would expect that the medications therefore would be needed for a long time. Depression and anxiety can be lifelong illnesses. Insomnia in that setting is simply a symptom along with many others and controlling it is a reasonable thing. Unfortunately, all psychiatric medicines can have side effects and need to be monitored. READ MORE
Faculty Titles & Positions
- Clinical Professor of Medicine George Washington University School of Medicine 1985 - 2018
Fellowships
- Baltimore City Hospitals
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Recommended Articles
- Is Restless Legs Syndrome Chronic?
Restless legs syndrome is not chronic. RLS is a neurological movement disorder of the limbs. It is usually associated with sleep disruptions. Patients with RLS will usually report strange sensations, such as an urge to move their leg. This can become very bothersome, which can lead to physical as...
- Sleep Apnea's Impact on a Patient's Heart
Though sleep apnea often causes atrial fibrillation, there is a lack of awareness.Neglecting sleep disorders is easy. They are widely prevalent, and yet poorly diagnosed and an underrated risk factor for many health conditions. Sleep apnea, one of the most common sleep disorders touches 3-7% of the...
- What Are the Causes and Treatment of Somnolence?
What is somnolence?Somnolence is the medical term used when a person is close to falling asleep or is in a state of sleepiness. In such case, the person is not able to resist the urge of sleeping or dozing off. A person taking many psychiatric medications for bipolar disorder or any other mental...
- What Is Insomnia? Get the Facts
Insomnia is also known as sleeplessness. It is a sleep disorder where people have trouble sleeping. Insomnia is caused by several factors. People with insomnia have abnormal sleeping patterns as well as daytime sleepiness, irritability, and a depressed mood. They may also have an increased...
- Sleep Apnea Is Much More than Snoring
Sleep apnea is often associated with snoring, which some may view as "amusing." However, jokes aside, it is clear that sleep apnea can lead to much graver consequences if neglected. Snoring should be better interpreted as an early warning of worse to come.It is vital to treat sleep apnea as a...
- Reliable Method for Diagnosing Sleep Apnea at Home
One of the most common complications of sleep apnea doesn’t revolve around the symptoms themselves, but rather on the difficulty to actually diagnose the disease. Sleep apnea is, as its name suggests, a sleep disorder characterized by the subject’s inability to breathe properly during sleep,...
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