U.S. doctors online nowAsk doctors free
San Antonio, TX
A 34-year-old female asked:

I have always had problems sleeping. it has gotten a lot worse with the tamoxifen.i think it's anxiety about no sleep.with ambien (zolpidem) i lay there for 4 hrs. no tv in room, don't smoke or drink.suggestions?

2 doctor answers9 doctors weighed in
Dr. Pamela Pappas
Psychiatry 43 years experience
Other options: Tamoxifen can cause insomnia in about 9% of patients. It sounds like you know about sleep hygiene -- here is a reference for reminders: http://tinyurl.Com/lpcwhxt you might discuss low dose Elavil or sinequan with your physician, especially if Ambien (zolpidem) does not seem to help. By low dose, i mean 10mg - 25mg at bedtime. It may help without causing side effects at that dose.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Randy Stevens
General Surgery 25 years experience
Exercise: Alot of stress can be relieved with good old fashioned exercise. Try walking for 1 hour after dinner. You will program your body to relax. If you can't go outside then try cleaning inside or even try meditation. Picture yourself relaxing and sleeping well. Talk to your doctor if you find yourself sleeping during the day.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Jun 18, 2022


Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.