A member asked:

I'm prescribed 10mg ambien (zolpidem) to take every night, and been on it for 5+ months. i've built up a tolerance, is there a higher dose i can take?

10 doctors weighed in across 6 answers
Dr. Heidi Fowler answered

Specializes in Psychiatry

Well - that might be: a problem. See that you take Suboxone & have a heroin addiction. You are right - you may be building a tolerance to ambien (zolpidem). The 12.5 of ambien (zolpidem) CR is a longer acting form & is roughly equivalent to 10 mg of regular ambien (zolpidem). I would encourage you to look into other ways to enhance your sleep such as sleep hygiene. It would not be good for you to develop a problematic relationship with ambien (zolpidem).

Answered 4/16/2018

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No: Ambien (zolpidem) is meant to be for short term use, In addition, there is growing recent evidence that Ambien (zolpidem) may cause some harm at the 10 mg dose. Most prescribers are limiting the dose to 5 mg, especially in Women. I would recommend speaking to your Doctor about weaning off the Ambien (zolpidem). There are safer insomnia medications. Also, it may be worth doing a medical workup or cognitive behavioral therapy.

Answered 5/23/2018

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Dr. James Burns answered

Specializes in Emergency Medicine

There is but: after that you will be sort of stuck after you develop tolerance. Sleeping medication chronically alters the duration of your natural sleep stages and it is better to decrease rather than increase use.

Answered 7/9/2014

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No: No there is no higher recommended dose of Ambien (zolpidem). Best to talk this over with your doctor to assess what is the best way for you to get a good night sleep.

Answered 5/1/2016

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Dr. Jason Stokes answered

Specializes in Family Medicine

Max dose: 10 mg is the max dose for ambien (zolpidem). Best to take a drug holiday and only take it 5-6 nights per week which will keep it more effective when it is taken.

Answered 10/31/2016

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Dr. Donald Collins answered

Specializes in Family Medicine

No: Ambien (zolpidem) 10 mg is the maximum dose. The problem with ALL the tranquilizer type sleep meds is you build a tolerance to them and they don't work after a while. This is why it's best not to take these every night. Taking them every 2-3 nights works better. Alternative meds that could help with sleep are Trazodone, Remeron, or Vistaril. These often are not addicting/do not cause tolerance.

Answered 5/4/2016

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