A member asked:

At 11:30 pm i take one 10mg zolpidem for insomnia. i always wake up five hours later and can't get back to sleep can you help me i also take one 100mg of trazodone, i also take .50mg of alprazolam every 4 hours not to exceed 4mg in 24 hours. is there anyt

4 doctors weighed in across 3 answers
Dr. Mary Engrav answered

Specializes in Emergency Medicine

You : You may have already tried not drinking caffeine after noon, not exercising too close to bedtime, and not using your computer or tv within an hour of bedtime. Consider adding "white noise" such as a fan. Be sure that your room is cool and not overly warm. Eating light during the day, then having a larger meal at around 7 pm or so can be helpful. Some conditions such as depression can cause early morning awakening, so if you have any symptoms of depression please tell your doctor. If your sleep problems are ongoing, you may need a different type of sleep medication at your doctor's recommendation.

Answered 10/3/2016


Dr. Jane Velez answered

Specializes in Clinical Psychology

Up the trazadone: I would increase the trazodone. You can take up to 300 mg, and 100 mg is not a high dose. Try to decrease the alprazolam, or only use at bedtime if possible, due to it's addictive qualities. If that wears off, it may cause you to wake up.

Answered 11/28/2013


Dr. Dariush Saghafi answered

Specializes in Neurology

Too many drugs here: The combination of all this medication is not a good option in my opinion and I don't believe increasing doses of any individual one of these will help you sleep any better. I like the idea of working toward nonpharmacological ways to approach your insomnia before using all these agents. Again, speaking to your doctor before changing would be best but ultimately, I think for you, LESS is MORE.

Answered 7/27/2015



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