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
3 doctor answers • 4 doctors weighed in
Dr. Mary Engravanswered
Emergency Medicine 33 years experience
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.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
Dr. Jane Velezanswered
Clinical Psychology 28 years experience
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.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
1 comment
Dr. Alan Ali commented
Psychiatry 34 years experience
Please talk to your prescribing doctor before u make any changes.
Jan 25, 2013
Dr. Dariush Saghafianswered
Neurology 35 years experience
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.
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
Dr. Dariush Saghafi commented
Neurology 35 years experience
Provided original answer
Please don't hesitate to send more questions by writing me at: www.healthtap.com/drsaghafi If you'd like to set up an appointment to meet online you may need the code: PDXFNR. Cheers!
Jul 27, 2015
Dr. Dariush Saghafi commented
Neurology 35 years experience
Provided original answer
I believe Dr. Ali is absolutely correct. Changing medications without talking things over with your doctor is not a good idea. The person's opinion of most value is the one who knows you as their patient. Nobody on this network qualifies when looking at it from that perspective.....unless of course, YOUR doctor is also signed up on HealthTap. Try looking for them...you may be pleasantly surprised!
Jul 27, 2015
Last updated Oct 3, 2016
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