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Spring, TX
A 42-year-old female asked:

I was on ambien for chronic insomnia for five years. loved it. stopped working. is there any med that is just as good? a hypnotic preferably? lunesta (eszopiclone) doesn't work for me nor trazodone any longer. wondering about seroquel. thank you.

4 doctor answers13 doctors weighed in
Dr. Anne Phelan-adams
A Verified Doctoranswered
A US doctor answeredLearn more
That's a common...: ...problem with meds for insomnia. You can become dependent on them or need higher doses for the same effect. I don't recommend Seroquel (quetiapine) for insomnia UNLESS it's caused by bipolar disorder (manic-depressive illness.) Try OTC melatonin 1-2 tabs 1 hour B4 bed. Ask Dr. re: tricyclic (e.g. Elavil). Get more info from: >may clinic.org->diseases & conditions->I->insomnia.
Dr. Sewa Legha
Medical Oncology 50 years experience
Your PCP can help: Your regular doctor needs to be involved in this decision as you have a serious problem which will require long term monitoring and use of sleeping medicines. Seroquel is not good for sleep. it is a very potent drug reserved for serious mental problems. But there are many other sleeping pills you could be prescribed by a thoughtful primary care physician(PCP).
Dr. Patricia Foster
Psychiatry 44 years experience
Insomnia: Ambien (zolpidem) and similar sleeping meds are not intended for long-term use because of dependence and tolerance. Insomnia is a symptom with many possible causes. Try to find cause for insomnia. Also look at sleep hygiene and lifestyle factors. Try Melatonin meantime and read: https://sleepfoundation.org/insomnia/content/treatment for more info. I hope this helps
Dr. Judith Tellerman
Clinical Psychology 42 years experience
Best to discuss medication & possible sleep study with your Psychiatrist. If uncomfortable with your Dr. consult another for a second opinion. Have a physical exam by a Dr. to determine if you have a physical illness. Consult with a Clinical Psychologist for psychotherapy with ZOOM. Fears & anxiety could be heightened due to the Covid-19 pandemic. Stay safe & hopeful to elevate your immune system.

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Last updated Apr 27, 2021

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