Dx non length-dependent small fiber neuropathy. over 10 years. severe pain. autonomic symptoms. ambien no longer provides decent sleep. is ambien cr the next logical step? 63 210lbs. 64 years old?

Next steps: Dr Grim's suggestions should be heeded. Do you have a firm diagnosis regarding cause for SFN? Are you taking a specific medication to deal with nerve pain? Are you taking biologically active B vitamins? Do you have a neurologist experienced in category of peripheral neuropathy? I too believe your pursuit of sleeping pills will be fraught with failure due to evolving tolerance. Suggest above.