Doctor insights on:
Lunesta With Melatonin
Why do sleep aides (benadryl, ambien, sonata (zaleplon) ,lunesta, prosom, elavil) not work for me?
Slight issue: There are some in vitro and animal studies indicating that valerian could moderately inhibit one of the liver enzymes (cyp 3a4) necessary to process zoloft (sertraline). However, zoloft (sertraline) has multiple metabolic pathways so you should be okay if using less than 1000mg/day of valerian. Make sure your preparation is made from only the root, and not the whole plant. ...Read moreSee 1 more doctor answer
Try other means 1st: The best sleep is natural sleep. If you're having trouble sleeping, try simple changes: don't go to bed if you're not sleepy, avoid caffeine and alcohol, and don't exercise late in the day. Stay off your computer or phone late in the evening; bright screens can interfere with natural sleep cycles. Try meds only under a doctor's care and for occasional, not daily use. Good luck! ...Read more
Lunesta (eszopiclone): Lunesta (eszopiclone) is by far the safest of the three. Ambien causes too much sleep-eating, sleep-walking, sleep talking, and even sleep driving. I have not seen any of this with lunesta (eszopiclone). Silenor is horrifically expensive for an old generic drug in low doses and is probably the closest in effect to benadryl. I don't know of anyone that has switched into mania on it, but it is a theoretical possibility. ...Read moreSee 1 more doctor answer
Usually no: They can be taken together but why do you need them in the first place, depending on age which you do not provide. ...Read more
Yes.: Actually, the best time to take Olanzapine and Lorazepam is at bedtime because they are sedating. Some people take the Olanzapine after supper and the Lorazepam right at bedtime because it is faster acting. If the Olanzapine by itself controls your anxiety and puts you to sleep, you may skip the Ativan (lorazepam) all together and just take it as needed for breakthrough anxiety. ...Read moreSee 1 more doctor answer
Best med to switch to from ambien that helps with sleep onset problems? Lunesta (eszopiclone) nor trazodone work.
Yes, but...: I assume you are using BOTH for sleeping aides. The temazapam is a controlled substance and should be monitored closely by your Dr. especially at 74 yo because as we get older, these type meds may increase fall risk, lethargy, etc., whereas the melatonin is a natural substance and may benefit you alone, so discuss with your Tx doctor. best wishes. ...Read moreSee 1 more doctor answer
Not a problem: Over the counter sleeping pills (usually containing Diphenhydramine or benadryl) should not be used regularly as they cause daytime sleepiness, decreased attention and memory, and tolerance develops. However, there is no specific problem in taking them with sertraline (zoloft). ...Read more
Depends: Generally speaking, Lunesta (eszopiclone) may be better for sleep onset, trazodone for sleep maintenance, though there might be exceptions. Ideally, best approach to resolve sleep issues is to treat underlying cause (e.g. Depression, anxiety, sleep apnea), then practice sleep hygiene (sleep-promoting behaviors), and then consider meds for sleep. ...Read moreSee 2 more doctor answers
Hello i take 3mg of lunesta (eszopiclone) can I take 5mg of melatonin with it? I'm having trouble falling asleep tonight'
Should not be a prob: There are not very many known side effects of melatonin. My advice "do not take it for long term sleep problems" just use it for the days you have problems with sleep cycle. Because we do not know long term effects of taking it. Look for USP certified dietary supplements. ...Read moreSee 1 more doctor answer
No, that would be a: Massive dose. Use excellent sleep hygiene. Retire & rise same time each day. Keep bedroom dark & cool & use only for sex & sleep. Turn off tv. No naps. Exercise regularly but not in late evening. No caffeine for 6 hrs & no alcohol or tobacco w/i 2 hrs of sleep. Keep dinner moderate sized & finish at least 2 to 3 hrs before sleep. Can try warm milk, chamomile tea or melatonin along w light reading. ...Read moreSee 1 more doctor answer
Not for all insomnia: Melatonin is natural and not addictive like some prescription sleep medications. It works best for people who are trying to get a normal sleeping pattern that was interrupted due to traveling (time zone changes), working graveyard shift, etc. The only cons is that it isn't as effective for other types of insomnia, like to help fall asleep quickly or to fall asleep and stay asleep. ...Read more
Variable side effect: Melatonin in doses greater than 10mg. Are typically used as adjunctive therapy in cancer and thrombocytopenia/chemotherapy patients. Side effects: abdominal cramps, alertness decreased, circadian rhythm disruption, daytime fatigue, depression, dizziness, drowsiness, dysphoria, headache, irritability definite relationship between melatonin and serotonin syndrome remains unproven. ...Read moreSee 1 more doctor answer
No addiction: There is no risk of developing a physiological dependence or addiction to melatonin -- meaning that your brain will not become dependent upon melatonin. Yet, as with any behavior (ie, the act of taking melatonin every night before bed) can become "addicting" or habitual thus causing a psychological addiction to needing to take melatonin for help you sleep. ...Read moreSee 2 more doctor answers