Top
20
Doctor insights on: Silenor Vs Ambien

Share
1

1
Is Silenor a new sleep medication and is it similar to ambien (zolpidem)?

Is Silenor a new sleep medication and is it similar to ambien (zolpidem)?

For sleep, but....: Silenor is a sleep medication but it works very differently from ambien. Silenor's chemical name is doxepin, this has been used as an antidepressant for many years (at much higher doses 100-300mg/day vs 3-6mg for silenor). It works similar to OTC sleep aids like Benadryl (diphenhydramine) and doxylamine by blocking histamine. Zolpidem works in a more complex way on hormones that regulate sleep.

Dr. Tanya Russo
73 Doctors shared insights

Doxepin (Definition)

Doxepin (brand name sinequan) is an older prescription antidepressant (a "tricyclic" available generically) that is mostly used nowadays as a sleep aid. It also has anxiety-relieving effects. Common side effects include dry mouth, blurred vision, and constipation, but unlike many other prescription sleep ...Read more


2

2
Which sedative is biggest for bi polar? Ambien, lunesta (eszopiclone) or silenor?

Which sedative is biggest for bi polar? Ambien, lunesta (eszopiclone) or silenor?

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.

See 1 more doctor answer
3

3
Good medicines that work for insomnia. I've tried ambien, (zolpidem)ambien CR, restoril, metrazapine, silenor, trazadone, also OTC meds and nothing seems to work?

Good medicines that work for insomnia. I've tried ambien, (zolpidem)ambien CR, restoril, metrazapine, silenor, trazadone, also OTC meds and nothing seems to work?

Ambien (zolpidem): Zolpidem (Ambien (zolpidem)) is indicated for short-term treatment of insomnia with difficulty of sleep onset. Ambien (zolpidem) produces tolerance and dependence when used long-term. Although trazodone is efficacious for sleep maintenance difficulties, its use in insomnia is off-label and is associated with cognitive and motor impairments. Long-term treatment with medication alone is not the optimal treatment strategy

4

4
What sedatives work best Ambien cr, sonata, (zaleplon) lunesta, rozerem or silenor? I take restoril but doesn't work. I can't sleep unless I take an extra seroquel.

What sedatives work best Ambien cr, sonata, (zaleplon) lunesta, rozerem or silenor? I take restoril but doesn't work. I can't sleep unless I take an extra seroquel.

Don't get dependent: Taking more and more sleep meds is a dangerous path. Figure out why you can't sleep; see your primary care md first. Eliminate caffeine; don't exercise too late in the evening; stay away from your cell phone and other bright screens just before going to bed. Don't go to bed until you're sleepy. May need referral to sleep lab. Try to get off all sleep meds. Good luck!

5

5
Ambien (zolpidem) and claritind?

Ambien (zolpidem) and claritind?

Sleepy not sneezy?: Ambien (zolpidem) will help you sleep; Claritin d will help with nasal allergy symptoms, but sometimes can cause restlessness and difficulty sleeping.

See 1 more doctor answer
6

6
Large doses of ambien (zolpidem)?

Large doses of ambien (zolpidem)?

Unsafe & addictive: Might be life threatening. If u or somebody u know have been taking it, call 911. Otherwise my advice: stay away from it.

See 1 more doctor answer
7

7
What does Ambien (zolpidem) treat?

What does Ambien (zolpidem) treat?

Insomnia: Ambien (zolpidem) treats insomnia, but not curatively. It is a symptom management tool only, to be used on a temporary basis. If your insomnia is long-standing, it's best to have a full evaluation. While it may well help you sleep, Ambien (zolpidem) can also be habit-forming.

See 1 more doctor answer
8

8
What is Ambien (zolpidem) used for?

What is Ambien (zolpidem) used for?

Insomnia: Ambien (zolpidem) has an indication for the short term treatment of insomnia. In clinical practice is not only used on a short-term basis.

See 1 more doctor answer
9

9
Is Ambien (zolpidem) habit forming?

Is Ambien (zolpidem) habit forming?

Yes: Yes it can be habit forming. Other sleeping agents are not. Ask your dr if any options exist for you.

Dr. Alan Ali Dr. Ali
1 doctor agreed:
10

10
Okay to split Ambien (zolpidem) cr?

Dr. Alan Ali Dr. Ali
1 doctor agreed:

Ambien-CR: Not advised to split any slow release medication.

See 1 more doctor answer
Dr. Alan Ali Dr. Ali
4 doctors agreed:
11

11
Can you take 30mg of ambien (zolpidem)?

Dr. Alan Ali Dr. Ali
4 doctors agreed:

Ambien (zolpidem): That would exceed the recommended dose of 10mg.

See 1 more doctor answer
12

12
Ambien (zolpidem) trip and its affects?

Ambien (zolpidem) trip and its affects?

Results vary..: Ambien (zolpidem) is a sleep medication designed to provide you with uninterrupted sleep for about 8 hrs. There can be unwanted and even dangerous side effects. Sleep walking. Sleep eating sleep driving. If you are tryiing to trip on Ambien (zolpidem) and use it for purposes other than to treat insomnia the results are not predictable. An overdose of Ambien (zolpidem) with or without other drugs may be your last trip.

13

13
How hard is it coming off ambien (zolpidem)?

Not very, but. ..: Do this gradually under your physician's direction.

14

14
Can ambien (zolpidem) make you feel jittery?

Can ambien (zolpidem) make you feel jittery?

Not usually: Not usually but if you suddenly stop taking it after being on it for a while some patients may get a jittery feeling due to a withdrawal effect. Obviously it would be best if you didn't need Ambien (zolpidem) to sleep. The following websites may be helpful in dealing with insomnia:http://bit. Ly/1H64Naf and http://bit. Ly/1BBVVRw Also go to the CheckList discussing CBT: "Overcoming Anxiety and Stress"

15

15
When Ambien (zolpidem) doesn't work any longer?

When Ambien (zolpidem) doesn't work any longer?

Temazepam ; Desyrel (trazodone): Temazepam and trazodone (desyrel) remain excellent options if you need long=term medicinal insomnia treatment. You can also try cbti, psychotherapy to teach you how to fall asleep without medication. There are also plenty of sleep apps noted on this site and can be helpful and look up one of dr. Heidi fowler's excellent sleep hygiene responses on this site. Best wishes.

16

16
What number of Ambien (zolpidem) should I take?

Ambien (zolpidem) -- how many?: Ambien (zolpidem) (or zolpodem) comes in 5mg and 10mg tablet strengths. Ambien (zolpidem) cr (controlled release) is available in 6.25mg and 12.5 mg tablet strengths. Most commonly, Pts are rx'ed one tab of whichever strength their doc thinks best, right before bedtime. However, it's most important that you follow the instructions your doc gave about how, exactly, to take your ambien (zolpidem). If unsure, give a call :)

17

17
Do you build a tolerance with ambien (zolpidem)?

Yes: The studies would suggest not, but my experience with patients says yes. Ambien (zolpidem) only treats difficulty falling asleep which can be due to many different problems. It doesn't treat the underlying cause, eg depression, anxiety, adhd, drug abuse etc. You need to treat the underlying cause otherwise Ambien (zolpidem) will either not work or make the problem worse.

See 2 more doctor answers
18

18
Can ambien (zolpidem) be prescribed on healthtap?

Can ambien (zolpidem) be prescribed on healthtap?

Ambien (zolpidem): Ambien (zolpidem) is not available via Healthtap since it is a controlled substance.

19

19
Can I take ambien (zolpidem) and luesta togerher?

No: Not advisable to take 2 medications that work on the same receptors. Talk to your doctor about switching medications (or changing/titration the overall dose). Hope that helps!

Ambien (Definition)

Zolpidem is a sleep-inducer which is a kind of ...Read more