Doctor insights on:
Silenor Vs Ambien
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. ...Read more
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
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
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 ...Read more
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! ...Read more
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. ...Read moreSee 1 more doctor answer
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. ...Read more
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" ...Read more
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. ...Read more
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 :) ...Read more
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. ...Read moreSee 2 more doctor answers