Doctor insights on:
Tapering Off Ambien
What is the best way to taper off ambien (zolpidem)? Have been taking for 5 years 10mg every night.
No "best" way.: A common way would be to take 5 mg for about a week and then stop. That would certainly avoid withdrawal effects. But you may find that you have trouble sleeping, in a way that zolpidem helped with. Then you may chose between resuming zolpidem or trying alternative insomnia treatments. ...Read more
Under supervision: Highly recommended that you taper under a doctor's/provider's supervision. Not only can there by uncomfortable withdrawals, medications like Xanax/alprazolam can result in life-threatening withdrawal seizures if an appropriate/safe tapering does not take place. What does of Xanax, how often taking? High dose/daily use may require inpatient detoxification. ...Read more
I was given permission by psychiatrist to taper off geodon (ziprasidone). Will ambien help me sleep due to withdrawals from geodon (ziprasidone)? In thepast sleep never returned.
Maybe :-): I have treated many patients with mental health issues that also cause insomnia. There are many people who will always need something to help them sleep whether it is a mild over-the-counter sleep aid or a prescription mental health medication. Ambien may work wonderfully to get you to sleep as you taper off of Geodon (ziprasidone) however you may ultimately become dependent on Ambien. Many physicians do not physicians do not like Ambien for its side effects. Also many doctors do not like giving patients sleep aids because of dependency ...Read more
You can take 1/2 each night for 10 days, then 1/4 each night for another 10 days. Then every other night for 10 days. If you have trouble with this, you need to learn how to go to sleep and work out any anxieties that keep you awake. Really.
This may invove going to a mental health expert, even though things must be better tthan 2 years ago or you wouldn't be trying to stop. Therapist? ...Read more
Request Ambien (zolpidem) taper schedule. Current dose = Ambien (zolpidem) 5mg and Ambien (zolpidem) cr 6.5mg q.D. At bed for ssri taper. 1 month clear of ssri, doing well...Desire taper from ambien (zolpidem). Otc meds (melatonin) help?
Work w/your doctor: For this question, it's best to work with your own physician so that you and s/he can be on the same page together. You need to be followed so that help is available if any of your symptoms return, etc. ...Read more
Could I replace the 1mg lorazepam that I have taken for 6 years as a sleep aid with something like ambien (zolpidem)? Would I still have to taper off the benzo?
Since rebound: Insomnia should really be the only concern, a trial with Ambien (zolpidem) could certainly be warranted. Beware of the potential risk of amnesia with Ambien (zolpidem) however. This would include sleepwalking sleep talking sleep cooking or even sleep driving. Best wishes. I had recommended the taper so as to diminish the impact of the rebound insomnia predominantly. Whatever you take will need to cover the rebound insomnia. ...Read more
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 more