Doctor insights on:
Valium Vs Ambien Sleep
Valium (diazepam) is an older benzodiazepine tranquilizer. It was the #1 prescribed drug (of any kind) in the us in the late 1960s but is used less now due to drug interactions and active metabolites. It is still used for anxiety and as "pre-medication" for uncomfortable medical and minor surgical procedures. It is habit-forming, should not be used with alcohol, ...Read more
Why do sleep aides (benadryl, ambien, sonata (zaleplon) ,lunesta, prosom, elavil) not work for me?
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
Yes-with chronic use: Good question. The "z drugs" disrupt sleep less than benzodiazepines but there is evidence that there is some disruption with chronic use that becomes a big problem when people try to stop taking these drugs. See http://www.Mylwi.Com/ehealth-newsletter/why-you-shouldnt-confuse-ambien-use-with-sleep/ & http://weeksmd.Com/2013/04/sleeping-pills-and-death/ & http://bit.Ly/17uogmu for details. ...Read moreSee 1 more doctor answer
Not recommended: Seroquel (quetiapine) is an anti-psychotic medication used for serious psychiatric disorders. It is not recommended as a sleeping aid. Talk to your pcp about what may be causing your insomnia and to find alternative meds if necessary. See: https://sleepfoundation.org/insomnia/content/what-causes-insomnia I hope this helps. Best wishes. ...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?
Yes: Actually, Ambien and Lunesta (eszopiclone) are benzodiazepines they have more specific activity for selective receptors directed at sedation, and have a short half life or time in your system, but they affect sleep architecture just like other benzodiazepines or alcohol, just in a milder manner. ...Read more
Benzodiazepines as a: Trratment for sleep apnea are contraindicated because they all, including xanax, (alprazolam) tend to depress our respiratory centers and can be even more depressing and even dangerous in sleep apnea. There are other medications that a physician can use to help sleep problems safely. Over the counter sleep aids when one is on prescription meds should be discussed with the prescribing physician or practitioner. ...Read moreSee 4 more doctor answers
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
Not good idea: Sleeping pills should only be taken here and there, now and then, not everyday for weeks/months/years. Sleeping pills should be effective through the night and stop working by morning, which means they should have short half-lives. Diazepam has a 20-100 hour half-life, so it is still in your system all day the next day and is not a good idea as a sleeping pill. ...Read more
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
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
not really: Valium (diazepam) is a benzodiazepine tranquilizer. Although it helps with sleep, it is mainly for anxiety and muscle relaxation, and can be taken during the day if prescribed that way. Ambien (zolpidem) is chemically different, only used for sleep, never during the day, and is not a tranquilizer (anxiety reducer). Valium is also habit-forming, Ambien less so (but can be too). ...Read moreSee 1 more doctor answer
Benzodiazepines: The medications that you have listed are benzodiazepines and used to treat anxiety, panic disorders, seizures, and are sedatives. These medications vary in the onset of action, side effects and all can be habit forming. The best medication is the one that best fits the patients clinical problem. ...Read more
What puts you to sleep faster? 150 mg Trazodone or lunesta (eszopiclone) 3 mg? Which med is a stronger sleep aid?
Lunesta (eszopiclone): Trazodone was originally introduced as an antidepressant, but was found to help induce normal sleep. Lunesta (eszopiclone) was developed for use in chronic primary insomnia, and has demonstrated rapid onset, adequate duration, and no significant tolerance or side effects over time. ...Read more
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