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.