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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31640
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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I am having problems sleeping just wondering what is a safe

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I am having problems sleeping just wondering what is a safe amount of zolpidem to take and what you would regard as an overdose, I have 10 mg og zolpidem and really need some sleep please advise many thanks stephanie
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 1 year ago.

Hello and welcome Sephanie,

I am Dr. Arun and will be helping you today.

The safe dose is 12.5 mg and beyond this dose there is a chance of toxicity and lingering sleepiness, drowsiness, dizziness and other nervous system issue.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

Expert:  Dr. Arun Phophalia replied 1 year ago.

Treating sleep issues is a big challenge as the available medications are associated with several side-effects. Herbal medicines are being looked at as an ideal replacement for these medications. Among the ethnobotanicals used for sleep disorders, Valeriana officinalis and Ziziphus jujuba have been evaluated for pharmacological or clinical efficacy. Though not usually curative, they can provide symptomatic relief when used alone or adjunctively.

Following measures are helpful for the sleep issues;

1) Avoid if you do;

a) caffeine or alcohol use,

b) environmental noise,

c) inappropriate room temperature,

d) watching TV in bed.

e) avoid large meals in dinner.

2) Relaxation techniques

3) Acupressure and acupuncture.

A study comparing zolpidem with CBT showed continued efficacy for the patients treated with CBT. Please see the reference;

Jacobs GD, Pace-Schott EF, Stickgold R, Otto MW. Cognitive behavior therapy and pharmacotherapy for insomnia: a randomized controlled trial and direct comparison. Arch Intern Med. Sep 27 2004;164(17):1888-96. [Medline].

Dietary measures which are useful:

1) Avoid caffeinated beverages in the late afternoon or evening.

2) Avoid alcohol in the evening.

3) Avoid large meals near bedtime.

Acupressure on the Shenmen points of both wrists significantly decreased insomnia, with the benefit persisting for up to 2 weeks afterward. Please see the reference;

Sun JL, Sung MS, Huang MY, Cheng GC, Lin CC. Effectiveness of acupressure for residents of long-term care facilities with insomnia: a randomized controlled trial. Int J Nurs Stud. Jul 2010;47(7):798-805. [Medline].

The following is the guideline when using medications:

1) Try the lowest dose of the medication.

2) Use the medication for not more than 2-4 weeks in a single stretch.

3) Medications with a rapid onset of action, such as zolpidem or zaleplon, are preferable when the problem is falling asleep.

4) If the problem is staying asleep, temazepam, estazolam, flurazepam are more useful.

5) If one is depressed, an antidepressant with sedative properties, such as trazodone, mirtazapine, or amitriptyline, may be preferable.

It is privilege assisting you.

Please let me know if you have further queries or unanswered questions.

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Thank you.

Wishing you all the very best in life.

Expert:  Dr. Arun Phophalia replied 1 year ago.

Thank you for the opportunity to answer completely your Question. Please make sure to rate me because that is how I am credited for my work.

Now, I will provide an Additional Service offer so that you have this option available on your question list to get a hold of me directly in the future.

This additional service offer can be used for

- if you would like to schedule a new, private email session or to ask me directly a new question. It's up to you.

Thank you.

Expert:  Dr. Arun Phophalia replied 1 year ago.

Hope you are doing good.

Please let me know if I can do anything further.

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