Ask a Psychiatrist and Get Answers to Mental Health Questions ASAP
Thank you for your question. Before answering your question, please tell me more about your insomnia. When did this first start and what was happening in your life during this time? After your response, I will be able to give you recommendations.
I was diagnosed with prostate cancer and shocked into an anxiety state by the unfeeling urologist who wanted me to enter his parnership's protocols: biopsy, radiation doc, robot-assist doc etc. Took me 2 weeks to assemble the data and get a second opinion that my cancer was small, localized and slow growing.
But the damage was done and I was in a high anxiety state that produced insomnia. Went to my local doc and was given generic Ambien. Worked for awhile but only puts you asleep for 3-4 hrs after a week or so. Then I can't get back to sleep for the 8 hrs of sleep I need.
I am in South Korea now for Proton Beam therapy and worry about being on this generic for the 2 months of treatment.
Your advise is appreciated.
I am also concerned about the addiction to generic Ambien (zolpidem titrate)
How long have u taken it m8z?
Thank you for your response. Ambien is not considered addictive, that you can rest assure of that, however, you should not take more than prescribed. Also, you may benefit form antianxiety medications as your anxiety is causing your insomnia. have you considered taking an anxiolitic?
I apologize for the technical problems I am experiencing.
If you see me disconnect, my internet is going in and out
my anxiety is lower since I got a second opinion but my insomnia continues
I worry about adding more side effects
When you try to go to sleep, what thoughts enter your head?
I see...do you take naps during the day?
I just count my breaths 1,2 1.2 until I fall asleep
do some breathing exercises too
Great! After only having a few hours a sleep a night, do you take naps during the day?
the 4,7,8 method to quell anxiety
get tired but can't fall asleep
I took 3 mg of melatonin before I got insomnia
then stopped taking it
do you take naps during the day? What is your night time routine? Do you go to bed at the same time and wake up the same time?
I go to bed around 10 pm
what time do you wake up?
wake up when 0330-0400
when the ambien wears off
I see and you can't go back to sleep, correct? What do you do instead?
internet or read
And the next day, you are able to stay up until 10pm?
but wearing me out
When was the last time you had a good night sleep?
the first few days on ambien were ok
the day before the urologist called
Is ambien the only sleep aid you have taken?
I have tried melatonin 3 mg before that
Do you exercise?
and some over the counter antihystimines with 25 mg HCL
I am over 65 and was strong for my age
Have you considered taking an anti anxiety medication such as clonopin?
I have a healthy diet
brad I don
Brad I don't feel that anxious now that I have the facts re my prostate cancer
but the insomnia lingers
I analysed all the treatment options and side effects for prostate cancer and chose the Proton beam therapy
Yes, but you reported that you had a bad experience when you were first diagnosed. You may be experiencing these feelings when you go to sleep as these feelings are unresolved.
My recommendation for you is as follows:
First, please consider obtaining a fast-acting anti-anxiety medications.
but will another drug resolve these feelings
Yes, it may because Ambien is only a temporary fix to fall asleep.
your emotions may be what is causing your insomnia
how do I get off ambien then
Before getting off of ambien, please discuss this with your prescribing doctor regarding your anxiety
the physician will either titrate you off of ambien or just prescribe you an antianxiety medications instead
he told me to stop cold turkey when I saw him after 7 days on it
great, then you should stop it. it will take a body a day or two to adjust to not having ambien
brad some anti anxiety drugs have insomnia as a side effect
You should consider "sleepytime tea"
Yes, some do, but if the anxiety does decrease, you will be able to fall asleep, if my hunch is correct
That is correct
it has both a sedative and antianxiety effect
is there anything I can take to get me the 8 hrs of sleep once ambien wears off
you can try trazadone, which needs to be prescribed by your doctor
I just wish I had my old sleep habits back
ambien gets u to sleep fast but u don't get 8 hrs
that is the problem with ambien. Please speak to your doctor of other alternatives such as trazadone or an antianxiety medications.
let me copy this down then
Once you press the "accept" button, a transcript of this discussion will be available
what was the antianxiety drug u mentioned
There are fast-acting antianxiety medications such as xanax
long lasting antianxiety medications include lexapro, buspar, or celexa
and u substitute them for ambien
that is correct
yes I had a clinical depression at my retirement 11 years ago and took celexa for 6 months
did you find celexa helpful? It works well with both depression and anxiety
but insomnia was a side effect
I see, the fast acting antianxiety medications may work
no way around the meds ha
Another suggestion is to see a therapist.
I tried cognitive therapy but the doc was just selling books
Not all therapists are like the one you saw.
yes it is hard to find a good one I know
you have obvious skills and would know
do you have any other questions?
thanks brad you have definitely given me some actionable answers and I gladly press the "accept" button
I wish you all the best!!!!
thx brad bye now