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DrThomasMd
DrThomasMd, Board Certified MD
Category: Neurology
Satisfied Customers: 63757
Experience:  Internal medicine doctor, diagnose and treat neurology patients, many years
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Insomnia question

Customer Question

Insomnia question
Submitted: 1 year ago.
Category: Neurology
Expert:  DrThomasMd replied 1 year ago.

Hello

What is your question?

Customer: replied 1 year ago.
Dr Thomas, I was on ambien from 2009-2014 10 mg for chronic life long insomnia. I am now on 150 mg traZadone and 1 mg klonopin which does nothing for my sleep unfortunately except make me feel hungover the next day or not sleep at all. I want to know if the ambien will work again after over a year of being off of it? Desperate for sleep. Thank you.
Customer: replied 1 year ago.
Or what testing can be done to see what is causing the insomnia?
Expert:  DrThomasMd replied 1 year ago.

Hello

In fact yes.

If it worked then it should work now.

However, this is not a good long term solution.

There is an association with alzheimers, premature death and cancer used long term.

All sleep meds are thus suspect as a long term solution.

You need a sleep study.

Something is disrupting your cycle, and a sleep specialist with this test in hand might come up with a better solution.

OK, so that is an initial answer….

Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.

Customer: replied 1 year ago.
I would like to take it three days a week with the traZadone the rest of the week?
Customer: replied 1 year ago.
What are some examples that could be disrupting my sleep cycle?
Expert:  DrThomasMd replied 1 year ago.

Only your doctor can give you a prescription or tell you how you should take this medication.

Examples

Sleep apnea

Lack of REM sleep.

Lack of other sleep phases...

etc.

please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.

Customer: replied 1 year ago.
What is the treatment for the disorders? C pap?
Expert:  DrThomasMd replied 1 year ago.

In many cases but not all.

That is what the sleep specialist will determine.

Please click a positive rating.

Come back as needed.

Customer: replied 1 year ago.
I had forgotten to mention that the ambien no longer worked after 5 yrs
Expert:  DrThomasMd replied 1 year ago.

Then you should not re use it.

In fact, you should not make any plans until you are tested and see the doctor.

Please click a positive rating.

Customer: replied 1 year ago.
it has been a year since I have taken it and desperate for sleep though until I can get w a sleep specialist
Expert:  DrThomasMd replied 1 year ago.

Is there another question?