Need advice how to stop ambien

Posted by dorsalispedis @dorsalispedis, Jun 19, 2024

So basically around April 23 i was diagnosed with a peptic ulcer which caused me to undergo antibiotic therapy which led to severe anxiety and i was unable to fall asleep at all for 5 days. I consulted a psych and he recommended Ambien 5mg which i was able to reduce to half till 3 days ago.

Three days ago my sleep was disrupted by a powercut whole night and i had to take full ambien to sleep and now it has been happening from 2 days where i go to bed at 12am then lay awake even after taking half(till 4 am day before yday and and 5 30 am yday) and wake up around 9-9 30am. I can’t quit this medication because i have a massive exam coming up on next sunday and i can’t afford to be sleepless for even a day.

My question is how do i tackle this situation where i lay awake in bed 3-4hrs. should i take the full dose of ambien at the start?. i am anxious about that not working and then i would lay there the whole night. i usually try to sleep 2 hrs without any ambien at all till 2 am then take half and even then if i can’t fall asleep then i take full. i don’t want to exceed my dosage.

Would it be a good idea to cold turkey this dose and duration after sunday?

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Profile picture for susanfalcon52 @susanfalcon52

I’ve tried many things for sleep over the past ten years. I don’t sleep because I worry instead.
About many things.
The thing that has worked the best has been Benedryl. I took that for years, then decided that it wasn’t meant to be used that way.
I sleep better on weekends because I’m not worrying about the workday.
After trying lots of drugs and melatonin, I finally got around to Ambien. It made me feel terrible in the morning. Also, it didn’t restore my sleep as much as I’d hoped.
Now, I’m on Trazadone and it works great. I only take half of the dose.

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Be thankful that trazodone works. I’m happy for you that you didn’t have to go down the Ambien route.

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Profile picture for gloaming @gloaming

Susan, if you'd like some personal experience shared by me, I am not a great sleeper in terms of duration. I sleep well enough, just not long enough. And, I seem to drift toward shorter durations over time unless I 'whack it' with a good night or two. I use melatonin and zopiclone sparingly....like about once, maybe twice a week....at most. I tough it out the rest of the time. This way, the two keep their potency for my system to react to. Our bodies are designed to habituate, to adapt, to stressors and other influences (it's formally called the hormetic effect). Our bodies will adapt to drugs the same way, and the drugs soon lose their efficacy. We must increase the dosage or find a substitute that actually does the same thing for us in the way we need it to (those last seven words are important). So, I tough it out for two, three, four nights, and then take the relief. Amazingly, this has worked rather well for me. In fact, I haven't resorted to a zopiclone, usually a 1/4 pill works well enough, for well over a year.

About your overactive brain/imagination (only you know the balance that exists there between your ears 😉 , I hope you don't need some advice at your stage of life about dealing constructively with real and imagined fears. Leaving aside those imagined, which is a whole nuther problem and way of treating, the real fears must be faced and dealt with with the same determination that you use to tackle spring cleaning; purposefully, determinedly , and ruthlessly. Get them behind you!!

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Gloaming,
That is good advice- thank you!
I tell my clients this everyday as I’m a psychotherapist. I don’t always take my own suggestions.
Also, I love that you said ‘nuther.’

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Profile picture for triciaann99 @triciaann99

Be thankful that trazodone works. I’m happy for you that you didn’t have to go down the Ambien route.

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No one likes to be dependent on medication. However we have to carefully, with our physicians, determine what we need to be healthy and have a good quality of life. I have to take 3 medications to keep my blood pressure in the normal range and that’s fact. I also have a lifetime of insomnia. I started treating it medically in my 40’s. Started with ambien and later switched to Xanax then Klonopin. Klonopin was very effective for me and I never developed tolerance. 1mg at bedtime consistently resulted in a solid nights sleep. However, as I approached 65, doctors would no longer prescribe it, so I did a slow taper, followed by 9 months of terrible insomnia. I tried CBT-I and it was hell. There are very strict guidelines about not being in bed for more than 20 minutes if awake. I was up and down all night every night. No matter how exhausted I was, I kept getting more agitated and anxious. The doctor was willing to let me try Vistoril and Remeron and neither worked. I eventually got a referral to a sleep medicine doctor and she affirmed to me that not sleeping is harder on our bodies and minds than taking a sleep aide and Lunesta works well for me to shut off my thoughts and allow me to sleep. For me, it only lasts about 4 hours, so when I wake around 3, I take a half pill and sleep the night. Discuss your reasons for wanting to get off ambien with your doctor. Some of us just need help and accepting that.

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Profile picture for con123 @con123

No one likes to be dependent on medication. However we have to carefully, with our physicians, determine what we need to be healthy and have a good quality of life. I have to take 3 medications to keep my blood pressure in the normal range and that’s fact. I also have a lifetime of insomnia. I started treating it medically in my 40’s. Started with ambien and later switched to Xanax then Klonopin. Klonopin was very effective for me and I never developed tolerance. 1mg at bedtime consistently resulted in a solid nights sleep. However, as I approached 65, doctors would no longer prescribe it, so I did a slow taper, followed by 9 months of terrible insomnia. I tried CBT-I and it was hell. There are very strict guidelines about not being in bed for more than 20 minutes if awake. I was up and down all night every night. No matter how exhausted I was, I kept getting more agitated and anxious. The doctor was willing to let me try Vistoril and Remeron and neither worked. I eventually got a referral to a sleep medicine doctor and she affirmed to me that not sleeping is harder on our bodies and minds than taking a sleep aide and Lunesta works well for me to shut off my thoughts and allow me to sleep. For me, it only lasts about 4 hours, so when I wake around 3, I take a half pill and sleep the night. Discuss your reasons for wanting to get off ambien with your doctor. Some of us just need help and accepting that.

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con123,
I have taken Xanax for sleep in the past, too. It worked well. I’ve had a prescription for .25mg Xanax for 20 years.
I don’t take it every day. I do take it when I fly, sleep in strange places, have a panic attack, etc.
I do not wish to get into a debate here about Xanax. However, I have discovered that it has other uses. Pain management, for one.
If the Tylenol doesn’t quite do the job, one .25mg Xanax
Does.

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Profile picture for con123 @con123

No one likes to be dependent on medication. However we have to carefully, with our physicians, determine what we need to be healthy and have a good quality of life. I have to take 3 medications to keep my blood pressure in the normal range and that’s fact. I also have a lifetime of insomnia. I started treating it medically in my 40’s. Started with ambien and later switched to Xanax then Klonopin. Klonopin was very effective for me and I never developed tolerance. 1mg at bedtime consistently resulted in a solid nights sleep. However, as I approached 65, doctors would no longer prescribe it, so I did a slow taper, followed by 9 months of terrible insomnia. I tried CBT-I and it was hell. There are very strict guidelines about not being in bed for more than 20 minutes if awake. I was up and down all night every night. No matter how exhausted I was, I kept getting more agitated and anxious. The doctor was willing to let me try Vistoril and Remeron and neither worked. I eventually got a referral to a sleep medicine doctor and she affirmed to me that not sleeping is harder on our bodies and minds than taking a sleep aide and Lunesta works well for me to shut off my thoughts and allow me to sleep. For me, it only lasts about 4 hours, so when I wake around 3, I take a half pill and sleep the night. Discuss your reasons for wanting to get off ambien with your doctor. Some of us just need help and accepting that.

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Your story sounds very similar to mine. I’m 62 and everyone always wants me to try CVTI. I definitely don’t have the energy for it, and you confirm that it is very strenuous. I have over the course of the last week or so decided I’m just going to stay on Ambien because sleep is more important. I just have to not take more than prescribed and run out and then you know how it goes. Be up for three nights straight and I’m just tired of that battle. Thank you so much for your reply. I’m glad that Lunesta works for you.

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Profile picture for triciaann99 @triciaann99

I desperately need to get off Ambien, I need a success story.

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I have had sleep issues for about 20 years. I take an anti-depressant &
a anti-anxiety & finally decided to take them both in the evening (DUH!)
since they calm you & make you sleepy. It seems to be working. When it
doesn't I take Tylenol PM, or Advil PM, or Aleve PM.......which usually
then lets me sleep.
Turning off your thoughts is the most difficult for sure.

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I have been on zolpidem (5MG) for over 20 years. I was prescribed it to help me sleep through chronic neuropathy pain. It works - gives me 5-6 hours sleep, sadly though my neuropathy pain is getting worse as I age. I am 75 years, and I do feel zolpidem makes me lethargic next day, which apparently I didn’t notice when I was full time working, and so busy during the day, plus my neuropathy has worsened over the last five years. I figure I won’t know if I don’t try to wean off if the lethargic , tired, just want to sleep feeling will go away. Possibly all aging and the result of dealing with chronic pain. Any natural or holistic approaches to better sleep? Melatonin - open to suggestions and comments. I would like to have a plan, an alternative aid before I attempt this. Thank you.

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Profile picture for patriciaschulz1950 @patriciaschulz1950

I have been on zolpidem (5MG) for over 20 years. I was prescribed it to help me sleep through chronic neuropathy pain. It works - gives me 5-6 hours sleep, sadly though my neuropathy pain is getting worse as I age. I am 75 years, and I do feel zolpidem makes me lethargic next day, which apparently I didn’t notice when I was full time working, and so busy during the day, plus my neuropathy has worsened over the last five years. I figure I won’t know if I don’t try to wean off if the lethargic , tired, just want to sleep feeling will go away. Possibly all aging and the result of dealing with chronic pain. Any natural or holistic approaches to better sleep? Melatonin - open to suggestions and comments. I would like to have a plan, an alternative aid before I attempt this. Thank you.

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Some alternatives that know of may work. They aren’t as strong as ambien so may have to take more than 1. I’m in the same boat as u, take sleeping pills to avoid narcotics.

Valerian root is relaxing, for me doesn’t work on its own
Magnesium glycenate has many benefits besides sleep so it’s a good one to have in your cocktail.
I used to take melatonin every night but read some studies that dissuaded me away from this. I think it’s best for jet lag, shift workers syndrome or occasional use.
CBD and/ cannabis I have had good luck with, go to a dispensary and tell them you have neuropathy and want to sleep. There are many strains
I would recommend against long term Benadryl use
Chamomile tea
Tart cherry, I don’t like the taste
Try lavender essential oil on your pillow. Just a little
L- theanine

Other avenues to try include meditation, avoiding naps, limiting screens before bed,

None of them gave me a full nights sleep, but they help. I’m now on belsomra

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Profile picture for patriciaschulz1950 @patriciaschulz1950

I have been on zolpidem (5MG) for over 20 years. I was prescribed it to help me sleep through chronic neuropathy pain. It works - gives me 5-6 hours sleep, sadly though my neuropathy pain is getting worse as I age. I am 75 years, and I do feel zolpidem makes me lethargic next day, which apparently I didn’t notice when I was full time working, and so busy during the day, plus my neuropathy has worsened over the last five years. I figure I won’t know if I don’t try to wean off if the lethargic , tired, just want to sleep feeling will go away. Possibly all aging and the result of dealing with chronic pain. Any natural or holistic approaches to better sleep? Melatonin - open to suggestions and comments. I would like to have a plan, an alternative aid before I attempt this. Thank you.

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There is a 12.5 mg extended release zolpidem available - maybe cut those in half?? I have been on zolpidem (alternate between 10 & 12.5 mg, but mostly 10mg) and don’t see any reason to quit - it works better than anything I’ve tried and I see no side effects. IMO, the idea that “natural is always better” is comical - some of the most deadly known toxins occur naturally 😬

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Profile picture for jdake @jdake

There is a 12.5 mg extended release zolpidem available - maybe cut those in half?? I have been on zolpidem (alternate between 10 & 12.5 mg, but mostly 10mg) and don’t see any reason to quit - it works better than anything I’ve tried and I see no side effects. IMO, the idea that “natural is always better” is comical - some of the most deadly known toxins occur naturally 😬

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@jdake I know - it helps me sleep period enough to mask neuropathy pain - I could not have worked before without the help. I am so tired and lethargic in the mornings - however , that could just be age. If I don’t feel “more awake” after weaning off - I will go back on it unless in meantime I find something that will work. I am tired of trying to resolve this feeling. Ha!

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