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Long-term use of sleep meds

Sleep Health | Last Active: 6 days ago | Replies (35)

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Profile picture for glaustin @glaustin

I recently went to a sleep medicine clinic, on the advice of my PCP, about not being able to fall asleep - which I’ve been dealing with for years. I was seen by the PA (what does it take to see a physician these days??). I gave her the Mayo Clinic’s list of sleep meds, with notes on the ones I’d taken, what worked and for how many years, what didn’t work and why, etc. The first thing she said was “we don’t prescribe Z drugs.” Ok. She tried me on Quviviq, which had sketchy results (had to take it for a month, per her directions.). My go-to medication before was Sonata, which was wonderful - got to sleep in a reasonable amount of time, slept well, no after effects. Except it quit working after 4 years. I’ve been off it now for 6 months, trying other solutions that aren’t working. Does anyone know if you can take a break from a sleep medicine like that, and then resume it with good results (please say yes!!). I’m 76, and Z drug or not, I’m about to give up on everything else….

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Replies to "I recently went to a sleep medicine clinic, on the advice of my PCP, about not..."

@glaustin I don't know the precise answer to your question about a break from a medication, but I can tell you that the liver metabolizes pretty much every drug that can legally be prescribed. At some point, your system is rid of it, but it might take as much as three months....not six. Amiodarone, a somewhat toxic, iodine-infused drug used to regulate arrhythmic hearts, takes weeks to reduce its system-presence down to near-zero, as an example of such a drug. But once you remove a stimulus that doesn't actually do damage to an organ, or that doesn't have an inordinate half-life, one lasting a year or more (again, I know of no such drug), your system 'should' reset and become accustomed to being free of that stimulus...or influence. I am by no means a medical expert...at all...in anything....but I do know quite a bit about the body's stress response and how to improve its reactivity and its overall health when under duress. Removing a stressor lets the body calm and return to a new stasis, or level of alertness and responsiveness. This means it becomes sensitive again to the stressor if it appears again. I don't see why it wouldn't be largely the same with your preferred sleep aid. If nothing else, would it not be worth a trial at this later point? You have nothing to lose....in my uneducated opinion.