← Return to Zolpidem or Doxepin for Insomnia

Discussion

Zolpidem or Doxepin for Insomnia

Sleep Health | Last Active: Apr 29, 2022 | Replies (16)

Comment receiving replies
@rocketjs

I've been taking 10 mg Ambien for 15 years and it usually works well for me. I make sure I take it right before bed so I have no problems with doing things and not remembering, falling, etc. I have no drowsiness the next day with Ambien, whereas over-the-counter sleep stuff makes me feel terrible the next day. My sleep issues seem to be a generalized anxiety/active mind for which I take Celexa. I don't like taking medication so I've tried to taper off the Ambien a few times, usually with the help of a sleep psychologist. It always involves having some short nights where I feel horrible the next day, so I end up going back to knowing I can get adequate sleep every night.

My doctor did have to file an appeal with my insurance company in order to have the Ambien covered by them. Recently, a new GP reduced my dosage to 5 mg because that's the FDA recommendation. I returned to my former GP and she continued the 10 mg. However, I'm hearing more and more about doctors, like yours, not wanting to prescribe Ambien long-term. It's very concerning but I'll just have to find a way to deal with it if docs stop prescribing it. I should say I've tried many other things for insomnia -- acupuncture, meditation, Chinese herbs, melatonin, etc.

2.5 mg is a very low dose of Ambien. Do you really feel it's having a physiological effect or do you think it's kind of a psychological addiction. I think mine is partially psychological but not completely. I wish you luck in explaining your situation to your doctor and getting a result that allows you to sleep.

Jump to this post


Replies to "I've been taking 10 mg Ambien for 15 years and it usually works well for me...."

I’ll keep you in my thoughts at least your trying. I’m losing hope.

Regarding a possible psychological addiction, I don't know. All I know is that I'm getting to sleep. My doctor did prescribe doxepin for me to try. My pharmacy is waiting for the doxepin to come in. I haven't met my deductible yet so the cost is going to be over $200 for a 30 day supply. So the pharmacy is going to give me just 5 pills to try them out and that way I'll only have to pay around $35 for now, and then if they work out I'll get the rest of the prescription filled. In the meantime, they did refill my Ambien (zolpidem) and I bypassed the insurance and only had to pay $11.30 for it. Apparently I can bypass the insurance for zolpidem each month if doctor continues to order refills on it. I talked to my doctor and she said to try the doxepin first and if that doesn't work out, she will continue to let me refill the zolpidem. Rather than mess around with an appeal for insurance coverage, I'll just bypass the insurance and pay the $11.30 out of pocket. I'd rather stick with the zolpidem since I have been taking it since 2011 and it works well for me, but I'll give the doxepin a try. Hopefully I won't have any negative effects.