question-icon

Suffer From Anxiety Induced Insomnia. Taken Zolpidem. Help?

default
Posted on Sat, 20 Jul 2013
Twitter Sat, 20 Jul 2013 Answered on
Twitter Mon, 19 Aug 2013 Last reviewed on
Question : Hello,

I don't sleep well at night because of anxiety-induced insomnia and have taken zolpidem in the past but stopped taking it because of drug seeking behavior. However, the last few days I have been experiencing really bad insomnia (not sleeping until 4:00am), and it's driving me crazy, but I don't know if I'll be able to get a prescription for sleeping meds because of my history. I just moved to a new city and don't have insurance, so I don't have a doctor to go see, and even if I did, they would probably look up my controlled substance history (my state has a database) and will likely not give me the meds I need because of my past abuse.

I asked about this several days ago on this site but didn't respond to the doctor who answered my question because the query was closed before I was able.

Please help!

Thanks.
doctor
Answered by Dr. Jorge Brenes-Salazar (29 minutes later)
Dear XXXXXXX

It may be time to consider some non-pharmacologic options for insomnia; currently there are specialists in Sleep Medicine that work wonders in terms of using alternative approaches for insomnia. There are a series of benign interventions that you could use, including chamomille tea, melatonin supplements and over-the counter sleep aids, such as Benadryl which are safe at recommended doses. Once you have had an addiction problem, zolpidem, benzodiazepines and such medications can get you hooked up; I have had 80 year old females who have come to my office strictly for prescriptions of benzos, in a life or death tone...

Yours truly,

Dr Brenes-Salazar MD
Cardiology
Mayo Clinic MN

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Jorge Brenes-Salazar (1 hour later)
This is certainly not life or death, just inconvenient and annoying.

I can't disagree that what you've suggested would definitely be ideal, and I've tried the natural remedies I've been told of with varying success. Just last night I took melatonin and still didn't fall asleep until after 4:00. :/ And Benadryl (diphenhydramine) is not helpful because it brings on worsened RLS issues. I also did a preliminary sleep study once and was told I didn't need to do the full study because once I'm asleep, apparently my sleep patterns are relatively normal.

Interestingly, even though I overused zolpidem for a while, it was the intermittent use of a benzo (clonazempam) that helped me get it under control before I eventually stopped taking it. I currently don't take either (obviously, or I wouldn't be having an issue).

I do have a therapist that I started seeing who's been helpful, but I haven't been to see her in a few weeks because I was out of town and since I've been back, she's been out for surgery. There's very likely a link between my increased insomnia and lack of visits with her, which is part of the reason I thought a short-term fix like zolpidem might be helpful, just to get me through until I can get back to see her. And obviously, once I talk to her again, I can get a recommendation for a new MD or psychiatrist in my area, since I will eventually run out of refills for my other meds and will likely have to see someone. I just don't know what to do at the moment because I don't want to spend who knows how much money for a random doctor who may or may not be able to help me...
doctor
Answered by Dr. Jorge Brenes-Salazar (7 hours later)
I understand XXXXXXX it may be difficult to obtain a prescription from a physician given the substance abuse background; nevertheless, I think that when you find a new provider in your area, it would be best for him to be either a psychiatrist or a sleep specialist; I do encourage you to be as honest as you have been with me, so that they understand your situation

wish you the best

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. Jorge Brenes-Salazar

Cardiologist

Practicing since :2007

Answered : 1198 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suffer From Anxiety Induced Insomnia. Taken Zolpidem. Help?

Dear XXXXXXX

It may be time to consider some non-pharmacologic options for insomnia; currently there are specialists in Sleep Medicine that work wonders in terms of using alternative approaches for insomnia. There are a series of benign interventions that you could use, including chamomille tea, melatonin supplements and over-the counter sleep aids, such as Benadryl which are safe at recommended doses. Once you have had an addiction problem, zolpidem, benzodiazepines and such medications can get you hooked up; I have had 80 year old females who have come to my office strictly for prescriptions of benzos, in a life or death tone...

Yours truly,

Dr Brenes-Salazar MD
Cardiology
Mayo Clinic MN