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Suggest Medication For Sleeplessness That Doesn't Interact With Zolpidem

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Posted on Tue, 8 Dec 2015
Question: What can I take for sleep while on Suboxone?
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Answered by Dr. Dr. Chintan Solanki (2 hours later)
Brief Answer:
zolpidem or melatonin, provide more information

Detailed Answer:
Hi XXXXXXX

Thanks for writing to us.

As such suboxone itself is sedative. Even if with suboxone you are not able to sleep zolipdem or melatonin can be added.

Insomnia (sleep disturbance) is of two types:

1. Primary: There is problem of only sleep disturbance and no other physical or psychological problem is there. In this case treatment for sleep problem is needed.

2. Secondary: There is some underlying physical or psychological problem which is responsible for sleep disturbance. In this main treatment is done for underlying problem.

First of all try to follow some measures called 'sleep hygiene' which would help in sleep. You can find the same in below link.

sleepfoundation.org/ask-the-expert/sleep-hygiene

Drinking a cup of warm milk before going to bed helps in 30-40% of patients and they do not need medicines as per my clinical experience.


Let me know more so I can guide you further.

- For which purpose are you taking suboxone and in what dose and at which time of the day?

- Is there difficulty in sleep onset, fragmentation or sleep or early morning awakening?

- What was the schedule and duration of sleep before the problem started? How much reduction in sleep from previous?

- Any medicines have you tried for sleep?

- Do you have any stress in life?

- Do you have any physical illness?

- Any day time sleepiness is there?

Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.


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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2407 Questions

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Suggest Medication For Sleeplessness That Doesn't Interact With Zolpidem

Brief Answer: zolpidem or melatonin, provide more information Detailed Answer: Hi XXXXXXX Thanks for writing to us. As such suboxone itself is sedative. Even if with suboxone you are not able to sleep zolipdem or melatonin can be added. Insomnia (sleep disturbance) is of two types: 1. Primary: There is problem of only sleep disturbance and no other physical or psychological problem is there. In this case treatment for sleep problem is needed. 2. Secondary: There is some underlying physical or psychological problem which is responsible for sleep disturbance. In this main treatment is done for underlying problem. First of all try to follow some measures called 'sleep hygiene' which would help in sleep. You can find the same in below link. sleepfoundation.org/ask-the-expert/sleep-hygiene Drinking a cup of warm milk before going to bed helps in 30-40% of patients and they do not need medicines as per my clinical experience. Let me know more so I can guide you further. - For which purpose are you taking suboxone and in what dose and at which time of the day? - Is there difficulty in sleep onset, fragmentation or sleep or early morning awakening? - What was the schedule and duration of sleep before the problem started? How much reduction in sleep from previous? - Any medicines have you tried for sleep? - Do you have any stress in life? - Do you have any physical illness? - Any day time sleepiness is there? Hope I have answered your query, I will be happy to help further. Regards, Dr.Chintan Solanki.