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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Would I Have Insomnia For Over 12 Years Despite Trying Different Medication?

i have been suffering from insomnia for over 12 years and have been taking the following drugs for my insomnia drugs are not effective as before. Please advise me how to use or change other medicines. The drugs I have been using since 2000; 1/ Clonapzepam 2 mg., amitriptylline 25 mg., and zolpidem 10 mg before going to bed. At first they worked very well but three years ago the effects have not been satisfactory. Please advise what should I do and what kind of drugs should I use. Please advise and regards. Tony email address: YYYY@YYYY
posted on Thu, 23 Feb 2017
Twitter Tue, 29 May 2018 Answered on
Twitter Fri, 14 Jun 2019 Last reviewed on
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Neurologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

You seem to have exhausted three of the most commonly used classes of medication which makes yours a difficult case to deal with. The safest option would be Melatonin, which usually is sold over the counter, but it's less potent than what you've tried so I wouldn't expect much. The other option would be Suvorexant, a fairly new drug for insomnia approved since 2015. You would need a prescription so you should discuss its use with your physician.

Hope I have answered your query. Let me know if I can assist you further.
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Why Would I Have Insomnia For Over 12 Years Despite Trying Different Medication?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You seem to have exhausted three of the most commonly used classes of medication which makes yours a difficult case to deal with. The safest option would be Melatonin, which usually is sold over the counter, but it s less potent than what you ve tried so I wouldn t expect much. The other option would be Suvorexant, a fairly new drug for insomnia approved since 2015. You would need a prescription so you should discuss its use with your physician. Hope I have answered your query. Let me know if I can assist you further.