HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Chronic Lyme Disease

default
Posted on Mon, 12 Oct 2015
Question: I have chronic Lyme disease and ambien does not help me sleep.
doctor
Answered by Dr. Ajay Panwar (1 hour later)
Brief Answer:
This is probably ambien tolerance.

Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

You have probably developed tolerance to ambien if you are taking ambien for sometime now.If you will stop it abruptly,you will have withdrawl symptoms.So,the plan should be to taper this drug slowly and stop over a period of time(like 2 to 3 weeks).Then you need to be off sleeping pills for some time(2 weeks to 4 weeks) ans then probably may be started on some other hypnotic,if the need is felt.
However,the basic principle remains the same.Sleeping pills are not to be taken for long periods persistently.They should be some intermittent drug free days.

Please decide with your treating physician to make out a plan for you,based on these considerations.

Hope that I have answered your query.If you have some further questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ajay Panwar (1 hour later)
If not ambien what can I take to help with the Lyme insomnia
doctor
Answered by Dr. Ajay Panwar (5 hours later)
Brief Answer:
Zopiclone/eszopiclone

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.

Zopiclone and eszopiclone are other commonly used hypnotics.

Antidepressants which are commonly used and have simultaneous sleep inducing properties are-Amitriptyline and Mirtazapine.

Please formulate a treatment plan under the supervision of your treating physician.

If you have any further questions,I shall be glad to answer.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Ajay Panwar

Neurologist

Practicing since :2007

Answered : 1827 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
Suggest Treatment For Chronic Lyme Disease

Brief Answer: This is probably ambien tolerance. Detailed Answer: Hi XXXX, Thanks for being on healthcaremagic.com. I am Dr.Ajay Panwar,a neurologist,here to answer your query. You have probably developed tolerance to ambien if you are taking ambien for sometime now.If you will stop it abruptly,you will have withdrawl symptoms.So,the plan should be to taper this drug slowly and stop over a period of time(like 2 to 3 weeks).Then you need to be off sleeping pills for some time(2 weeks to 4 weeks) ans then probably may be started on some other hypnotic,if the need is felt. However,the basic principle remains the same.Sleeping pills are not to be taken for long periods persistently.They should be some intermittent drug free days. Please decide with your treating physician to make out a plan for you,based on these considerations. Hope that I have answered your query.If you have some further questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me. Regards Dr.Ajay Panwar, MD,DM(Neurology)