Brief Answer: Nervigenic agents + multivitamin & multiminerals Detailed Answer: Hello XXXXXXX Thanks for your query. Regarding the symptoms as mentioned in your post, kindly let us know about the following: 1. Any history of recent illness? 2. Sensation of twitching can be due to poor neuro-muscular co-ordination secondary to systemic illness. Is there is significant past history of systemic disease like Diabetes, Hypertension, Thyroid disorder, etc. ? 3. Any recent history of Stress, improper nutrition & lack of sleep? 4. Habit of smoking or alcohol consumption? If your answer to the above mentioned questions is NO, then the symptoms can be attributed to either inadequate hydration status & electrolyte imbalance of the body or dietary deficiencies of certain nutrients like Iron, Calcium, Vitamin D, Vitamin B 12, Folic acid, etc. which help in blood formation & nerve conduction. Symptomatic relief can be obtained by intake of nervigenic agents (like Vitamin B6, Vitamin B 12, Folic acid) as well as multivitamin & multimineral supplements including iron, calcium & Vitamin D needs to be added in your diet. If symptoms still persist, kindly consult a Neurologist & get a complete Neurological examination done. The Neurologist may also advise you about Electroencephalography & Sleep studies to detect the cause of Insomnia. Certain basic investigations like complete blood count, serum electrolyte estimation, fresh estimation of blood pressure & blood sugar levels, lipid profile & nerve conduction studies will be helpful to rule out any pathological cause for the symptoms. There is no need to worry, you will be fine. Till then, maintain adequate hydration & proper nutrition status, exercise regularly and avoid stress. Wishing you a Good Health. Please let me know if I need to clarify further. Take care.

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Brief Answer: Dependency has been reported on long term use. Detailed Answer: Hello XXXXXXX Thanks for your follow up query. Ambien (pharmacologically Zolpidem) is effective in inducing sleep. However, relying on a medication for getting sleep isn't the best long-term solution for insomnia. These medications can mask an underlying problem that needs treatment. On long term use, they can also cause side effects such as morning drowsiness, impaired memory & judgment capability, difficulty in maintaining balance, sleep walking, headache, nausea, etc. Studies have also reported that consumption of Zolpidem at higher (more than prescribed) doses can cause drug abuse, dependence and withdrawal seizures. So, it is advisable to use Ambien for short periods of time using the lowest effective dose, as prescribed by your treating Doctor. It is also recommended that you should not drive or engage in other activities that require complete mental alertness the day after taking the drug because Zolpidem levels can remain high enough the next day to impair these activities. In case you experience any of the above mentioned symptoms, kindly consult your treating Doctor. Wishing you a Good Health. Take care.

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