Dr. Sharon Orrange - September 14, 2018
You may have read about the dangers of Ambien (zolpidem) or why you should stay away from habit-forming sleeping pills like Valium (diazepam) and wondered, what can I take for sleep? Fortunately, there are many options for the short-term treatment of insomnia. Here’s how to choose the right one for you.
What are my options?
Medications commonly used to treat insomnia include benzodiazepines (Ativan, Valium, Klonopin, Restoril), atypical benzodiazepines (Ambien, Sonata, Lunesta), melatonin agonists (Rozerem), antidepressants (Silenor, amitriptyline, trazodone) and our newest one, Belsomra. See More
Dr. Sharon Orrange - September 12, 2018
There is widespread use of zolpidem (Ambien) for insomnia, but is it always safe? Occasional insomnia that interferes with your life or a disrupted sleep cycle due to travel are perfect opportunities for short-term use of the atypical benzodiazepine drug, zolpidem. After all, zolpidem at low doses (as low as 5 mg) for short periods of time is quite effective.
The problem now is that many folks count on zolpidem long term for their chronic insomnia. See More
Roni Shye - February 18, 2016
So you’ve used GoodRx to compare prices on your prescription, and you found a less expensive pharmacy. But transferring your prescription is a pain, right? It’s actually easier than you may think! Generally, your new pharmacy will want to make the transfer as smooth as possible—and there are a few things you can to do keep things simple:
- Let your new pharmacy know that you want to transfer your prescriptions from your old pharmacy. See More
Dr. Sharon Orrange - May 27, 2015
The generic versions of Ambien and Sonata (zolpidem and zaleplon) have dominated the market for insomnia medications. Zolpidem is available as a 5 or 10 mg tablet and Zaleplon 5, 10, or 20 mg tablets. If your insurance company covers one and not the other, how easy is it to change? How do the Z drugs compare?
Both are “atypical benzos” that have a high affinity for alpha 1 GABA receptors. See More
Dr. Sharon Orrange - February 28, 2014
Zolpidem is the generic version of Ambien, which is also available in a longer acting form known as Ambien CR. These sleep medications (zolpidem, Sonata, Lunesta) are widely popular and known for their lack of hangover effect the next morning. These “atypical” benzodiazepines are different from “typical” benzodiazepines like Ativan, Xanax, or Valium in that they are used to treat insomnia but not anxiety.
Weird things can happen to people who take them, especially if you take one and continue to walk around and do things in your house. See More
Dr. Sharon Orrange - December 06, 2013
Three to four times a day I talk to patients about it: insomnia is the most common sleep disorder, affecting millions worldwide. It is more common in women who have a lifetime risk 1.5 – 2 times higher than men. While this may seem obvious, insomnia is characterized by repeated difficulty with falling asleep, maintaining sleep or with a lack of quality of sleep despite adequate sleep opportunity. See More
Roni Shye - May 29, 2013
Insomnia is defined as “difficulty initiating or maintaining sleep” either over a short period of time or as a chronic problem. It is believed to affect 30 – 35% of adults and is common in the elderly. In some cases difficulty sleeping can be related to short-term stress (anxiety, worry, environment) that leads to sleep disturbances. In other cases, underlying medical conditions can cause chronic insomnia. See More
Elizabeth Davis - March 28, 2013
When it comes to saving on your prescriptions, sometimes the way to get the best price isn’t as straightforward as simply using a coupon or switching to a generic.
Recently, I visited a doctor to try and figure out why I was having headaches. It took months, but eventually I was diagnosed with migraines; then, I had to work with my doctor to find the right medication to manage the migraines.
Like many Americans, I have health insurance, but even with insurance, the cost of my drugs was giving me a headache. See More
Dr. Sharon Orrange - March 07, 2013
Impaired alertness the morning after Ambien (zolpidem) use has prompted the FDA to issue a warning. The FDA now recommends that the bedtime dose be lowered because new data show that blood levels in some patients may be high enough the morning after use to impair activities that require alertness, including driving. As you know zolpidem is marketed in generic form and under the brand names Ambien, Ambien CR, Edluar, Zolpimist, and Intermezzo. See More
Dr. Sharon Orrange - May 22, 2012
Medications that increase health care costs without improving care are silly, and doctors love to hate ‘em. “PharManure” is the brilliant term used to describe these medications. Here is a list my colleagues and I love to hate: