Dr. Sharon Orrange - May 02, 2018
As both an advisor to GoodRx and physician who uses it regularly in a busy private practice, I wanted to pass along the most effective ways to save money for patients using GoodRx. Not only are our patients more willing to take their medications if they can afford them, but the savings they glean can change their lives, literally. If patients can get the prescriptions they need at a price they can afford – we all win. See More
Dr. Sharon Orrange - January 22, 2018
Snoring is extremely common and 70% of folks with obstructive sleep apnea (OSA) snore. On the other hand, those who suffer from snoring do not necessarily have OSA. Snoring is caused by the vibration of soft tissues obstructing the throat during sleep.
Patients and their partners often seek help from their doctor with the primary complaint of snoring. Remember, if you have significant obstructive sleep apnea (OSA) wearing a nighttime CPAP device is the solution. See More
Thomas Goetz - December 07, 2017
These days, insomnia is pretty much part of the national condition. Every evening, millions of Americans use a prescription drug to help them get to sleep and stay asleep – usually a generic version of Ambien (sold under the generic name zolpidem), Sonata (zaleplon), or Lunesta (eszopiclone).
Dr. Sharon Orrange - January 17, 2017
When asked about the medical conditions they fear the most, adults overwhelmingly answer dementia, specifically Alzheimers dementia. Treatment options for dementia are dismal, so the focus needs to be on prevention. Many risk factors for dementia are things you can control: diabetes, high blood pressure, physical inactivity and even some medications.
Multiple studies have found an association between the use of certain medication classes with dementia and cognitive (thinking, understanding, learning, remembering) impairment in older adults. 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 - May 07, 2015
Many folks turn to herbal remedies for the treatment of insomnia. Those who want to stay away from prescription medications like zolpidem (Ambien), eszopiclone (Lunesta) and zaleplon (Sonata) look around for natural over the counter remedies. Insomnia can be a sign of an underlying medical disorder, mood disorder (depression and anxiety), or a medication side effect, and sleep deprivation can lead to high blood pressure, impaired quality of life, and family dysfunction, among other things. 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
Dr. Sharon Orrange - December 05, 2011
Insomnia has a huge impact on people’s lives, with many relying on a medication for sleep. Sales of Ambien and Lunesta were over $3 billion in 2007. Ambien and Ambien CR then became available as generics (zolpidem and zolpidem er) so the hunt was on for new brand name insomnia medications, which are big money makers.
There is a new kid on the block for insomnia, but as it turns out it’s not so new. The insomnia drug Intermezzo has just been approved by the FDA for treatment of middle-of-the-night awakening. See More