not sleeping well and doctor is out of town til tuesday

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Veteran Member

Date Joined Mar 2008
Total Posts : 637
   Posted 4/10/2009 11:08 AM (GMT -6)   
Im not sleeping well and doctor is out of town til tuesday. The ambien is not working anymore what should I do? Should I go to the er? I slept from 12 -1 am last night and 4-7 am . I dont know what to do cant go on like this til tuesday. I have many over the counter sleep aids what do you think of mixing them  to see if they help me til my doctor gets back into town or should I explain my situation to the er dr and see if they can prescribe me something til my dr gets back into town? I would appreciate any help.
Percocet,ambien,elavil,reglan , neurontin,zyrtec and soma.
spinal conditions: Scolosis,herniated discs,spinal blockage,Spinal stenosis,bursitis ,Fibro,and arthritis

Veteran Member

Date Joined Nov 2008
Total Posts : 1037
   Posted 4/10/2009 12:52 PM (GMT -6)   
OOOH, mixing...not a good idea. Maybe the ER is the best thing to do...Good Luck, we have tornado's right now..have to go....

We are all in the same boat...unfortunatley it seems like it's sinking...
Post Lamenectomy Syndrome
Hemi Lamenectomy/Spinal Fusion(Lumbar)
120 mg. Methadone daily /15 mg. Oxycodone as needed
High Blood Pressure: Lisinopril HCTZ 10 mg. daily
Type 2Diabetes: (March 16, 2009)
Metformin 850 mg. twice daily (so far)
ME. (Rhonda)                                                                    


Tony McGuire
Regular Member

Date Joined Feb 2009
Total Posts : 483
   Posted 4/10/2009 12:55 PM (GMT -6)   
I agree with UniquelyME. DO NOT mix over-the-counter sleep aides. That will just kill you, or fry your brain.

The ER is the only thing I can think of that MIGHT help you but...
Wife: Liz, the choice of a lifetime
Dogs: Koshka & Chomp

Veteran Member

Date Joined Nov 2007
Total Posts : 6795
   Posted 4/10/2009 12:56 PM (GMT -6)   
So sorry to hear about the sleeping difficulties so many of us have. How about calling your pharmacist and asking if taking any OTC sleep aids would be ok with what you're taking? Make sure you get the pharmacist and not just a tech. And if it gets real bad there's always the E.R.

Your doctor should also have someone on call via phone. You could try that and see if they would call something in for a few days.



Veteran Member

Date Joined Oct 2008
Total Posts : 2024
   Posted 4/10/2009 1:40 PM (GMT -6)   

What about taking a Gravol pill which can make you drowsy and you may have some extra sleep until Tues. My dr. has given me some ativan for when I get quite anxious and that helped me to calm down and fall asleep. Has your dr. prescribed that for you. I use Imovane as a sleeping pill and it works quite well. Perhaps you need a change in sleeping pills. Hot bath maybe to relax you. Last night I had too much pain and went on my laptop until I got sleepy.

Good luck


Regular Member

Date Joined Feb 2009
Total Posts : 487
   Posted 4/10/2009 1:48 PM (GMT -6)   
My 11 year old son has had terrible insomnia for several years already and of course the pediatricians don't want to put someone his age on sleeping pills so they recommended Melatonin. We tried it in regular pill form and it worked for about a month and then it didn't seem to work anymore.

My Mother-in-law was visiting from Montana where homeopathy is very big, and she had sublingual (you let the pill dissolve under the tongue) Melatonin and it works fantastic! He has been taking it since last October and it works just as well today as the first day he took it.

I would call your pharmacist and make sure it is OK to take with your other meds, but it just might do the trick.

Just another thought, you didn't say how much Ambien you take, does your doctor have anyone covering him that might be able to up the dose. I know the manufacturer recommends no more than 10mg as a standard dose, but my PM allows me to take as much as 20mg. My PCP doesn't like it, but he has spoken directly with my PM and after doing so, was more comfortable with the idea.

I also have suffered with insomnia since I was very young, and it is a horrible thing to go through for even one night, let alone several nights (or months, or years) in a row. The more you think about the sleep you are not getting, the more you are not able to fall asleep - your mind races and it turns into a vicious cycle. It may sound lame, but I also try relaxation techniques. I concentrate on my breathing and try to put all other thoughts out of my mind other than thinking about myself slowly taking a breath in and out (sometimes I count to 5 while I'm inhaling and exhaling to help keep my mind on track), and it really seems to help. Another one is to concentrate on relaxing one part of your body (I usually concentrate on my legs) and try to just imagine with each exhale that you are letting go of any tension and that your legs are becoming heavier and just "melting" into the bed. I know it sounds kind of corny, but it works for me as long as the reason I can't sleep is intense pain.

I really hope you get some sleep! Let us know how you are doing.

Bluejet2 (Lorie)

Pamela Neckpain
Veteran Member

Date Joined May 2008
Total Posts : 1821
   Posted 4/10/2009 2:18 PM (GMT -6)   
The only way I can go to sleep is to turn on the TV to my favorite program ...
Say; The Office, 30 Rock, or the new Parks and Recreation. That'll do it.
I'm out.

The ER would get real tired of me if I showed up because of my insomnia. My
insurance would surely cancel me.

I don't sleep very well, but I've discovered that I'll find a safe place, close
my eyes and out I go. I hate my sleep hours but that's the way it is for me.

It's good to see you posting, kara. Don't go taking pills that your doctor didn't
prescribe! No no no.


Pamela Neckpain
Veteran Member

Date Joined May 2008
Total Posts : 1821
   Posted 4/10/2009 2:23 PM (GMT -6)   
kara ...

What keeps you awake? Maybe the ER is a good idea. I believe I mispoke. What's
good for me may not be good for another.


Veteran Member

Date Joined Jun 2005
Total Posts : 610
   Posted 4/11/2009 12:09 AM (GMT -6)   
I really dont think the ER will do much, I have gone several times complaining that something was going on so I cant sleep and they always say benadryl or they will offer vistiril, but ambien is about it for something stong for sleep, but our bodies can become tolerant to it, so maybe you need a week off from it, then try taking it again. But a week of hardly any sleep will be a pain, but I'm sure nothing terrible will happen, I know because of personal experience, cause its not like the ER can do blood and urine tests or xrays for your sleep issues, maybe an urgent care will make more sence, but even there they wont offer you anything stronger then ambien, they probably wont even prescribe ambien. I went to the urgent care about 5 years ago cause of sleep and all they gave me was that visteril (which is just a stonger benadryl).

I only slept 3 hours last night, thats about normal for me and I really hate it. This has been going on for about 3 months now. I'm usually wide awake til about 4am then I have to get up at 7am to get my kids to school, then I will have plans to go to back to sleep, but that never happens. Either someone needs me to do something, or I have things that have to get done, or I have some idiot knocking and ringing my door bell nonstop for hours at a time, and banging on my windows, and I will ignore them cause sometimes I just need some me time, it's the only time I get away from my kids where I dont feel bad about them being gone, and yet I never get to relax. With my pain and fatigue, I need time to relax so I will have energy for when my kids get home from school. I cant sleep at night for some reason I dont understand, I'm just wide awake, then I will start playing a game on the computer or the Wii and I cant stop cause it's too addicting and it seems to take my mind off of the pain and stress I have, and time flies by, and before I know it, it's like 4 or 5 am, and even when I try to force myself asleep, I just twist and turn in bed til I cant stand it anymore.

26 year old Female , single mother of 2 kids, on SSI for migraines, pain, pancreas issues
All the things broken with me: Migraines, Fibromyalgia, Chronic lower back pain that causes severe pain/numbness/tingling especially to my left leg,Arthiritis in my back, Genetic Pancreatic Divisum that causes chronic pancreatitas, Asthma, Depression w/Anxiety/panic attacks, Bipolar
Prescription Meds:Suboxone 24mgs daily, Cymbalta 60mg nightly, Lyrica 50mgs nightly, Imitrex as needed, Ibprofen 800 twice daily, Zanaflex as needed, Ventolin as needed for asthma attacks, Advair twice daily
Over the counter meds: Benadryl nightly for itching due to meds (not sure which one yet), and Biofreeze  
Surgeries: Gallbladder removed at 15 years old, 2 ERCPs, stent put in pancreas, countless upper GI scopes, marsupilized bartholin gland cyst
"Never go to a doctor's office whose plants has died."

Pete trips again!
Veteran Member

Date Joined Nov 2006
Total Posts : 1899
   Posted 4/11/2009 7:17 AM (GMT -6)   
Hi Kara,
I'm so sorry to hear about your sleeping problems, I too have had sleeping disorders since a very young age. There are some great suggestions here that might help you. I've found that the more upset you get over it, the worse it gets. I know it may be easy for me to say but you need to loose the anger that always comes with lack of sleep. Try to find your happy place and focus on it. I know that sounds corny but it works for me. Sometimes I even lucky and fall asleep there (my happy place) and dream I'm there. After years of insomnia I guess I've gotten used to less sleep if thats possible? I am up every hour like clockwork to use the bathroom as a result of my prostate cancer surgery anyway and only sleep from 3 - 5 hours a night, 5 being a good night. I hope you find some relief soon Little Sister, please let us know how you're doing!!!
Your Buddy,
56 years old, Surgury, Radical Prostatectomy 8/20/03, PSA 6.6, Gleason 3 + 3 = 6, Adenocarcinoma extent (moderate) Stage & Margin:T2NOMX, No Metastases, Organ Confined, bone scan: Neg. 3 1/2 years of depression after surgery prior to Hypogonadizm DX, Testosterone Theropy> new 2/6/09> 400mg injections every 2weeks . 56 and so glad to still be here to see my two sons grow up to be fine young men. They are both serving in the US Navy, one on the aircraft carrier USS John Stennis in port in Japan and the other on a Gator Freighter USS Bataan stationed in Norfolk, Va. I am one proud PaPa! 

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