Medication is really a last line for insomnia.
Start off with non-pharmacological things. Keep the bedroom off limits all day. Limit the time in the bed room for sleeping and other bedrelated activities. Keep the sheets clean. Change them frequently (at least 1 time a month, preferably two-four times a month) Make the bed every morning. A made bed is somewhat more comfortable and less time is spent fumbling around. Do not take your phone/tablet/etc into the bedroom at night if possible. If charging them in the bed room, refrain from using them. Remove any other distractions (TV, radio) if you use these while sleeping.
Any of these herbal OTC junk that people recommend are not proven to help with sleep by the FDA. They may work, they may not. They definitely have lots of drug interactions that you will want to check with a pharmacy about prior to starting. A common drug people recommend is St John's Wort. Its used in depression/sleep. However, because of its metabolism it really screws with a lot of other medications and it is better to avoid using St John's Wort because of this.
You may try Melatonin OTC. Its decent and dosed about 1-5mg commonly. Try starting off with the lower dosing.
I have Fibromyalgia and suffered for years with severe insomnia. I was on elavil, then trazodone for sleep. It helped at first but as the years went on, it stopped working. I went on ambien a year ago and it has been a Godsend. It is the only thing that has let me get good restorative sleep in 10 years. If your insomnia is severe I suggest you explain it to your doctor and try ambien.
- Trazodone Information for Consumers
- Trazodone Information for Healthcare Professionals (includes dosage details)
- Side Effects of Trazodone (detailed)
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