Is Switching Between Ambien And Remeron For An IBS Patient Safe?

Posted on Tue, 22 Mar 2016

Question: Hello. I am currently taking Zoloft, Ambien (zolpidem), as prescribed by my PCP. Another doctor whom I know has suggested switching from Ambien to Belsomra or Remeron. He also recommends Linzess for IBS.
What do you think of this advice?

Answered by Dr. Alexander H. Sheppe (4 hours later)

Brief Answer:
Consultation

Detailed Answer:
Hello, and thanks for your question.

I've read your question carefully. Let me give you my thoughts.

I do support the suggestion to switch Ambien to Remeron. Remeron is less addictive, lower risk of nightmares, and would augment and improve the antidepressant effects of your Zoloft. It is a very effective sleep medication as well, which is what you want!

Linzess is an excellent medication for IBS. I use it regularly with my patients. As an added bonus, Remeron also has positive effects on IBS. Just one more reason why it would be a good switch.

In the future, for continuity of care, I encourage you to contact me at my private link below. After you ask a direct question it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Alexander H. Sheppe (15 minutes later)

Dr. Sheppe,

Thank you for your thoughtful reply. It is helpful.

I am still wondering about Belsomra, which appears to act somewhat
differently from other sleeping potions.
XXXXXXX Ober

Answered by Dr. Alexander H. Sheppe (2 hours later)

Brief Answer:
Followup

Detailed Answer:
You're most welcome!

In my opinion and experience, Belsomra is not a very effective sleep medication. Some people use it, but I would prefer Remeron in your case. Remeron is more widely used and in your case would augment and improve the effects of your other medications.

Dr. Sheppe

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Arnab Banerjee