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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Insomnia Despite Taking Lunesta?

I am 71yr. old female dealing with extreme insomnia. I am bipolar, have been taking prescribed med zolpidem 10mg for yrs. I finally was taken off of it, put on generic form of lunesta,3 mg. Most sleep I have gotten4 hrs per nite., Taking it for last five notes. I need sleep.
Mon, 18 Mar 2019
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General & Family Physician,  's  Response
Hello,

I am sorry you are having so much insomnia. I know how miserable that can be. If you have bipolar disorder, this needs to be managed with your psychiatrist because management of sleep problems in bipolar disorder needs to be done carefully to not cause an exacerbation. You may need a sedating antidepressant and a sedating atypical antipsychotic medication such as Seroquel. The short-acting "sleepers" such as Lunesta really have their limitations and changing or going off of them can set off insomnia.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bonnie Berger-Durnbaugh, General & Family Physician
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What Causes Chronic Insomnia Despite Taking Lunesta?

Hello, I am sorry you are having so much insomnia. I know how miserable that can be. If you have bipolar disorder, this needs to be managed with your psychiatrist because management of sleep problems in bipolar disorder needs to be done carefully to not cause an exacerbation. You may need a sedating antidepressant and a sedating atypical antipsychotic medication such as Seroquel. The short-acting sleepers such as Lunesta really have their limitations and changing or going off of them can set off insomnia. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bonnie Berger-Durnbaugh, General & Family Physician