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Insomnia - Adult  (Expert Forum)
 | 
Insomnia
Answered by
UMass Memorial Medical Center
Questions in the Sleep & Insomnia Forum are being answered by Dr. Gregg D. Jacobs.

Insomnia

by victory777, Jul 23, 2009 10:50AM
Hi.  I have been diagnosed with Insomnia.  Been on Restoril (7.5mg) for 4 years, then Klonopin for 3 years at 0.5 mg.  Klonopin not working anymore and the sleep is not a restful sleep at all.  Been going to sleep specialist for 1 1/2 years.  He tried me on others (Ambien, Sonata, Lunesta,etc)  None of those work or they have terrible side effects.  The Benzo works the best, but the Klonopin is not working like it used to and I don't want to be on it anymore.  I am down to 1/2 of 0.5 mg.  I am not sleeping well at all, but am wanting to get off of it.   I am wondering if Valium would owrk for me.  I don't have panic attacks, I just need something to turn my mind off.  I have treid numerous times to quit the Klonopin, but can't find anything else to knock the edge off, so I can sleep.  Have tried a lot of natural things as well.  What do you think of Valium for this?  Is Valium stronger or less stronger?  I do not like being dependent on anything, but after not sleeping for 14 days in a row and ending up in the ER, I have almost resigned myself to having to take something.  I know I can drop the Klonopin....I just need a replacement.  I also noticed that the Klonopin changed my personality somewhat.  Any suggestions?      

by Gregg D Jacobs, Ph.D., Jul 23, 2009 06:36PM
Valium can be more problematic than klonopin due to its long half life and addictive properties. The solution is not to continue to seek different medications but, rather, too recognize that medications will never be a long-term solution to insomnia. As a result, you need to learn behavioral techniques as described in my blogs and website since they are now the preferred, recommended first line treatment for chronic insomnia.

Dr. Jacobs
cbtforinsomnia.com
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