Hello Dr, I am 37yrs old, 82 kgs. Offlate i have developed insomnia (not one wink of sleep full night or day) for which i was taking zolpidem 10mg for 4 days now which was prescribed by a dr. When I consulted another dr, he told zolfresh can get addictive and hence prescribed agomelatine 25mg. But tonight when took this i didn t get sleep, after 2 hrs i took one more tablet. But still not getting sleep. Can i know take zolpidem also as i am restless now? Also please suggest the long term treatment to my insomnia? Thanks Ashraf
As a neurologist (non-sleep specialist) I do not believe that prescribing medication in such situations ahead of specific testing and assessment of a person medical/biological/psychological status is the best approach and in my experience it rarely yields positive long term results.  I would ask the doctor to refer you to a neurologist with experience in sleep medicine in order to do a good thorough workup.  Your weight alone is a risk factor for obstructive sleep apnea which is a strong risk factor toward insomnia.  What if that were the problem?  Or at least 1 of the problems?  Secondly, I would get a set of laboratory studies to rule out other potential issues that could lead to your not being able to get to sleep or stay asleep.  These things I would do ahead of any medication which has already proven not to be the ultimate solution.  If you would like a more comprehensive consultation with me please write me at: www.bit.ly/ Chat Doctor. 