confused Posted February 13, 2014 Share Posted February 13, 2014 (edited) I am going to see my pdoc today. I haven't been sleeping well and I want to ask about a sleep med. He mentioned intermezzo (I think it is a low dose of ambien) that is good for night waking. That might help. I usually can fall asleep but then I wake up around 2 or 3am and can't get back to sleep. The good thing about it is that I wouldn't have to take it every night, just the nights I wake. I have tried other sleep meds in the past. One that worked well for me is 25mg seroquel. I'm wondering if that might be a better option just because I know it works That I would take before I go to sleep I will ask him his opinion but I want some idea of what to ask. My main thing is I don't want to be groggy in the morning or tired during the day Any thoughts or experience? Edited February 13, 2014 by confused Link to comment Share on other sites More sharing options...
Wonderful.Cheese Posted February 13, 2014 Share Posted February 13, 2014 Hi confused. I have heard of intermezzo but have not tried it. It sounds good if you mostly have trouble with waking during the middle of the night. And like you said, it can be PRN. I have experience with seroquel though. It helps me sleep so much. Unless I'm super stressed and cannot stop the panic, then I don't sleep. But it generally works very well. I have lunesta PRN too. What I was thinking you could ask your pdoc if you could have the low dose seroquel and have the intermezzo as a PRN. just a thought. Maybe it could be the best of both worlds, you know? Link to comment Share on other sites More sharing options...
confused Posted February 13, 2014 Author Share Posted February 13, 2014 (edited) Thanks wonderful cheese That is an idea. Maybe I will ask to try intermezzo and if it doesn't work I can go back to seroquel? I just know I have to do something Edited February 13, 2014 by confused Link to comment Share on other sites More sharing options...
MiaB Posted February 13, 2014 Share Posted February 13, 2014 I'd never heard of intermezzo, so I did some reading up on it - it sounds like it's only available under that brandname in the US (I might be wrong), and is a sublingual form of zolpidem (US brandname ambien), which would presumably mean it kicks in quickly. The things that struck me are that it says on drugs.com that you should only take it if you are able to stay in bed for at least another four hours, and that it has all the usual potential side effects associated with zolpidem, such as memory blackouts. FWIW (this is obviously just my opinion), I think if the low dose of seroquel has worked for you in the past, that strikes me as the better choice. Good luck - I hope whatever you choose gives you the relief you need. Link to comment Share on other sites More sharing options...
confused Posted February 13, 2014 Author Share Posted February 13, 2014 Thanks miab for your opinion and for looking up the info Link to comment Share on other sites More sharing options...
MiaB Posted February 13, 2014 Share Posted February 13, 2014 You're welcome confused - that link is here, if you want to read it yourself. Seriously, good luck - I know how debilitating sleep disturbances can be. Proper rest is critical for us. Link to comment Share on other sites More sharing options...
confused Posted February 13, 2014 Author Share Posted February 13, 2014 He said that intermezzo probably isn't covered and wrote me a script for 25mg seroquel Link to comment Share on other sites More sharing options...
Wonderful.Cheese Posted February 13, 2014 Share Posted February 13, 2014 Oh good. I hope the seroquel helps you out! Link to comment Share on other sites More sharing options...
confused Posted February 18, 2014 Author Share Posted February 18, 2014 I have a love hate relationship with seroquel. It helps me sleep but sometimes I get really tired the next day. My pdoc had said I could try cutting the 25mg in half, so I am taking 12.5mg. I took it last night and I slept for 8 hours. I was still a little tired in the morning but it is wearing off I think. Link to comment Share on other sites More sharing options...
Savannah Posted March 16, 2014 Share Posted March 16, 2014 T take two meds that weren't on the Pharmacy's formula. They sent a form to my pdoc which I think he wrote that these drugs worked and the cheaper ones didn't. They are Rozerem and Provigil. Instead of paying $250 Per med. now I pay $70 each. Link to comment Share on other sites More sharing options...
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