nigel i have been taking 2mg xanax for sleep 4 years,with no ill doctor said try to get off xanax and take ambien.there is so much conflicting evidence about long term side effects with ambien,dont know who is correcti know ambien and xanax work on simular gaba.would switching to ambien be safer over xanax.i am 79 years old.would it be safer in the long run because xanax you can take forever/ambien they say take 10 days.i have read reports that people are on ambien for years with no problem.


Unless your doctor is under pressure from some source to reduce his benzodiazepine prescribing or there is some other reason for concern, I am struggling to see what real benefit you will get from changing night sedation.

After such long usage, withdrawal from Xanax could be equally problematic as stopping Ambien after a similar period, plus the potential for problems through the transition. In many patients the level of unrecognised psychological dependence can be high.

Neither drug should cause hang-over sedation into the next day, which would be a risk of falls etc. So if you are comfortable on Xanax, my inclination would be to leave well alone. Given your age and the length of use, any change is likely to be difficult, whether obvious anxiety or greater problems.

What I would not do though is increase the dose of Xanax. If the current dose becomes insufficient, then a phased transition to a non-benzodiazepine such as Ambien would be a better approach.

However, whatever my views, your doctor carries clinical responsibility and has more experience and knowledge than I do.

I hope this helps.


All Answers

Answers by Expert:

Ask Experts


Nigel Simmons


I am happy to answer general questions on medicines and hospital care. If possible, please use approved / chemical names rather than brands which are not internationally recognised. Like all health professionals I am bound by a duty of care which prevents me giving detailed information about medication or treatment of people other than the questioner. I will endeavour to help wherever possible or point towards more appropriate advice. If however your question crosses too far into patient confidentiality, I hope you will understand why I cannot answer your question. Consider.. would you want me to discuss your care with a friend or relative without your knowledge?


Past/Present Clients
Previously Sysop on CompuServe UK Professionals forum.

©2016 All rights reserved.