Q. I have suffered from insomnia for many years. My doctor prescribed Ambien, but it doesn’t seem to be working very well any more. I also suspect that it affected my memory.
Now the doctor is suggesting the antidepressant amitriptyline (Elavil). The side effects I have read about make me nervous. Is there any herb or home remedy that might help me get some sleep?
A. Amitriptyline is an old-fashioned (tricyclic) antidepressant. Some people experience a morning hangover effect that leaves them drowsy and disoriented. It can also dry the mouth, cause constipation and affect cognitive function, so it is not appropriate for older people.
There are a number of natural approaches for insomnia that may be helpful. The dietary supplement melatonin or herbs such as valerian, lemon balm, passionflower or hops may be helpful. A light, high-carbohydrate snack before bedtime is sometimes beneficial.
We are sending our Guide to Getting a Good Night’s Sleep with “dos and don’ts” and information on both non-drug options and sleeping pills.
