Heyy I can help you better with further treatment course needed. U can connect me via whatsapp on seven zero eight two zero two two zero six two.

At age 70, sleep difficulties are common, and medications like Zolfresh (zolpidem) and Alprax (alprazolam) may lose effectiveness over time or cause next day drowsiness and cognitive issues. Instead of increasing the dose, it’s better to consider non habit forming alternatives like trazodone, melatonin, or low-dose mirtazapine, depending on your overall health. Also, sleep hygiene, cognitive behavioral therapy for insomnia, and managing any underlying anxiety, depression, or medical conditions can greatly improve sleep. Please consult your psychiatrist or physician to safely adjust your treatment based on your age and needs.

Therapy

Hi.. will need further history regarding the same to advise appropriately. Consult online for treatment

Further more information needed for detailed evaluation such as * Total duration of sleep disturbances * Other medical comorbity as HTN,DM, any cardiac issues or any *Anxiety, mood symptoms, any stressors ,smoking or alcohol intake * Surgical history, trauma Alprazolam and zolpidem at a higher age are not prescribed for a long time, it cause side effects too There are certain other options that are prescribed "You must consult a Psychiatrist for detailed evaluation, so that proper medications can be prescribed at low dose"

How long have you been taking. Both act on GABA and are not advisable for longer run due to serious side effects. Consult a psychiatrist and get your insomnia evaluated properly and take treatment for the same accordingly. Good luck

Hi, Thank you for sharing. Since you're already on Zolfresh (Zolpidem) and Alprax (Alprazolam) with limited benefit, it's important to reassess the root cause of your sleep issues- whether due to anxiety, depression, pain, or age-related changes in sleep architecture. Chronic use of these medications may also reduce their effectiveness due to tolerance and carry risks like falls, confusion, or daytime sedation, especially in older adults.