- With Mayo Clinic emeritus internist
Kenneth G. Berge, M.D.
read biographyclose windowBiography of
Kenneth G. Berge, M.D.
Kenneth G. Berge, M.D.
Dr. Kenneth Berge has been involved in Mayo Clinic's Web publications since they began in 1995, advising editors and the public throughout his tenure.
He develops content for the Ask a Specialist segment and helps plan and edit other content and design. Dr. Berge has also been an editor of CD-ROMs and books produced by Mayo Clinic.
Dr. Berge, board certified in internal medicine, has been with Mayo Clinic since 1955 and early on had a special research interest in cardiovascular risk factors, including cholesterol and hypertension. Dr. Berge served as a leader for a number of major National Institutes of Health clinical trials that established the fundamental roles for lifestyle modifications needed to prevent cardiovascular disease. Dr. Berge served in various capacities with the National Heart, Lung and Blood Institute. He was vice chairman of the steering committee for the Coronary Drug Project and chairman of the steering committee on Systolic Hypertension in the Elderly Program from 1984 to 1993.
He won the Teacher of the Year Hall of Fame Award in 1987 and was Mayo Clinic voting staff president in 1976. He is an emeritus professor of medicine at Mayo Clinic College of Medicine.
He became a fellow in the American College of Physicians in 1962 and was president of the Minnesota chapter of the American College of Physicians in 1981.
As a respected physician, researcher and teacher with more than 40 years of clinical experience, Dr. Berge, a native of Wahkon, Minn., brings a wealth of knowledge to the Web site. "My career as a primary care physician for more than 40 years has provided me with experience in communicating complex information to a wide variety of patients in a manner that they could understand. I also came to know their common concerns and questions," he says.
Causes (1)
- Late-day exercise: Can it cause insomnia?
Treatments and drugs (2)
- Ambien: Is dependence a concern?
- Sleep aids: Can antihistamines help me sleep?
Lifestyle and home remedies (6)
- Melatonin side effects: What are the risks?
- Insomnia: How do I stay asleep?
- Foods that help you sleep: Does warm milk really work?
- see all in Lifestyle and home remedies
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Question
Ambien: Is dependence a concern?
I've struggled with insomnia for years. Three months ago, my doctor prescribed Ambien, and it's worked great for me. But my doctor doesn't want to renew my prescription because she's afraid I might become dependent on it. Is that likely?
Answer
from Kenneth G. Berge, M.D.
Physiological dependence on zolpidem (Ambien) isn't thought to occur among otherwise healthy adults. In fact, Ambien misuse is almost exclusively limited to people who have a history of addiction. Although the Food and Drug Administration has only approved regular-release Ambien for short-term use, no time limits are associated with a newer controlled-release formulation of Ambien. Some studies suggest that Ambien is effective over the long term without adverse effects, and some doctors prescribe Ambien indefinitely, as long as careful follow-up is possible. If you have a history of addiction, however, long-term Ambien use might not be right for you.
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