Hi Schwandy and welcome. You might need to call your doc and tell them it' an emergency. I have taken ambien before and it knocks me out completely which I don't like so my doc switched me to seroquel which works well for me. Have you told your doc that you don't sleep for days when you're manic? There might be something else that can be prescribed that will help. I know how you feel and I hope you get some sleep soon.