My mania exacerbates my insomnia, and my insomnia exacerbates my mania. I worked my way through a whole list of sleep meds with mixed results until landing on Ambien/zolpidem. Has worked well at the same dose for 6 years, extremely surprisingly. Switched from immediate release to extended release, but this probably had more to do with the onset of hypomania rather than tolerance to ambien.
I've never had issues with ambien grogginess as long as I leave myself adequate time to sleep. On the other hand, I've had lots of issues with insomnia grogginess if I don't ambien up. 
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>>Dx - manic-depressive (BP1)
>> Rx daily:
Seroquel/Quetiapine Fumarate
Lamotrigine/Lamictal
>>PRN:
Ambien/Zolpidem for acute insomnia
Ativan/Lorazepam for anxiety or hypomania
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