I take .05 also. It puts me asleep just fine without knocking me out cold. I would definitely try the .05 dose. Also get yourself some magnesium. Sounds like a Band-Aid type of thing, but it may also help your spasms. I like the liquid type as I think it gets into the system faster. I get mine online at Swansonvitamins.com, but if you have a health store nearby, you can usually get it there. Try taking an hour or so before bedtime along with your Ativan