Posted by vbAgent on January 9, 2006, at 2:32:17
In reply to Re: Treatment-resistant insomnia and I'm sick of i » vbAgent, posted by yxibow on January 8, 2006, at 23:36:00
Some of the posts in this thread, including my own, have caused me to rethink some things. For example, Provigil. I know that Provigil is a Schedule IV drug and Adderall is Schedule II.
Hmm...I do have extreme difficulty getting up early. Never been a morning person. When I do awaken early I'm dazed and confused; somewhat delirious and very out of it; a type of depression that improves over the course of the day. I have a mild case of idiopathic hypertension, which is fortunately under control. A nose that's always stuffy and often completely blocked if I slack on taking my allergy meds. I work the late shift.
So, if obstructive sleep apnea/hypopnea syndrome &/or shift work sleep disorder is a contributing factor more than other possible (and known) explanations, then the answer is clear: drop Adderall and try Provigil; and increase the Lunesta from 2mg to 3mg; also give Breathe-rite a trial run along w/ measures to improve sleep hygiene.
I'll talk to the substitute pdoc about this on Tuesday.
p.s. Does anyone think I'm moving too fast? Or, am I on the right track?