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I need help....insomnia

Posted by Larry Hoover on May 14, 2006, at 11:34:41

Over the last few days, the quality of my sleep has declined precipitously, and for no apparent reason. I am having difficulty even observing myself adequately, as restorative sleep is so very essential to my well-being. When the sleep goes to the cr*pper, I can't even tell you what is wrong. My brain just fails me. Help me brainstorm, please?

Nothing has changed, med wise. But it feels like my drugs are different now. I need sleep, but I'm not getting it, so this isn't a mood swing as in bipolar. I'm not experiencing any of the hyper symptoms of mood. I need sleep, and I'm not getting it. It's not like I don't need the sleep.

Meds:
25 nortriptyline, a.m.
200 lyrica, through the day
80-100 oxycodone, p.r.n.
30 temazepam, q.h.s.
20 doxepin (or 25 trimipramine), q.h.s.
oral cannabis, p.r.n.
10 cetirizine, OTC antihistamine

Nothing changed, though. Maybe the sleep-inductive tricyclic? Stick to one? (I've been going by intuition, which one to use.)

Last night, I got sleepy like usual. Went to bed at midnight, more or less, as usual. Saw 1, 2, 3, a.m. go by. Took some taurine (intuitive thing). Brain less busy, I think, but 4, 5, 6, go by. Hear my son getting up for the day. Think f*ck f*ck f*ck, then next thing I know it's 11, and I'm getting a late start.

Sleep has been deteriorating only for like 4 days. Before that, was adequate to full restorative.

Sleep difficulty, historically, due to increase in day length. Might just be a bad year? Go live in cave?

Pain is really bad, since the nerve conduction study last Saturday, but sleep didn't get messed up right then, either. I know the pain is significant factor, but such is life. The pain isn't new.

Thoughts? Ideas?

TIA,
Lar

 

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