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Re: Bipolar and insomnia

Posted by ed_uk2010 on December 8, 2011, at 9:18:04

In reply to Bipolar and insomnia, posted by Solstice on December 7, 2011, at 20:43:00

Hi there,

>Can anyone tell me whether Trazadone is likely to cause daytime sleepiness?

Trazodone often causes daytime drowsiness, but in your daughter's case I expect there is more than one cause.

>Is there anything else about her med schedule that might be exacerbating her insomnia?

It could be the amphetamines (Vyvanse and Adderall). Amphetamines disturb sleep and cause insomnia very frequently. It's certainly worth looking into.

>the psychiatrist said there wasn't much she could prescribe for her at her age

Night sedatives such as temazepam can be used on a very short-term basis in young people, but in the long term I think her medication regimen needs to be reviewed. Trazodone causes too much 'hangover' and its long term effectiveness is probably not very good. In fact, most sleep meds are not that great for chronic insomnia. The most successful treatment is usually to eliminate aggravating factors (often other medication) and to improve sleep hygiene. I think you should discuss making changes to your daughter's regular daytime medication in order to improve sleep.

 

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URL: http://www.dr-bob.org/babble/20111208/msgs/1004456.html