Posted by linkadge on March 8, 2015, at 18:55:38
In reply to Horrible sleep problems, posted by Zatar on March 8, 2015, at 18:18:11
Hmm....
Antidepressants can be hit and miss in terms of improving / worsening insomnia (esp nighttime awakenings). I would consider something like Neurontin as an option to improve sleep maintenance. The amitriptyline might be causing / worsening the vertigo. Vertigo can be related to inadequate sleep. The brain is literally going into a sleep cycle while awake.
I would lower the amitriptyline (or change to doxepin which is better for sleep). Adding Neurontin would also not be a bad idea.
She might also consider magnesium supplementation (or at least baths with Epsom salts). I find a TSP of olive oil at bedtime can improve sleep maintenance. It helps the body produce oleamide, a natural brain produced sleep promoting agent.
I hope this helps.
Linkadge
poster:linkadge
thread:1077385
URL: http://www.dr-bob.org/babble/20150223/msgs/1077386.html