Page 1 of 2 12 LastLast
Results 1 to 10 of 17

Thread: Sleep

  1. #1

    Sleep

    Had a good weekend with my Daughter and grandson. I have sleep issues and get so burnt out in a day as I don't get enough sleep.
    I end up going to bed way earlier than everyone else 8:00pm and then I only sleep until about 2:00 am. I find this annoying to be out of touch with everyone else as they have normal lives. Does anyone else have these types of problems. I know the answer is to stay up later and sleep in later exspecially in summer. The only thing is that I am so tired of the pain after supper that all I want to do is go to bed and sleep.
    Anyway as I said the weekend was good and I was able to keep up to the family and sort of participate.
    That is another thing that I find this pain keeps me from being part of the family as I am off in my own little world just making it a lot of the time.
    Lately I feel that the pain is going to give me ulcers because I fight with it so much.
    This post may be in the wrong forum.
    Hope everybody had a good weekend.

  2. #2
    Two things to look at. Taking a short nap in the afternoon or spending 20 to 30 minutes in meditation. Adjusting the timing of pain medications.

    All the best,
    GJ

  3. #3
    Senior Member
    Join Date
    Apr 2016
    Location
    Cincinnati, Ohio, USA
    Posts
    2,462
    Agree with GJ. A nap can be very beneficial.

  4. #4
    You may want to re-evaluate the meds themselves as well as timing. There are more classes than ever to combine, and extended-release formulations that weren't available a few years back. The more immediate release forms you take, the more likely you will lose pain control at some point and/or experience sedation as a side effect.

  5. #5
    What sleep meds do you take? I have tried a few but they messed me up and made it hard to function.
    Also the doctor just gave them to me short term and it is annoying to have to go back and get more all the time.
    Zopiclone is one that helped me but you are not supposed to use it long term.

  6. #6
    Depending on the nature of the pain (is it nerves or muscles?) and what you've tried before (takes 6-8 weeks to titrate/full effect), if there is a neuro component, consider one or more of:

    low-dose gabapentin or pregabalin for neuropathic pain
    low-dose secondary-amine TCA such as nortriptyline
    SNRI at low dose if the above fails

    None of these should create dependence/grogginess at the right dose (and take a TCA at night) like zop and others in its class can.

    Ideally, the class zopiclone is in is not for daily use -- it knocked you out but to address pain day in and out is different as you say.

    Also, all the sleep hygiene stuff -- stretching, hot shower or towels, no screens, music, aromatherapy, pets, whatever relaxes you is still a good layer on top of any rx.

  7. #7
    I have severe nerve pain in my skin and fat. Across my chest and under my arms at the nipple line. What is a SNRI.

  8. #8
    Quote Originally Posted by stevegalliazzo View Post
    I have severe nerve pain in my skin and fat. Across my chest and under my arms at the nipple line. What is a SNRI.
    SNRI
    Serotonin-Norepinephrine Reuptake inhibitors (SNRIs) include desvenlafaxine (Pristiq), duloxetine (Cymbalta), venlafaxine (Effexor), venlafaxine XR (Effexor XR), milnacipran (Savella), and levomilnacipran (Fetzima).

    All the best,
    GJ

  9. #9
    Quote Originally Posted by stevegalliazzo View Post
    I end up going to bed way earlier than everyone else 8:00pm and then I only sleep until about 2:00 am. I find this annoying to be out of touch with everyone else as they have normal lives. Does anyone else have these types of problems. I know the answer is to stay up later and sleep in later exspecially in summer. The only thing is that I am so tired of the pain after supper that all I want to do is go to bed and sleep.
    You already know the answer to your sleep problem - change your sleep schedule. A more restful sleep should also help with the pain.

    You are sleeping 6 hours, 8pm - 2 am. That's a decent amount of time, but seems you need or would like more sleep.
    Anyone who wakes at 2 am is going to be tired by late day or early evening!

    Slowly shift your schedule later and later (going to sleep right after supper isn't good anyway) - eg. 8:30pm - 2:30am, 9pm - 3am, 9:30-3:30, 10-4, etc.
    The later you start, you MIGHT then sleep longer, so maybe instead of 8pm- 2am or 10pm - 4am (6 hrs), you can sleep from 9 or 10pm - 6am etc. (8 hours or more!).

    As others have suggested, a nap can be helpful, but IF that nap prevents you from a more restful or longer sleep later, then it might not help your ultimate goal (to have a more regular schedule more aligned with the rest of your family, and to spend more time with them).

    Again, first try RE-SETTING your body's (internal) clock before looking at medication to solve your problem (which your Dr. doesn't seem to want you on long-term anyway).
    Re-setting your body's clock is something you seem to need regardless of any meds.

    EXERCISE and any increased activity should also help sleep, which seems counter-intuitive given your pain and tired-ness due to lack of sleep, BUT exercise = more tired = more sleep = less pain = more sleep = less tired = more energy = more activity = more physically tired = more restful sleep = less pain = more "regular" sleep schedule = greater participation w/family, and so on.

  10. #10
    Of the SNRIs, Cymbalta has more data on nerve pain, and an indication for it, but there may be a higher likelihood of side effects at an effective dose, than for a low dose of an AED (anticonvulsant) like gabapentin or a TCA (antidepressant) like nortriptyline. So that's why a lot of people start w/ one of the first two, then if needed, add the class they didn't try, and only then consider an SNRI.

    Also, tapering off an SNRI is a little more of a thing if you decide you don't like it, though at a low dose not so much.

Similar Threads

  1. A Nasal Spray to Replace Sleep? DARPA Develops Brain Chemical to Replace Sleep
    By Wise Young in forum Science, Medicine, & Technology
    Replies: 3
    Last Post: 08-28-2016, 02:17 AM
  2. Can't sleep
    By Human in forum Care
    Replies: 7
    Last Post: 04-25-2010, 07:46 PM
  3. Replies: 18
    Last Post: 12-12-2007, 12:31 PM
  4. Replies: 12
    Last Post: 02-03-2005, 07:04 PM
  5. what to sleep on when you go away
    By micky in forum Recreation, Sports, Travel, & Hobbies
    Replies: 5
    Last Post: 08-08-2003, 08:40 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •