Oh how I miss sleep

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holmesla
Regular Member


Date Joined Jan 2007
Total Posts : 196
   Posted 9/13/2011 11:57 AM (GMT -6)   
OK, so I've been on nortriptriptyline for about three weeks, and I must say, it has actually helped with my pain. My headaches are at a minimal and my muscle pain is pretty much gone.

My problem still lies in my sleep. I have no problems getting to sleep. I go to sleep between 9:00 and 10:00, but usually closer to 10:00. I am still waking up between 3:00 and 4:00 am EVERY morning. Last night I actually woke up at 1:00 am. Each time I wake up, I cannot get back to sleep. Then all day I am a zombie because I am so tired. I've tried everything. Hot bath, lavender pillow spray, sleep aids, vitamins, reading before bed. You name it, and I am still wake up come 3 or 4.

I started thinking maybe it was the Topamax that was causing it since it started around the time I was taking it. I am only on 50mgs, so I went off of it for about two weeks and there was no change, so I am back on it. I made the mistake of skipping a dosage of the nortriptriptyline and the next day I was in severe pain and quite nauseated, so I don't dare come off that.

I sent a message to my doctor for help. I work full-time and can barely function some days because I am so tired. Today I came in two-and-a-half hours late just to try and get some sleep, which I really didn't.

Is there anything else (over-the-counter) that I can try to help get a good night's rest?

Screaming Eagle
Veteran Member


Date Joined Sep 2009
Total Posts : 5005
   Posted 9/13/2011 12:07 PM (GMT -6)   
 
        Have you tried "Melatonin" it's an OTC, and might help with the sleep problems. wink
 
      SE wink
Moderator Chronic Pain Forum

Weekly Quote!

"Snowflakes are one of nature's most fragile things, but just look at what they can do when they stick together"

holmesla
Regular Member


Date Joined Jan 2007
Total Posts : 196
   Posted 9/13/2011 12:09 PM (GMT -6)   
Yea, I've been taking Melatonin each evening as well.

Screaming Eagle
Veteran Member


Date Joined Sep 2009
Total Posts : 5005
   Posted 9/13/2011 12:14 PM (GMT -6)   
 
        The only other thing I can think of without being scripted is a "White Noise Machine"
 
       I use one nightly and love it, however I cannot brag about good sleeping habits at this time either. shakehead
         Good luck,
 
    SE wink
Moderator Chronic Pain Forum

Weekly Quote!

"Snowflakes are one of nature's most fragile things, but just look at what they can do when they stick together"

LordWood
Regular Member


Date Joined Aug 2011
Total Posts : 59
   Posted 9/13/2011 4:58 PM (GMT -6)   
Hey holmesla, I am sorry to hear about your sleeping issues. My chronic pain from my RSD has left me with insomnia for years and I tried every over the counter and prescription medication possible to no avail (OTC's are useless). I would go for days without sleep and then usually around the middle of the third day crash and sleep for a little and then the cycle would restart. Even that sleep I did get after crashing did not make me feel any better it was not good sleep it was fake sleep as I would get up and feel like I didn't get any sleep at all. Over the years though its become a normal thing but I was recommended to try the use of the generic of Ambien called Zolpidem and this is something that actually I would recommend for you. As long as you have 8 hours to devote to sleep take it before you go to bed and it should help you. Sadly I had to stop using it because of a complication but its the only worth while sleeping med I would recommend. Good luck to you.
I currently take: Cimzia 2-200mg injections, Zolpidem 5mg 1x daily, Vyvanse 70mg 1x daily, Dilaudid 8mg 4x daily
Health Issues: RSD, Crohns, Gastroparesis, Arthritis, Osteoporosis, Dysautonomia, & Remicade Induced Psoriasis.

badheartdude
Regular Member


Date Joined Sep 2011
Total Posts : 58
   Posted 9/14/2011 7:27 AM (GMT -6)   
I feel your pain holmesia, last night I didn't get to sleep till 3 Am and awoke at 6, I too feel like a zombie during the day but am unable to nap for some reason either. I don't know if its our meds or our minds keeping us awake! Good luck to you and Ill be praying for you during my insomnia as well:)
intercostal neuralgia, degenerative disc disease, atherosclerosis, depression, & anxiety
meds: gabapentin, oxycodone 30 mg, lipitor, xanax, effient, cymbalta, carbamazepine

holmesla
Regular Member


Date Joined Jan 2007
Total Posts : 196
   Posted 9/14/2011 7:33 AM (GMT -6)   
Thank you. Last night I tried it all. Muscle relaxer, benadryl, and Melatonin. Went to lay down at 8:30 and probably didn't get to sleep until 10:00. Then I woke up at 12:30 and honestly I don't think I ever did go back to sleep. I thought about staying home today to sleep, but I didn't bother because I knew I wouldn't be able to sleep anyway. It's no use. I will try and nap on my lunch break. Usually I don't sleep during that time, but just resting my eyes sometimes helps.

I really hope the hear from my doctor today. It is annoying you call and leave a message and then don't hear back from them that same day. I know they are busy and all, but this really sucks!

I have managed to stay positive through the pain, but with days like this, or should I say nights like this, I feel myself slipping closer to depression, and I don't want to go there. I am just so tired all of the time that I am not myself. I need to snap out of it.

Screaming Eagle
Veteran Member


Date Joined Sep 2009
Total Posts : 5005
   Posted 9/14/2011 8:24 AM (GMT -6)   
 
       When you said depression....it made me think that maybe a depression med might help. I was not sleeping well at all, and was up all night long. Since getting on the Cymbalta for lower back pain, I have been sleeping much deeper and longer at night. It's someting to think about....and I can't remember if you have a back problem or not.
 
      Sleepless nights are the worst, and makes for a horrible next day. I feel for you, as I have suffered with the same problem for a very long time. Stress can also be a big factor, and it never let's our brain shut down for the evening. Just a few things to think about....hopefully you will find a solution soon.
 
      Take care,
 
     SE wink
Moderator Chronic Pain Forum

Weekly Quote!

"Snowflakes are one of nature's most fragile things, but just look at what they can do when they stick together"

holmesla
Regular Member


Date Joined Jan 2007
Total Posts : 196
   Posted 9/14/2011 12:53 PM (GMT -6)   
It's funny you mention Cymbalta. I went on that four years ago when my pain first started and that actually caused me insomnia.

The pain I am or was dealing with is muscle pain in the neck and shoulders along with tension and migraine headaches. The nortriptriptyline seems to be helping with the pain, so that is good.

I finally just heard from the doctor and she wants me to up my dosage of the nortriptriptyline from 20 mgs to 30mgs. I am willing to give it a shot, but somehow think it won't work since it seems my sleep has gotten worse since getting on it. Crossing my fingers it works.....

holmesla
Regular Member


Date Joined Jan 2007
Total Posts : 196
   Posted 9/14/2011 12:57 PM (GMT -6)   
Oh yea, and NORTRIPTYLINE is actually an anti-depressant.

tmjpain
Veteran Member


Date Joined Oct 2008
Total Posts : 2024
   Posted 9/14/2011 4:29 PM (GMT -6)   
Oh i hear you on the no sleep, i haven't slept well for years. It certainly makes coping thru the day much harder..
 
Recently i was started on another antidepressant called Remeron, which is taken at night as it makes you sleepy, so i have
 
had some better nights. 

Suzane

Post Edited (tmjpain) : 9/14/2011 3:32:34 PM (GMT-6)

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