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Author Topic: Trazodone and sleep - Oy vey!  (Read 315 times)

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Offline DeeRuss

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Trazodone and sleep - Oy vey!
« on: August 13, 2014, 02:58:07 PM »
I started Trazodone last week at 75mg. It's supposed to help you sleep - something that I've had a lot of trouble with due to anxiety. Well, they said take it one hour before bed (like it's THAT potent). It's not. It took 4 to 5 hours for me to even feel sleepy.

I talked to my P-Doc and he said to double it. Yep. 150mg. Did that. Stuffy nose side effect. Laid in bed for hours. Slept til 2pm!! So it DOES make you tired as hell but it DOESN'T - at least for my brain - put you out (which I NEED).

As usual, nothing feels managed medication wise, even though I see my GP and a new Psychiatrist. And here comes the time of year when I would LIKE to travel a few hours to Cape Cod and enjoy the beach and the clean air yet all I can do is ruminate about getting there and getting into a strange bed and pound pound pound - there goes my heart, here comes my panic, there goes me getting ANY sleep! I get some serious depersonalization and severe anxiety and panic when I don't sleep. The BIG fear that has developed over many years, is not sleeping away from my own bed. Which of course is a self-fulfilling prophecy but one that I can't seem to control. I was always ok as a kid but as an adult this has just escalated and escalated. I once drove 7 hours, had a panic attack in bed, and DROVE back. Brilliant.

It's not the drive nor being far from home (although that has something to do with it). When I tell Doctors this, they write me a prescription. That's fine. But they don't seem to understand that I go into what I call "violent, long-term, sleep-deprived panic." I've ended up in the ER because of this and this was at home! I can take 30mg of Valium and still be awake. (I've been dependent for 20 years on Benzos).

Does anyone have any good medication combo-cocktails that have worked for them with a phobia similar to this? I feel like I can handle fear and anxiety and panic SO much better if I can sleep!! I started 10mg Lexapro with the Trazodone and also take 8mg Diazepam every afternoon. Thanks for listening.
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Offline kvndl2

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Re: Trazodone and sleep - Oy vey!
« Reply #1 on: August 13, 2014, 04:35:11 PM »
Have you tried taking melatonin? I've heard that it works well to help people get the sleep they need. I personally haven't taken it but I know quite a few people that have.
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Offline DeeRuss

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Re: Trazodone and sleep - Oy vey!
« Reply #2 on: August 13, 2014, 06:33:42 PM »
Yes  I have. It helps somewhat for me but only if I'm already relaxed, calm, safe...I would lik to take some on Lexapro and Trazodone, but not sure if it's safe.
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Offline kvndl2

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Re: Trazodone and sleep - Oy vey!
« Reply #3 on: August 13, 2014, 07:28:41 PM »
Definitely something to ask your doctor or pharmacy. I take a mood health vitamin and my doctor and pharmacist told me it was completely safe to do that. As I'm sure it is the same with melatonin and your medications. But it's always better to ask and make sure.
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Offline insights

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Re: Trazodone and sleep - Oy vey!
« Reply #4 on: August 13, 2014, 07:44:41 PM »
I talked to my P-Doc and he said to double it. Yep. 150mg.

Not the best advice. Trazodone become less sedating the higher the dose. Often 50mg is better than 75mg. However, it seems your brain is resistant to hypnotics.  If there is a sleep lab in your area it might be worth being checked out and getting the opinions of experts in the field.

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I can take 30mg of Valium and still be awake.

Tolerance to benzodiazepines sedation develops very quickly, often within a couple of weeks. Unfortunately, this is the case with many of the hypnotics.

Quote
Does anyone have any good medication combo-cocktails that have worked for them with a phobia similar to this? I feel like I can handle fear and anxiety and panic SO much better if I can sleep!! I started 10mg Lexapro with the Trazodone and also take 8mg Diazepam every afternoon.

I don't think meds are the answer for you. Therapy might be, but you should be seeing a sleep specialist.

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I would lik to take some [melatonin] on Lexapro and Trazodone, but not sure if it's safe.

Yes, it is.

Ian
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NOTE: I'm not a doctor, and particularly not yours, so there may be factors I'm unaware of. Therefore all advice is of a general nature and you should consult your doctor before following any of it, especially before changing med doses.

Offline lfiasche

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Re: Trazodone and sleep - Oy vey!
« Reply #5 on: August 18, 2014, 03:35:42 PM »
 I was having a similar sleep problem. The ticket for me was Mirtazipine. 15 mg. I thought Oh hell this will never work. I was wrong I have slept every night since it was prescribed.
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Offline Venomsoar

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Re: Trazodone and sleep - Oy vey!
« Reply #6 on: August 18, 2014, 06:41:13 PM »
How long do you sleep for? Because I am going crazy over not sleeping well just lately. I only had two hours sleep for the past 2 days and tonight my anxiety is peaking more than ever before. I am just really worried because yesterday, the sleep I had was broken up - I was waking up every 20-40 minutes until after about two hours and then I finally got up (it was 8:18am).

And so I assumed I would sleep ok tonight (I would usually sleep ok if I only had two hours sleep the night before). But the fact that the sleep I had was broken up so badly, and the fact that I cannot get to sleep at the moment and don't feel sleepy, this makes me really worried. I am starting to worry about having SFI (Sporadic Fatal Insomnia) once again even though I was doing so well in tackling this fear in the past. It is because I have read that SFI patients never make it past stage 1 sleep - and because I was waking up so often, and now I cannot sleep, this has made alarm bells ring.

I have taken 12.5mg of Diazepam (5mg had never failed me before tonight). And although I am feeling a little calmer now, trying to sleep makes me panic so much. Thoughts are racing about sleep and lack thereof. My heart starts to pound - and although there are moments where I feel like I slip into sleep, I am straight back to alert and start panicking instantly. I would be ok if I had a good amount of sleep last night - but it is the fact that logically, I should feel completely tired and have no problem getting to sleep because I haven't had much sleep for 2 days - but this is not the case. I feel wide awake. I know it is my anxiety that is causing this but I cannot stop my panic attacks simply by thinking rationally.
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Offline lfiasche

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Re: Trazodone and sleep - Oy vey!
« Reply #7 on: August 18, 2014, 07:17:09 PM »
I sleep for quite awhile. I mean like 8 hours. However I can totally relate to what your saying. I had the same problem, it builds on itself. Your anxious about not sleeping, so you don't sleep. The next night your even more tired and anxious, and the cycle continues. That's what happened with me anyway. My doctor tried Xanax and ambien none of them worked. The mirtazapine helped me tons !
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Offline Venomsoar

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Re: Trazodone and sleep - Oy vey!
« Reply #8 on: August 18, 2014, 11:19:47 PM »
I sleep for quite awhile. I mean like 8 hours. However I can totally relate to what your saying. I had the same problem, it builds on itself. Your anxious about not sleeping, so you don't sleep. The next night your even more tired and anxious, and the cycle continues. That's what happened with me anyway. My doctor tried Xanax and ambien none of them worked. The mirtazapine helped me tons !

The question was aimed at the OP - my mistake for not making that clear. However, I am happy you responded. I am really concerned about how much you slept when you was having this problem? I had managed to actually fall asleep. But I only had about 4 hours (on 12.5mg Valium which concerns me). I am feeling on edge at the moment. It is 4:17am where I live. I won't be going back to sleep any time soon because of course, one thing is that I am on my laptop which doesn't help of course. But I know that my anxiety will build and build the closer it gets towards tonight which is makes me anxious at the moment. I am seriously dreading tonight. But I won't be relying on any medication.
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Offline lfiasche

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Re: Trazodone and sleep - Oy vey!
« Reply #9 on: August 19, 2014, 08:28:32 AM »
Oh sorry, when I was not sleeping it was anywhere from 2 -4 hours.
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Offline DeeRuss

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Re: Trazodone and sleep - Oy vey!
« Reply #10 on: August 28, 2014, 10:45:36 AM »
Hello everyone and thanks for all your replies. I've read them all a few times and absorbed them.

After the initial posting, I ended up in the ER three (3!) times. This is has been the worst stretch of my life. That Psychiatrist - the one that doubled the Trazodone (bad idea, Ian, you were right) and took me COMPLETELY off of Zoloft and put me on Lexapro - nearly killed me. I have never been so sick, so scared, so sleep-deprived and so convinced that I would never get better in all of my life. I'm still not out of the woods.

There's a big story here and one that I may write someday when I feel more stable. I will say this, when you're in a medication crisis / mental health care crisis, there aren't a lot of options. With all the money in this county where I live, it's disgusting how many places turn you away or can't help.

I am wondering how Venomsoar is doing. You sound so much like me and what I struggle with. The sleeping issues make me feel crazy (I'm not, thankfully) and panicky and out of control and I obsess on them (kind of hard not to worry about getting sleep when you're NOT getting any, ay?) I'm with you on the drifting off then waking immediately in a panic. It's like the one thing we need so desperately is the one thing that denies us. I would NOT start worrying about SFI and please stop googling it. What is your medical history if you care to share?

Venomsoar, I know what you're going through. I'm here if you need me. My Aunt is a Registered Nurse (she used to work in a top hospital in New York City) and she assures me that no matter what, sleep happens. I know we fear the not sleeping factor, and that in turn makes us anxious beyond belief, but you can't fight biology. She knows her stuff and eventually you and I will get back into some sort of rhythm. I'm trying to take walks everyday just to tire myself out (and believe me, it's tough when you've only gotten an hour or 2). I honestly don't know how I'm still standing and awake half the time. It sucks.

lfiasche - I am very interested in Mirtazapine and I think Venomsoar might be a good candidate for it as well. Let me ask you though, do you take other medications with the Mirtazapine? Does it make your nose/head stuffy? Trazodone stuffs up my nose so badly. Have you had any significant side effects? Thanks.

One more thing - DON'T be concerned by the Valium. I take 15mg per day and have seen a new Psychiatrist who put me back on the Zoloft (we went back up to 75mg and the goal is to go slowly and increase it). Also, the past two nights I've taken 50mg of Trazodone. It worked the first night but last night I got maybe 3 or 4 hours and not consecutively. I keep texting my new Psych and I'm afraid he's going to yell at me. So far it's been everyday since I first met with him on Monday!!

Please EVERYONE stay in touch here. I need you all and hopefully you need me! God Bless!
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Offline lfiasche

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Re: Trazodone and sleep - Oy vey!
« Reply #11 on: August 30, 2014, 08:32:34 AM »
I have had no adverse effects to the mirtazapine. No stuffiness or anything. I really works well for me. I thought " this is never going to work" But it sure has. My wife says after she has the baby she wants to get a script for it because I sleep like the dead. My doctor says it not only has a antihistamine effect but it also improves your sleep cycle. I think this might be true because I cant even take a nap anymore. I alos try to take a long walk whenever possible.
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