09-28-2016, 05:27 AM
(This post was last modified: 09-28-2016, 05:43 AM by bernerbits.)
Fair enough. I was thinking 2 times a week max, mornings only. I'll see what my neurologist has to say at any rate.
I had a small relapse last night due to a perfect storm of circumstances - shifting my bedtime (and thus my meds) by half an hour to further consolidate sleep, being awake until 10 helping with a work deployment and missing my wind-down time, feeling responsible for the deployment going long, and going to bed hungry. Only got about 4 hours of sleep. Sleep therapist thinks this will create additional sleep pressure and my sleep will restabilize quickly. If the sleep log is an indicator of future success I believe this is true.
But my AHIs are still down below 5 and my compliance is good, and I wasn't overwhelmed with anxiety so at least I got some rest time in bed.
Two times a week in the morning sounds good for the Provigil.
Relapses are going to happen but it sounds like you are making great progress and I am so happy for you.
My neurologist says that there is a dangerous interaction between Zoloft and Provigil. Oh well, at least I asked.
My anxiety came flaring back last night, when my respiratory therapist sent me another email scolding me for changing pressure settings. "Please understand the pressures are not only pt comfort but to control your apnea." (No duh, lady. My AHI is under 5/hr now.) So I tried breathing and positive restructuring techniques from my therapists, but still stewed on it all evening. So I'm still getting breakthrough anxiety on the Zoloft, especially on only 4ish hours of sleep.
I am thinking about going up to a 100mg dose on the Zoloft, but I don't want to do that AND begin tapering Ambien. One change per week is about all I can handle.
I got my "core" sleep of 5.5 hours last night, and the night waking was much later in the morning, so I think my body is starting to respond to the half hour shift and consolidate my sleep a little more. Definitely feel better today than yesterday.
I can't repeat on this board what I would like to say to the RT. Sorry you have to deal with that.
As an FYI, I have read that it can take up to twelve weeks for the nervous system to stabilize after reinstating a psych med. I know dealing with breakthrough anxiety is tough but you might want to keep that in mind.
And another thing to consider is the anxiety might not have anything to do with the zoloft as to be honest, I would be pretty anxious about an RT who sounds arrogant as heck.
Saw your other post about the Neurologist stating that there is a dangerous interaction between Provigil and Zoloft. Sorry about that.
Happy to hear you feel better today than yesterday. It sounds like you keep making good progress.
09-29-2016, 09:42 AM
(This post was last modified: 09-29-2016, 09:50 AM by bernerbits.)
Pull the cell modem out? EDIT: No, I found the "modem off" feature.