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Bernerbits' ongoing CPAP/meds/insomnia saga
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49er Offline

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Post: #41
RE: Bernerbits' ongoing CPAP/meds/insomnia saga
Great news bernerbits. I am so happy for you.

49er
09-30-2016 07:09 AM
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bernerbits Offline

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Post: #42
RE: Bernerbits' ongoing CPAP/meds/insomnia saga
Just read through all 14 pages or whatever of this. Holy cow, have I been through the wringer. Only 19 days but what a long, eventful 19 days it's been.

I can see I turned a corner last weekend and things have (mostly) improved since then. Changes to sleep schedule and meds seem to be causing the biggest disruptions but they seem to last about 2 nights, and at least now I know that so I can anticipate it.

I'm scheduled to start my Ambien taper a week from tonight. After that, maybe I can reduce the huge 3mg slug of melatonin each night. Both of those are probably screwing with my daytime fatigue.

Here's hoping for an uneventful, restful 7 days until then.
(This post was last modified: 09-30-2016 11:34 AM by bernerbits.)
09-30-2016 11:34 AM
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bernerbits Offline

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Post: #43
RE: Bernerbits' ongoing CPAP/meds/insomnia saga
Slept almost straight through again - had to get up to use the bathroom and promptly fell asleep again. I'm experiencing actual drowsiness during the day again and not just wired exhaustion.

CBT-I and meds are certainly contributors but I think the mask is what's finally doing it.

Put my A-FLEX down to 1 last night and got my AHI down to 2.45. Stays under 1 for most of the night, but then I get a ton of hypopneas and a couple centrals towards the end of the night. No OSAs at all.

I'm going to turn the A-FLEX off tonight. If that doesn't kill the end-of-night events I'll put the min up to 8.5 or 9 and try again.
(This post was last modified: 10-01-2016 02:03 PM by bernerbits.)
10-01-2016 02:01 PM
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bernerbits Offline

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Post: #44
RE: Bernerbits' ongoing CPAP/meds/insomnia saga
I went off melatonin last night. I figure from past experience it's probably a major contributor to my daytime fatigue.

In hindsight melatonin is probably a good idea for two nights whenever I'm implementing a change. I was not able to sleep without the A-FLEX. I put it back on at 1 and fell asleep without much effort. I'll give 8.5 a shot.
10-02-2016 05:34 AM
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bernerbits Offline

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Post: #45
RE: Bernerbits' ongoing CPAP/meds/insomnia saga
Not having melatonin is increasing my fall asleep time to half an hour. But I'm less fatigued and anxious during the day, so it's a net positive. I ordered some time release melatonin at 1/10 the strength I can get in stores.

My AHIs jumped up to 4.5 last night. Patterns of possible sleep wake junk.
10-03-2016 07:43 AM
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richb Online

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Post: #46
RE: Bernerbits' ongoing CPAP/meds/insomnia saga
(10-03-2016 07:43 AM)bernerbits Wrote:  Not having melatonin is increasing my fall asleep time to half an hour. But I'm less fatigued and anxious during the day, so it's a net positive. I ordered some time release melatonin at 1/10 the strength I can get in stores.

My AHIs jumped up to 4.5 last night. Patterns of possible sleep wake junk.

Good news. You are starting to sound like a Pro.

Rich

Apnea Board Member RobySue has posted a Beginners Guide to Sleepyhead Software here: http://www.apneaboard.com/wiki/index.php...SleepyHead
10-03-2016 01:43 PM
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bernerbits Offline

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Post: #47
RE: Bernerbits' ongoing CPAP/meds/insomnia saga
Tried instant release melatonin at 300 micrograms last night, since my time release isn't arriving until today.

Ended up with a 45 minute night waking, then sleeping in for 40 minutes due to forgetting to set my alarm. AHI is still up to 4, which I think is a reduction in sleep quality due to the melatonin changes. Still feeling okayish if pretty tired.
10-04-2016 08:39 AM
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bernerbits Offline

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Post: #48
RE: Bernerbits' ongoing CPAP/meds/insomnia saga
AHI back down below 3 and no night wakings.

Clear airways WAY down, obstructives and hypopneas up, and more distributed throughout the night - fluctuating between 0 and 6, instead of <1 throughout the night and then spiking to 10 at the end. I wonder if the melatonin decrease is also helping reset me to a more normal night.

Since the pattern is new, and I'm about to start a 6-week Ambien taper, I'll probably leave the pressure as is. Could be getting off the meds is enough to get my AHI further down.
10-05-2016 09:43 AM
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bernerbits Offline

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Post: #49
RE: Bernerbits' ongoing CPAP/meds/insomnia saga
I went to my psychiatrist's office today, who recommended .5mg of Ativan 1 hour before bedtime in addition to the Melatonin and Ambien to help with sleep onset and maintenance, and upped my Zoloft from 50mg to 100mg, with a follow up in 30 days.
10-06-2016 05:29 PM
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Sleeprider Online
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Post: #50
RE: Bernerbits' ongoing CPAP/meds/insomnia saga
Better living thorough chemistry! Thinking-about

Get the T test and find a root cause....JSNS.

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10-06-2016 05:45 PM
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