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Insomnia and treatment?
#1
Insomnia and treatment?
For those who had insomnia before diagnosis, did starting CPAP help?  Are there any sleeping medications that do not worsen apnea?  I ran across an article stating Lunesta (I know there is a generic name which I cannot spell - Eszopiclone!) might decrease apnea by raising arousal threshold but it was from 2011 so not sure of current status.  What about the drug still in clinical trials (by apnimed I think)?  Atomoxetine and oxybutynin?

Just looked up Apnimed real quick guess they are also doing phase 1 trials of atomoxetine and trazodone.
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#2
RE: Insomnia and treatment?
For me the CPAP is a great help.  I would wake up like clockwork at 3 am from a nightmare and often not be able to get back to sleep.  In hindsight it should have been obvious that this was me desaturating, but I sure went through a lot of rationalizations of other causes.  I also had trouble initiating sleep, particularly at higher altitudes.  On a bad night I would typically get 3 hours of sleep, and I seldom got through the night without 5-6 awakenings.

I was very lucky, as I tolerated the CPAP great from the start. (if you mouth breathe much at all and can tolerate a FF mask, I recommend starting with that rather than a nasal, so you can get a successful experience with the CPAP from the get-go.  You can always try and troubleshoot a nasal mask later) And for me everything magically resolved just a day or 2 into using the CPAP.  I now sleep like a log for 7-8 hours straight.  

I have never used meds for insomnia so I cannot speak to their relative merits.  But it is my understanding that most “successful” meds worsen desaturations because you will sleep right through them rather than waking up to breathe.
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#3
RE: Insomnia and treatment?
For insomnia, some people benefit from CBTi, which stands for cognitive bahavioral therapy for insomnia.
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#4
RE: Insomnia and treatment?
Thanks, I am familiar with CBTi and it is definitely worth a try. It's harder to find a provider who specializes in it unfortunately, and long wait for appointments.  I do have an app Smile
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#5
RE: Insomnia and treatment?
I was taking Trazodone before pap use and continue to take it now.  It works well for me.  I sleep better now that I use a pap machine, waking up less often, etc., but I have experimented and I still need the Trazodone for good sleep.
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#6
RE: Insomnia and treatment?
How much do you take?  That is one of the ones they are putting in a new pill combo with the atomoxetine.  I think I have taken either 50 or 100 a couple times and it did not do much but there was also once it really knocked me out and next day sedation so I didn't want to take again.
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