Go to sleep, fairly well, but difficulty maintaining sleep and getting proper sleep -I think. My CPAP is performing great, my AHI is 3.4 at the most, usually less.
BUT, I wake up during the night and just can't go back to sleep. I do not have anxiety, nor panic attacks (years ago I did experience these, but no longer)
Tried Benadryl, Melatonin, and my doctor recently put me on Remeron (Mirtazapine). Been on it about a week. This has not helped. I am feeling unusual, inexplicable, illogical mood shifts and some daytime drowsiness.
I suspect I am not getting enough REM sleep, or useful sleep due to my circadian rhythms being off. Dreams are mild and no nightmares.
I have tried many non-pharmacological remedies, such as turning off TV an hour or so before bedtime, avoiding drama programs, eating more healthy -- has not helped. I feel I need some kind of medication. My primary physician does not see that I have a problem and is not helping me beyond suggesting Benadryl.
The sleep clinic only wants to adjust my CPAP (which is fine) and does not prescribe medications.
I am very open to suggestions, but feel I need some kind of medication. Obviously this would need to be through a medical doctor so as to avoid any adverse reactions with present medication.
I solicit your input. Medications? OTC or prescription? Homeopathic?