Numbers good, feel bad? Maybe it's your Meds

Bump

Awesome, Jay, thanks!

So obvious I probably shouldn't bother to state it:

Methylphenidate extended release (Concerta XR). All of the stimulant class for ADD/ADHD are sleep-killers, but fortunately when they wear off they wear off completely.

I have to remember to take it early enough in the day.

Jay - I just finished going through this post and catching all the names, links, classes and anything else I could and added to my spread sheet. I also am bookmarking this link to come back to it as I'm sure it's not dead by any means.

Thank you again for pointing this out.

quietmorning wrote:Thank you again for pointing this out.

You're welcome. You've got your work cut out for you. There seems to be a huge number of drugs with the potential for negative impact on sleep.

Another that you can add to the list is Aleve (naproxen). VVV, myself, and others discussed it in a thread a while back. I'll see if I can find the thread and any citations. I know that, personally, it seemed to produce ill effects.

J

While I am sure meds and lots of other things can cause poor and/or insufficient sleep, I suspect that there is another possible cause for CPAP users, though as a new user myself, I could be barking up the wrong tree.

My AHI doesn't seem to correlate with the following day's sleepiness. In fact, my worst days so far have all followed really good AHI numbers (AHI <5) and my best days have followed 'poor' nights (AHI 7-10). Just to put those numbers in context, my pre-CPAP AHI was 38.

My observations suggest that my sleepiness is currently more dependant on how many disturbances I had the night before, rather than the AHO. In my case, I'm talking mostly awakenings brought on by mask leaks and/or dry mouth/throat. I also suspect that, even if I am not actually woken up, my quality of sleep while on CPAP isn't all that good yet. I'm hoping a few weeks or months of use will help here, as I become more accustomed to sleeping with a baby Alien clamped on my face.

Steve of Cornubia wrote:My observations suggest that my sleepiness is currently more dependant on how many disturbances I had the night before, rather than the AHO. In my case, I'm talking mostly awakenings brought on by mask leaks and/or dry mouth/throat. I also suspect that, even if I am not actually woken up, my quality of sleep while on CPAP isn't all that good yet. I'm hoping a few weeks or months of use will help here, as I become more accustomed to sleeping with a baby Alien clamped on my face

Hi Steve,
Yes, I think you're right. The first thing you need to do is get comfortable with your treatment and bring your AHI down to something reasonable - like five or less. As you're already discovering, there is more to good sleep than just getting your numbers under control, but it's a place to start. Early on, treatment often interferes with quality of sleep, ill fitting masks and leaks cause disturbances resulting in less than restful nights. And, as you've noted, your AHI may not be representative. One reason for that is that disturbances from treatment may prevent you from entering Deep or REM where the majority of apneas occur for many people. So, once you get comfortable with your treatment, get leaks under control, and achieve a reasonable AHI, if you're still not obtaining restful sleep, then you can begin to suspect and investigate other areas such as meds.
Welcome to the Forum
J

Study says,

Nonsteroidal anti-inflammatory drugs affect normal sleep patterns in humans

It's an old study, but could still be relevant to some. (It's also an old thread, but it's mine )
According to the abstract, http://www.ncbi.nlm.nih.gov/pubmed/8047572 , aspirin and ibuprofen disturbed sleep while acetaminophen did not.

Thanks for posting that. Another link I saw alongside when reading your linked article was this one asking how they affect sleep. http://www.ncbi.nlm.nih.gov/pubmed/8848472
Moving my nightly aspirin to morning - just in case.

pollyanna40 wrote:my data is very good,No apnea's,No leaks,Good deep Sleep!! i feel soooo bad during the day!! still tired as!! i have No other Meds at all,None!! still having tests to see why im still daytime tiredness!! just blood tests and E.N.T appointments!! but in most people yep Meds maybe the reason!!

I have great numbers, no leaks, good sleep, and I am exhausted anyway. Your docs can prescribe you Modifinal to wake you up. It clears away the brain fog, and makes you feel like you a good nights sleep. Its a stimulant, but a safe one. No black market value, no cocaine-like side effects, non-habit forming, not addicitve. It simply promotes wakefullness. Its awesome stuff, Darned expensive, but worth every penny.

In case you missed it, see the full article here for specific drugs and alternatives:

10 Types of Meds That Can Cause Insomnia
http://www.aarp.org/health/drugs-supple ... nia.5.html

Meds That May Cause Insomnia
1. Alpha-blockers
2. Beta-blockers
3. Corticosteroids
4. SSRI antidepressants
5. ACE inhibitors
6. ARBs
7. Cholinesterase inhibitors
8. H1 antagonists
9. Glucosamine/chondroitin
10. Statins

Thanks Jay. I wonder how many doctors screen their patients to make sure they aren't taking meds that could cause insomnia? The cynical part of my brain doubts that there aren't many but I would love to be proven wrong on this.

49er

Jay Aitchsee wrote:In case you missed it, see the full article here for specific drugs and alternatives:

10 Types of Meds That Can Cause Insomnia
http://www.aarp.org/health/drugs-supple ... nia.5.html

Meds That May Cause Insomnia
1. Alpha-blockers
2. Beta-blockers
3. Corticosteroids
4. SSRI antidepressants
5. ACE inhibitors
6. ARBs
7. Cholinesterase inhibitors
8. H1 antagonists
9. Glucosamine/chondroitin
10. Statins

Happy Birthday, 49er! I doubt you could be proven wrong.

49er wrote:Thanks Jay. I wonder how many doctors screen their patients to make sure they aren't taking meds that could cause insomnia? The cynical part of my brain doubts that there aren't many but I would love to be proven wrong on this.

49er

Jay Aitchsee wrote:In case you missed it, see the full article here for specific drugs and alternatives:

10 Types of Meds That Can Cause Insomnia
http://www.aarp.org/health/drugs-supple ... nia.5.html

Meds That May Cause Insomnia
1. Alpha-blockers
2. Beta-blockers
3. Corticosteroids
4. SSRI antidepressants
5. ACE inhibitors
6. ARBs
7. Cholinesterase inhibitors
8. H1 antagonists
9. Glucosamine/chondroitin
10. Statins