Quantcast

Bookmark and Share
General Discussion on any topic relating to CPAP and/or Sleep Apnea.
cdutka
 
Posts: 11
Joined: Mon Aug 13, 2012 12:56 pm
Location: Hammond, Indiana
Gender: Female

Insomnia

Postby cdutka on Tue Aug 28, 2012 7:38 am

How is a cpap supposed to help someone with insomnia? When I sleep, I sleep well with the mask, I have no complaints. Last night I was up every hour on the hour with insomnia. I am seeing a pulminologist in a week and I was wondering if she would be likely to prescribe something to help me sleep. My PCP will not.

User avatar
Pugsy
 
Posts: 27332
Joined: Thu May 14, 2009 9:31 am
Location: SW Missouri, USA
Gender: Female

Re: Insomnia

Postby Pugsy on Tue Aug 28, 2012 7:45 am

If your insomnia is not related to any sleep apnea events then using the machine isn't going to fix it.
Insomnia is not limited to just people with sleep apnea. Insomnia is a sleep disorder all on its own and is only fixed with a cpap machine when the only cause of the insomnia is the sleep apnea events.
The machine only fixes one thing...sleep apnea.

I have a form of sleep maintenance insomnia that is due to pain. The cpap machine doesn't do anything for the cause of the pain. I have to do something different to help limit the pain so that I can deal with sleep maintenance insomnia.

If someone has bad sleep that is unrelated to sleep apnea then the machine can't fix it.

Robysue will likely be by later and give you her thoughts. She has first hand experience with really bad insomnia.
Mine is very minor compared to hers and mine was relatively easy to fix.

_________________
Machine: PR System One REMStar 60 Series BiPAP Auto with Bi-Flex
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear
Humidifier: PR System One 60 Series Heated Tube Humidifier with Heated Tube
Additional Comments: S9 Adapt SV being tried now...not available as menu choice

themonk
 
Posts: 111
Joined: Fri Jun 22, 2012 4:16 pm
Gender: Male

Re: Insomnia

Postby themonk on Tue Aug 28, 2012 7:50 am

The conventional wisdom on message boards is your brain will eventually recognize it is 'safe' to sleep and you will just magically sleep with the PAP machine. I find this really silly, honestly. CPAP is good at one thing, treating the 'apnea' part of sleep apnea. It isn't designed to treat the 'sleep' part.

You might look into cognitive behavior therapy for insomnia. Your sleep doc might have someone he/she recommends. It is basically a psychologist trained in sleep disorders. I am heading down that path myself so I don't have anything to offer personally, but the research is very promising. It has been shown to be as or more effective than sleep meds.

Of course if it is very sporadic, you could ask for a sleep med. I have used Ambien for some time off and on and both my PCP and my sleep doc have no issues with it. It is my choice to look into other options, hence the CBT.

I suspect a lot of the approach is learning to relax and calm the mind and body. Insomnia can kind of be a big negative feedback loop and it feeds on itself. Learning to calm your body and mind would clearly impact that part of the problem positively.

I think a forum member named Robysue has had all kinds of issues related to insomnia and has a very good handle on dealing with it. I am sure she will offer excellent suggestions from personal experience.

jacob006a
 
Posts: 53
Joined: Wed Apr 11, 2012 12:32 pm
Location: Lewisville, Tx
Gender: Male

Re: Insomnia

Postby jacob006a on Tue Aug 28, 2012 8:06 am

I have insomnia, my pcp has given me a perscription for Lunesta, which sometimes lets me get a full nights sleep. I have also used time release melotonin. I had a third sleep study which revealed Periodic Limb Movement Disorder, which was masked by the Apnea, which contributed to my insomnia, now that it is under control, between the Lunesta and melatonin, I am getting a better nights sleep. I usually sleep from 9 PM to 1 AM, am up for two hours and then able to go back to bed. Since the rls/plmd is under control, I have managed to fall backup asleep much easier, stay in bed and not go read or catch up on work on the computer.

Sometimes medication can also cause insomnia issues.

Hope it gets better for you

_________________
Machine Mask Humidifier 

cdutka
 
Posts: 11
Joined: Mon Aug 13, 2012 12:56 pm
Location: Hammond, Indiana
Gender: Female

Re: Insomnia

Postby cdutka on Tue Aug 28, 2012 8:11 am

The sleep tech said I may have RLS, but she did not know if it was due to and actual condition or sleep deprivation. While now I can sleep, but still not sleeping so I think it may be RLS. Going to have to tell Doc that I may need medication for RLS.

User avatar
robysue
 
Posts: 5717
Joined: Sat Sep 18, 2010 2:30 pm
Location: Buffalo, NY
Gender: Female

Re: Insomnia

Postby robysue on Tue Aug 28, 2012 8:48 am

cdutka wrote:How is a cpap supposed to help someone with insomnia? When I sleep, I sleep well with the mask, I have no complaints. Last night I was up every hour on the hour with insomnia. I am seeing a pulminologist in a week and I was wondering if she would be likely to prescribe something to help me sleep. My PCP will not.

How long have you been PAPing? How long do you think you may have had OSA before you started PAPing?

How long have you had the sleep maintenance insomnia?

Have you any ideas on what might be triggering the wakes? Pain? Restlessness (in your legs)? Aerophagia? Mask comfort? Leaks? Cats, dogs, traffic noises and other environmental issues?

What do you do as soon as you realize you are awake in the middle of the night? And what goes through your mind as soon as you realize you're awake in the middle of the night?

And how is your sleep hygiene in general?

The answers to these questions may suggest a starting point on how to tame your insomnia monster.

How is a cpap supposed to help someone with insomnia?
The best discussion of this question that I'v come across is the last part of Dr. Krakow's book Sound Sleep, Sound Mind. The entire book is a fantastic resource for anyone who is fighting insomnia, but that last section is a gold mine for those of us with OSA and insomnia.

_________________
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Humidifier: PR System One Heated Humidifier
Additional Comments: PR System One REMstar BiPAP Auto (Series 50). Max IPAP = 8, Min EPAP=4, and Rise time setting = 3

cdutka
 
Posts: 11
Joined: Mon Aug 13, 2012 12:56 pm
Location: Hammond, Indiana
Gender: Female

Re: Insomnia

Postby cdutka on Tue Aug 28, 2012 8:54 am

robysue wrote:
cdutka wrote:How is a cpap supposed to help someone with insomnia? When I sleep, I sleep well with the mask, I have no complaints. Last night I was up every hour on the hour with insomnia. I am seeing a pulminologist in a week and I was wondering if she would be likely to prescribe something to help me sleep. My PCP will not.

How long have you been PAPing? How long do you think you may have had OSA before you started PAPing?

How long have you had the sleep maintenance insomnia?

Have you any ideas on what might be triggering the wakes? Pain? Restlessness (in your legs)? Aerophagia? Mask comfort? Leaks? Cats, dogs, traffic noises and other environmental issues?

What do you do as soon as you realize you are awake in the middle of the night? And what goes through your mind as soon as you realize you're awake in the middle of the night?

And how is your sleep hygiene in general?

The answers to these questions may suggest a starting point on how to tame your insomnia monster.

How is a cpap supposed to help someone with insomnia?
The best discussion of this question that I'v come across is the last part of Dr. Krakow's book Sound Sleep, Sound Mind. The entire book is a fantastic resource for anyone who is fighting insomnia, but that last section is a gold mine for those of us with OSA and insomnia.



I have been on cpap for three weeks. I have had insomnia for as long as I can remember. Have no idea what is triggering my awakes. When I awake I usually go smoke a cig then go back to bed. I don't know what you mean by sleep hygiene

User avatar
KEQ5
 
Posts: 93
Joined: Sat Jul 21, 2012 7:38 pm
Gender: Male

Re: Insomnia

Postby KEQ5 on Tue Aug 28, 2012 1:19 pm

Sleep hygiene (as I understand it) is basically:

- The bedroom is only for sleeping and sex. No reading, TV watching, gaming, web browsing, work.
- Don't lie awake in bed for more then 15-20 minutes, get up and go to the living room until you're sleepy again
- Try to go to bed same time each evening.

Then you get into things like temperature control, better bedding, blackout curtains, noise suppression (fan or white noise generator), etc.

User avatar
Roch369
 
Posts: 15
Joined: Mon Jul 23, 2012 7:58 pm
Gender: Female

Re: Insomnia

Postby Roch369 on Fri Sep 07, 2012 5:54 pm

I've been waking up several times a night last year. Got diagnosed last month with severe OSA. Started seeing a therapist to help me with CPAP adherence and I defnitely have to work on my sleep hygiened. I got in such a bad habit the last couple of years with my laptop in my bed with my surfing the web for hours each night. I've also had to desensitize myself with the CPAP machine. Still dread going to sleep = wake up anywhere from 3-5 times a night.
Dr. just wrote prescription of Lunesta - scared I'll rely on it. But would be nice to sleep straight through.


Return to CPAP and Sleep Apnea (CLICK HERE TO READ POSTS)

Who is online

Users browsing this forum: chunkyfrog, ddow, fireflydj, Jay Aitchsee, oyasumi and 25 guests