One month in....still feeling bad any advice here?

moo2425 wrote: ↑

Thu Dec 20, 2018 12:48 am

Pugsy wrote: ↑

Wed Dec 19, 2018 10:37 pm

Do you take any medications? If so, what?
Any other physical or mental health issues going on?

I’m not comfortable sharing but I do take medication for depression but maybe the depression is linked to sa. My insomnia is

Most medications for any mood disorders play hell with how we feel during the day and often our sleep quality.

Take the time to Google all the medications you take and look at multiple resources and read up on all the side effects.

Fatigue, sleepiness, insomnia....are common side effects.

Also Google "SSRIs and sleep" and "SNRIs and sleep"....and see how they mess with sleep architecture also.

Medication side effects may be a factor in why you feel like crap during the day.

moo2425 wrote: ↑

Thu Dec 20, 2018 12:48 am

I do take medication for depression but maybe the depression is linked to sa

Untreated sleep apnea will definitely cause depression in many people. And, Pugsy is right about the side effects of drugs.

Many people with symptoms of depression are prescribed drugs when they should be prescribed CPAP. The same is true with ADD and ADHD. Kids are diagnosed with these and prescribed powerful drugs. But, the drugs don't treat the cause - sleep apnea. The kids need to be treated for sleep apnea with CPAP, tonsillectomy, adenoidectomy or other treatments.

I hope you can maintain a good CPAP therapy. Your body and mind won't heal instantly, but it will heal.

I know the anti depressants can mess with sleep but I’m too afraid to go off of them until I see a significant change in how I feel during the day. I don want to go off the meds and then feel worse. So I’m hoping I will feel better from CPAP then I can lower it when I see a difference

moo2425 wrote: ↑

Thu Dec 20, 2018 12:29 pm

afraid to go off of them

Yeah, with antidepressant discontinuation, you need to be very careful. Work with your doctor. Depending on the drug, you may need to taper off over some weeks or months.

moo2425 wrote: ↑

Thu Dec 20, 2018 12:29 pm

I don want to go off the meds and then feel worse. So I’m hoping I will feel better from CPAP then I can lower it when I see a difference

If the medication side effects are a big part of your problem...the best cpap therapy in the world isn't going to make the unwanted symptoms go away.

Talk to your doctor about options.

ok so i take Lamictal, Ripedone and effexor these are the medications i take. the doctor doesn't want me to make any changes does anyone here know anything about these medications in regards to sleep?

How would i know its the medications preventing me from having good sleep vs giving myself more time to recover from sleep apnea?

Google each one of your medications and read up on the side effects as to how they can mess with sleep.
Read from multiple resources as to the list of potential side effects.

Also google SSRIs and sleep.
Also google SNRIs and sleep.

Read up on how they mess with sleep as well as sleep architecture.

I am not all that familiar with your first 2 meds under those names but I am familiar with Effexor. It has some pretty nasty side effects in terms as to how a person feels during the day.....like fatigue, drowsiness, lack of energy, insomnia, etc
As well as it is well known to trash sleep architecture. SSRIs and SNRIs are well known to mess with sleep stages and even reduce REM.

Your meds may not be the sole problem with your not feeling better but I am betting they are playing a significant factor.

moo2425 wrote: ↑

Mon Dec 24, 2018 9:08 am

Lamictal ... effexor

These two drugs taken in combination may depress breathing:

Applies to: Effexor XR (venlafaxine) and Lamictal (lamotrigine)

Central nervous system- and/or respiratory-depressant effects may be additively or synergistically increased in patients taking multiple drugs that cause these effects, especially in elderly or debilitated patients.

https://www.drugs.com/drug-interactions ... essional=1

moo2425 wrote: ↑

Mon Dec 24, 2018 9:08 am

Ripedone

What is this? I think you may have some typos in the spelling.

ChicagoGranny wrote: ↑

Mon Dec 24, 2018 12:56 pm

moo2425 wrote: ↑

Mon Dec 24, 2018 9:08 am

Lamictal ... effexor

These two drugs taken in combination may depress breathing:

Applies to: Effexor XR (venlafaxine) and Lamictal (lamotrigine)

Central nervous system- and/or respiratory-depressant effects may be additively or synergistically increased in patients taking multiple drugs that cause these effects, especially in elderly or debilitated patients.

https://www.drugs.com/drug-interactions ... essional=1

moo2425 wrote: ↑

Mon Dec 24, 2018 9:08 am

Ripedone

What is this? I think you may have some typos in the spelling.

risperidone

moo2425 wrote: ↑

Mon Dec 24, 2018 9:38 pm

risperidone

Side effect ---->

Chronic Trouble Sleeping

https://www.webmd.com/drugs/2/drug-6283 ... ideeffects

You know some (maybe even many) people have been prescribed drugs like this when all they really needed was CPAP. OSA causes sleep deprivation and oxygen desaturation. These can "drive you crazy". If it were me, I would have a close discussion with the prescribing doctor about gradually tapering off all of the drugs. If you do start tapering, always keep in close contact with the doctor.

Unlike blood pressure or blood sugar, AHI cannot go too low. Zero is fine (though elusive for most of us).

I really think it should be 1 or lower. That having been said, if you have a 5 now and had a 30 before, it's a big improvement.

There are ways to post your Sleepyhead results, and they are no overly complicated. I've done it myself, although I do have to re-read the instructions every time. In know it involves posting to IMGUR.

I’m depressed I take anti depressants I thought using the machine would solve the problem it has a little a lot of my anxiety has gone plus most of my insomnia but I was hoping for more

I’m only a month and a half into therapy I was hoping to be more interested in life

I know there is a recovery period I read that it takes time for the brain to get fixed

Sorry to hear you are "between a rock and a hard place". What we don't know is the severity of your depression struggle. I would never want to make suggestions regarding meds that could compromise your ability to function or even endanger you. If you do decide to make some efforts to wean down on any meds, as has been mentioned, please do it with the utmost of caution. Do you journal? I would suggest doing so before making any changes then into the change period to see in black and white if there are changes. And choose someone close to you to be a sort of accountability partner. Your CPAP can fix your sleep breathing and resultant symptoms. Over time you may still see some results. It just can't fix side effects of meds. Without some changes I don't know how you are going to be able know for sure if there is better sleep tp be had for you. It does concern me that your doctor is not open to at least considering changes, but I'm guessing they know more than we know about the particulars of your situation. Good luck going forward.

So I want to lower my meds a little and see the results but every time I lower it I get so nervous I go back up. My doctor won’t support me in lowering my meds