2 months in and struggling

Wow cant believe its been 5 months since I posted haha. So here's an update:

I had the titration study which determined I should be around 12-13 cm. I was taking trazodone 50mg, then the doctor doubled it. With no change after a month, she changed to Doxepin 10mg. I had a really rough first week and we had dialed the pressure into a 14-16 range as she was compensating for deep sleep. After not making much progress, the medication was upped to 25mg. The following month changed to 50mg. I was given a 10 day trial to use Dayvigo and I will admit I was knocked out. I know I slept pretty hard but still had fragmented sleep and struggled getting out of the bed in the mornings. I get up at 530 during the week for work and usually around 7-8 on the weekend. I was sleeping til almost 11 on dayvigo and had to force myself to get up, just to sit on the couch in complete brain fog for the next 30 minutes.

I tried going without medication and my sleep gradually got worse each night. She wanted to try Belsomra next but I have went back to taking the 25mg Doxepin the past week. Ive settled into a constant cycle, albeit still fragmented but not nearly as much. Im usually out 10 minutes after hitting the pillow, sleep for a few hours, awaken and readjust my position, sleep a few more hours, awaken and need a bathroom trip, fall back asleep til around 4, then constantly wake up every 15-20 minutes which is likely due to anxiety and the thought of oversleeping.

So still fragmented but not as bad as its been. I have the one bathroom trip which is still much less than before treatment. I have no acid reflux in the mornings. I used to struggle to brush my teeth or anything because of nausea and upset stomach. No more. Ive been dieting and eating cleaner the past 3 months (which Im sure has contributed to less acid reflux too) and already lost 30 pounds. I have an televisit with my doctor on Monday and will see where we go from here. Feels like we are throwing darts at a board changing medication only for me to wait a month to do it again. I didnt post any screenshots as my OSCAR data is pretty much the same as my previous posts.

Just wanted to give a "quick" update on my treatment. I havent and dont plan on stopping the cpap as I do believe Im feeling some benefits. I got an appt with my PCP next month where Im curious to see my bloodwork and further weight loss.

Pugsy wrote: ↑

Mon Dec 06, 2021 10:43 am

packfan23 wrote: ↑

Mon Dec 06, 2021 10:19 am

I should also mention they did diagnose me with insomnia too. I was prescribed 50mg of trazodone and I havent been able to take it the past week as Ive been waiting for my doctor to send in the refill. Hoping to have it filled and resume taking it today.

If you have been without the trazadone for a bit, and you normally take it every night or on a fairly regular basis, it is entirely possible that some of the arousals you are experiencing is related a bit to the physical withdrawal that happens when we no longer have that chemical in our body.
Been there and done that was well while waiting on meds refills.
Damned if you do and damned if you don't kind of thing.

When I remember a lot of arousals I also know that I, most likely, had even more that I don't remember and those that I don't remember to play a factor in my overall sleep quality just as much as the ones I do remember.

Agree! Some people are extremely sensitive to medication changes.