Anyone else have grogginess at first?

gertrude wrote:The State of Rhode Island and Providence Plantations! Most people aren't aware of the second half of the state's name, but you got that part. Newport (one of the oldest parts of the state) is actually on a separate island -- Rhode Island -- but it is confusing and so not on many maps.

Hope your shift goes OK tonight. Be easy on yourself about little mistakes.

Yes, well haha, see...I told you my thinking was a little off. I am actually on that seperate island on that oldest part right as we speak. I had 5 min at work so I did some googleing and it's called "Sleep Inertia". "Sleep inertia is a physiological state characterised by a decline in motor dexterity and a subjective feeling of grogginess immediately following an abrupt awakening. The impaired alertness may interfere with the ability to perform mental or physical tasks.[1][2] Sleep inertia can also refer to the tendency of a person wanting to return to sleep. " Wikipedia ..................interesting. That explains the "drugged" feeling.

Whoops....that was me....never logged in.

It is one incredible "sleep inertia" when it lasts all day! But you're right -- the feeling was somewhat like an extended mild version of the grogginess when waked up suddenly from a nap. Hope things are better for you today.

I think there are a lot of sources for grog suffered by CPAP'ers.

* Sleep inertia being only one, not likely chronic, but acute on those days awakening from the wrong sleep stage.
* Then there's the "I slept too long" cause, which may be inertial, but more likely a build up of something in the body, perhaps brain, such as CO2, CO, whatever "gorkomines" lurk. This is not well understood in the medical community.
* And also we have the "narcoleptic" variety, chronic, hard to shake, may last all day. Some "speedy drugs" may help cope (Provigil, Nuvigil, pseudo-ephedrine, just overdosing on coffee, ...)
* Maybe there's the hypoxia brain damage variety, um... probably the most "chronic" (yeeee)
* I bet there's a few more.

Now imagine a brain damaged narcoleptic that sleeps too long and wakes from deep. GACK !! Talk about a REALLY bad day! (probably fits me closest)

This wendsday will be 5 weeks for me. I have no headaches and my mind is clear but I still am wanting to nap during the day? I did just sleep 4 nights without a cpap because mine broke so I'm sure that didn't help. I'm not sure why exactly I still feel tired during the day. I've had my leaks under control but my mask is now starting to leak when my mouth drops open. It never did before and I have no leaks on my nose.

So I'm not sure what's going on. I feel good except for still being tired. I guess I'm still working on my sleep debt.

MaxDarkside wrote:I think there are a lot of sources for grog suffered by CPAP'ers.

* Sleep inertia being only one, not likely chronic, but acute on those days awakening from the wrong sleep stage.
* Then there's the "I slept too long" cause, which may be inertial, but more likely a build up of something in the body, perhaps brain, such as CO2, CO, whatever "gorkomines" lurk. This is not well understood in the medical community.
* And also we have the "narcoleptic" variety, chronic, hard to shake, may last all day. Some "speedy drugs" may help cope (Provigil, Nuvigil, pseudo-ephedrine, just overdosing on coffee, ...)
* Maybe there's the hypoxia brain damage variety, um... probably the most "chronic" (yeeee)
* I bet there's a few more.

I just hope it's not a sign that something is wrong. Wikipedia says "adenosine" is possibly what builds up, well that must have tranquilizing effects because it sure does feel like I am on a heavy dose of horse tranquilizers or something. I will try to get up 2 hours earlier and see if that helps, because I just can't function like this. Already on the "speedy drugs" so, unless I up the dose, simply adding that isn't likely to help. You are scaring me with the hypoxia brain damage suggestions! Should I be worried about that now?

chunkyfrog wrote:The grogginess gradually faded; the headache was gone the first morning after.
I still have mornings where I really don't want to get up, but I do anyway.
I indulge myself on the weekends--sleeping rather late.
My symptoms pre-cpap were significant, considering my low AHI (13),
but I have enjoyed so much improvement, I am not tempted to 'cheat'.

I just really hope this grog goes away. It's pretty bad! My brain is stuck in 1st gear, it's like I'm drugged! Either this means I am doing something wrong, or I have a really big sleep debt to pay off or, who knows what! I just wish it would go away.

opticalpopsicle wrote:You are scaring me with the hypoxia brain damage suggestions! Should I be worried about that now?

No. You should worry about things that are known that you can do something about. The rest of worry is merely wasted energy, better invested in other ways. You don't know if you have any brain damage, but hypoxia does cause it and it is associated with sleep apnea. I may have it, I think I do a bit, not sure, my thinking isn't what it was, but could be just because I'm older or other factors such as sleep quality. When you have any symptom, look for the most common and BENIGN cause. That is likely it. The most benign common cause would be sleep quality, I think.

And here I'd been calling it "REM Rebound".

I posted a reply, and don't know where it went. This is about the OP's melatonin question.

Melatonin, I use that rarely when I'm feeling really stressed before bedtime, a 1mg. sustained release tablet. Seems to help me go to sleep and go back to sleep if I wake up. The problem is grogginess immediately after I wake up, that pretty much goes away after about 15 minutes (and coffee helps *smile*). The reason that I'm responding is that there's lots of 5mg and 10mg melatonin tablets available on the market, which is way more than anyone (including my doctor) suggests that you should take. Most things I've read suggest starting at .1 to .3mg, and going up from there if needed.

So, at least part of the OP's grogginess problem could be too much melatonin...although everyone has an individual reaction to drugs, this one can result in grogginess to some degree, depending on the amount taken.

RogerSC wrote:I posted a reply, and don't know where it went. This is about the OP's melatonin question.

Melatonin, I use that rarely when I'm feeling really stressed before bedtime, a 1mg. sustained release tablet. Seems to help me go to sleep and go back to sleep if I wake up. The problem is grogginess immediately after I wake up, that pretty much goes away after about 15 minutes (and coffee helps *smile*). The reason that I'm responding is that there's lots of 5mg and 10mg melatonin tablets available on the market, which is way more than anyone (including my doctor) suggests that you should take. Most things I've read suggest starting at .1 to .3mg, and going up from there if needed.

So, at least part of the OP's grogginess problem could be too much melatonin...although everyone has an individual reaction to drugs, this one can result in grogginess to some degree, depending on the amount taken.

Well the melatonin never seemed to do much of anything for me, before sleep or after sleep. Not sure why I was still taking it actually. I think I thought I had a sleep architecture problem and that would fix it lol. I did not take any last night and I still have had sleep grog all day. Possibly it was a little teeny bit less grog than yesterday. Still bad though. I think I'm done with the melatonin anyway.

I got 8 hours of sleep, last night, I used to get sleep inertia (never this long-lasting and bad, never knew it had a name) on the rare occasion I ended up sleeping like 12 hours or something. So I really think my brain thinks I got too much sleep. I will try just 7 hours tomorrow and see if that helps.

opticalpopsicle wrote:You are scaring me with the hypoxia brain damage suggestions! Should I be worried about that now?

If worrying about brain damage keeps you on CPAP, it is a good thing.

You might have none, you might have a little, some may be reversible, some may not.

The question is "what can I do about it?"

CPAP will help prevent it in the future. It will probably help you do whatever recovery is possible.

I think we all get some "brain damage" as we age anyway.

archangle wrote:I think we all get some "brain damage" as we age anyway.

I think the 1st sign is you have the urge to eat puppies in tortillas (LOL!) (just kidding of course, trying to be light hearted)

DiverCTHunter wrote:And here I'd been calling it "REM Rebound".

Yes, well I think that is the unofficial term. Or maybe official term. Wikipedia calls it sleep inertia. It seems to be what I have. I have always dreamt a lot, always, so I don't think I have a REM deficit. I believe I have a slow-wave deep sleep deficit. I think waking up for 2 decades feeling like I got hit by a truck is clue number one.