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Prescription Sleep Aids

•Benzodiazepine sedatives: Six of these sedative drugs have been used to treat insomnia. There are reports of subjective improvement of quality and quantity of sleep when using these medications. Examples include temazepam (Restoril), flurazepam (Dalmane), triazolam (Halcion), estazolam (ProSom, Eurodin), lorazepam (Ativan), and clonazepam (Klonopin).

•Nonbenzodiazepine sedatives: Examples include eszopiclone (Lunesta), zaleplon (Sonata), and zolpidem (Ambien or Intermezzo).
•Ramelteon (Rozerem) is a prescription drug that stimulates melatonin receptors. Ramelteon promotes the onset of sleep and helps normalize circadian rhythm disorders. Ramelteon is approved by the US Food and Drug Administration (FDA) for treatment of insomnia characterized by difficulty falling asleep.
•Some antidepressants (for example, amitriptyline [Elavil, Endep] and trazodone [Desyrel]) have been used for the treatment of insomnia in patients with co-existing depression because of some sedative properties. Generally, they may not be helpful for insomnia in people without depression.

Over-the-Counter (OTC) Medications

•Antihistamines with sedative properties [for example, diphenhydramine (Benadryl) or doxylamine] have also been used in treating insomnia as they may induce drowsiness, but they do not improve sleep and should not be used to treat chronic insomnia.
•Melatonin: Melatonin is secreted by the pineal gland, a pea-sized structure at the center of the brain. Melatonin is produced during the dark hours of the day-night cycle (circadian rhythm). Melatonin levels in the body are low during daylight hours. The pineal gland responds to darkness by increasing melatonin levels in the body. This process is thought to be integral to maintaining circadian rhythm. At night, melatonin is produced to help your body regulate your sleep-wake cycles. The amount of melatonin produced by your body seems to decrease as you get older. Melatonin supplements may be beneficial in patients with circadian rhythm problems.

Herbal Remedies for Insomnia

•Valeriana officinalis (Valerian) is a popular herbal medication used in the United States for treating insomnia with possibly some benefit in some patients with chronic insomnia.
•St. Johns Wort and chamomile have not shown any real benefit in treating insomnia.
•Other natural herbal sleeping aids such as, dogwood, kava kava, and L-tryptophan, may be associated with potential adverse effect when used for insomnia.

Benzodiazepines have been shown to be useful. Melatonin, a hormone secreted by the pineal gland that regulates our sleep-wake
cycles, has also been used.

Source:

http://www.emedicinehealth.com/insomnia/page9_em.htm

Buy zolpidem without prescription:

http://masterwealthtrainer.com/

http://www.goldenpharma25.com/product.p ... roduct=248



Take 10 mg tablet at bedtime. This should let you sleep for at least 4 hours. If you wake up after this time and it's before 6 a.m. then take 5 mg additional (cut tablet by half). DON"T TAKE MORE DURING THE 24 HOURS.

Try it on a weekend.

avi123 wrote:Take 10 mg tablet at bedtime. This should let you sleep for at least 4 hours. If you wake up after this time and it's before 6 a.m. then take 5 mg additional (cut tablet by half). DON"T TAKE MORE DURING THE 24 HOURS.

I don't think suggesting to someone you don't know that they should take Ambien (or any sleep med) is a good idea. People should be discussing this with their doctors since we all have different issues. I took Ambien for a few months and am so glad I stopped. The neurologist I recently saw, who is a very well known doctor in my area, told me that it's one of the worst meds people with sleep apnea can take... especially when taken more than a few weeks.

ems wrote:

avi123 wrote:Take 10 mg tablet at bedtime. This should let you sleep for at least 4 hours. If you wake up after this time and it's before 6 a.m. then take 5 mg additional (cut tablet by half). DON"T TAKE MORE DURING THE 24 HOURS.

I don't think suggesting to someone you don't know that they should take Ambien (or any sleep med) is a good idea. People should be discussing this with their doctors since we all have different issues. I took Ambien for a few months and am so glad I stopped. The neurologist I recently saw, who is a very well known doctor in my area, told me that it's one of the worst meds people with sleep apnea can take... especially when taken more than a few weeks.

That is exactly what my ENT said about the drug. She was listed as one of the top doctors in her specialty in my area for what it is worth.

Cosmo, you really need to listen to the excellent advice that has been given about taking meds, especially since you seem to sleep well without them. Even if you find that "perfect" one to get the "perfect" situation, it may not last forever. Than what?

Are you going to keep playing the game of "chase the perfect med?" I can tell you from experience that it is a losing battle. But because you don't seem to want to listen, I guess you'll have to learn the hard way.

49er

cosmo wrote:I'm trying sleeping pills because I don't think its normal to wake up 3-4 times a night with or without cpap for someone in their 30's. So I need to test out sleeping pills to see if I feel better sleeping through the night with pills or waking up multiple times without.

It is normal to wake up only three or four times a night. And while pills may be able to stop you from waking (or remembering those wakes), at what cost does that come? Is it all worth it if you have zero awakenings at night, but during the day have a constant sleepy-fuzzy feeling, clipping corners and walls when walking, tripping over the slightest bump on the sidewalk, completely illegible handwriting, and have doctors tell you that you look sedated, who then end up concerned about how you function at work? Those are all some of what I've experienced when I took the zopiclone (your locally-available isomer is eszopiclone) I was prescribed, at the dose I was prescribed (5mg, equivalent to 2.5mg eszopiclone) to try to reduce the number of awakenings I had. They weren't long, but they were numerous enough to disrupt my sleep.

Cosmo, according to Zeo, on which you seem to be relying, the average number of wakening for males age 30 to 39 is 3. If you've completed your Zeo profile to include your birth year, check your Weekly Report (beta) for averages of people your age.

Jay Aitchsee wrote:Cosmo, according to Zeo, on which you seem to be relying, the average number of wakening for males age 30 to 39 is 3. If you've completed your Zeo profile to include your birth year, check your Weekly Report (beta) for averages of people your age.

Jay,

You're talking about averages of healthy people. Sleep Disorders have a diuretic effects. It's a different story. You need to deal with data of average wakening amongst OSA and CSAS sufferers who are on XPAPs.

I don't think the comparison stats on the Zeo website are accurate. Only people with sleeping problems are going to be using it. Normal rested people aren't going to care about their stats so the data they do have are of other oddballs.

Cosmos,

Try if you can access this:

http://www.consumerreports.org/health/r ... ec2008.pdf

P.S. It's not connected to Zeo.

avi123 wrote:Cosmos,

Try if you can access this:

http://www.consumerreports.org/health/r ... ec2008.pdf

P.S. It's not connected to Zeo.

Note that it says to use them, "briefly", not more than seven days in a row. Apparently your doctor didn't read this article, especially as it pertains to older people. Yes, I know Cosmo is only around 30 or so.

Diphenhydramine sleeping pill has been helping my sinuses the past few days, so that is a plus

Didn't work at all for keeping me asleep.

Sorry. I am actually annoyed with Photobucket website. They have recently re organized it and by doing so they have screwed it up for good.

cosmo wrote:Diphenhydramine sleeping pill has been helping my sinuses the past few days, so that is a plus

Didn't work at all for keeping me asleep.

Comment,

Benadryl is not specified as a sleep Rx. The drowsiness that it causes is assumed to help falling asleep. I used it a lot 5 years ago while being treated for Staph Infection with IV supply of Vancomycin . The Benadryl was supposed to help. But it never helped me falling asleep. Only taking 10 mg of Zolpidem did help. I contracted the Staph Infection in the hospital where I had a hip joint replacement.

Cosmos, I am going to prepare a log of the numbers of my awakening during the last month and also during a month from a year ago.

I'll do it by looking at my nightly Rescan or SH Pressure graphs:

All the following is with taking 5 mg of Zolpidem at bedtime. If I did not fall asleep within one hour I would take another 0.5 mg.
As to RES (Residual Excessive Sleepiness) during the daytime, yes, I do have some of it especially after breakfast.
But, I am retired and can take a rest (not a nap) between 11 a.m. and 12 noon.

In this case it's easy to count the wakenings which was 2:





But in this case it's more difficult:



One wakeup:



Two wakeups:




I think that the following is one of my worst with 3 wake ups, but I did have a few with 5:



Here is a recent case with 4 awakenings. I think that the causes were my nocturia. Could be b/c I ate too many pieces of salty pizza in one day.
But I fell back to sleep immediately (within 5 min).

Cosmo, please consider the following instead of medication:




Link:

http://www.behavioralsleep.org/FindSpecialist.aspx

It's from this month (March 2013) Consumer Reports on Health.

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