Hi. I have a horrible time getting to sleep and have been taking 50 mg of diphenhyramine (generic benadryl I think) before bed and it doesn't do a thing for me. I'm not sure whether I should be taking a higher dosage.

All I know is that I really can't stand this insomnia. It is not unusual at all for me to still be laying there still awake at 5:00 a.m. It really is a problem. I have tried the 'no caffeine', light exercise, KavaKava, warm milk, lavender scents, using a sound spa (a clock that plays different sounds, such as a waterfall, etc.), relaxation/meditation, read books on insomnia......and the list goes on.

Last month, my doctor (who is actually very ANTI-drug) suggested I try a very lose dosage of elavil before bed. He said that anti-depressants at a very low dosage (10 mg.) help insomnia, while high doses (150-300 mg.) are useful for depression. So for the last few weeks, I have been taking 10 mg. at night, and it doesn't seem to have done a da** thing. I am starting to feel soooooo frustrated. I know....I just need to relax, but oftentimes I feel totally relaxed, my body feels very tired, but my mind just doesn't quit. I am not thinking about stressful things......as I lay there, songs pass through my mind, thoughts of people, gardening ideas, and on and on and on.

Someone suggested melatonin, but it was taken off the market in Canada.

Any ideas, anyone??? I'm just so sick of it all.

Thanks.

Hi. You sound so much like me it's not even funny. I've been suffering for almost one year now (next month). Whatever you do, DO NOT start any sleep drugs that are hypnotics, aka benzodiazapines, like Temazapam, Restoril as these make matters MUCH worse with time. I finally went off of all meds one month ago and feel much better now. I am finally able to fall asleep on my own while listening to "sleep" tapes, but I wake up all night long. Sometimes it feels like I'm not even sleeping 'cuz my sleep is so incredibly light. The only way I know that I'm sleeping is because my dreams are to weird to be actual thoughts I'm thinking of. I can't begin to tell you how many tears I've cried over the past year. I've been up several nights in a row without any sleep while using sleep meds (especially in the past couple of months) which is why I finally quit all of that junk - slowly, but surely. See, I grew a tolerance to it - plain and simple. NOt only did my body begin to "expect" it every night in order to shut down for even what was just a very minimal time, over time, but my body was demanding more of the drug to do the job over time too. When I'd take more of the drug, then I'd feel extra tired and almost sick the next day because of it. A total vicious circle. With me the answer has been time. I even went to the Stanford Sleep Center to talk to a sleep specialist who said I needed to reset my body clock and to practice sleep restriction. I am like you in that I'm not thinking about anything in particular at night or worried about anything at all, but my mind just keeps bouncing around from thing to thing and I just can't seem to shut down. The tapes do help a lot cuz it forces you to focus on something else. Pretty soon you just get bored and you begin to drift off a bit. Now if I could only stop all of the awakenings.

Keep us posted on your progress. Or, you can e-mail me directly if you prefer. pchase4u@aol.com

Good luck. Pam ~

Pam - Thanks for your reply! I am sitting here in the middle of the night reading it because I cannot sleep. :(

I will write more tomorrow. Tx. again

Marie

Hi Pam. I must confess I did take ativan for a long time. I never took more than 1 mg., but usually only took 1/2 mg. before bed, and you're right... It was horrible to get off of. The crazy thing is that I took it for so long even though after a certain amount of time it did absolutely nothing for me. I suppose it got to the point where I was afraid to "not" take it, so yes, I took it for years, even though it did not help at all. I spent about a year tapering down from a lousy 1 mg. (which sounds to me like a really really small dosage), and even doing that was difficult. Anyhow, I will never ever consider taking a benzodiazepine again.

I have also tried a couple sleep tapes. I forget the name of the last one I had, but it was this guy talking in a very low voice slowing saying things like "relax.....take a deep breath...." and on and on. The tape was 90 min. long and by the time I got to the end of the tape, I was ready to throw the cassette player through the bedroom window (just kidding, of course), but it was very annoying to say the least....plus when it ended, I would feel flustered because I then knew that I had been laying there for an hour and a half.

What kind of tapes do you find helpful that you listen to? Are there any you would recommend?

I really can't see sleep restriction being beneficial for me. I find if I have a really bad night where I'm awake till 5 or 6 in the morning, even though I might feel really tired the next day, that night will be even worse. And when I have a good night's sleep, the next night is often good as well. I guess this is because I'm not worried about getting to sleep since I had a good sleep the night before and it wouldn't matter if I didn't get a good sleep that next night. Consequently, I guess it would then be easier for me to drift off earier. I hope that makes sense.

Also, I am a total night owl, and have always been. The idea of even going to bed before midnight horrifies me. Frankly, I wish I never had to go to bed again. I never look forward to it.

I don't know how you can stand it when you have difficulty getting to sleep....and then wake up several times during the night??? I can't imagine how awful that must be for you. Even though I can take forever getting to sleep, thank god I rarely ever wake up in the night.

Marie

p.s. Did you ever try lose doses of any of the anti-depressants? From anything I've read, it sounds quite effective. (What the heck is wrong with me, anyhow? lol)

Also, have you tried tylenol p.m. or stuff like that? I don't find 50 mg. diphenhydramine helps me at all. I'm not sure if taking a higher dosage would help or not.

Wouldn't it be nice to be able to go to bed, and just quickly drift off?? I can't imagine how that would feel. I often wish I could go to bed at midnight or so, and count on actually falling asleep quickly, and then get up in the morning before my son leaves for school. Oh well.....maybe one day.

Usually people take 50mg of Elavil for insomnia. 10mg is used for diabetis related peripheral neuropathy. Another non-benzodiazepine medication used for insomnia is Chloral hydrate 250-500mg before going to bed. Ambien is a short acting benzodiazepine widely used for insomnia when people have difficulty falling asleep. Long acting benzodiazepines such as Ativan or Restoril are mainly used when people wake up at the middle of the night and stay awake until the morning.

MMMarie, I used to take melatonin, but I think my doctor said not to take it with other sleep aids such as Diphenhydramine (Benadryl). He even recommended Diphenhydramine to me, but not to take melatonin along with it. I am not sure why since melatonin is produced by your body naturally anyway. Oh yea, I think he said melatonin can worsen depression. Beats me!

I am taking Tylenol PM which has 25 mg Diphenhydramine and 500 mg of Acetaminophen (a pain reliever) in each tab. I take two about an hour before going to bed.

I read that you exercise and meditate. That's great. I walk about 30 minutes a day, but that is only for the exercise. Sometimes I wake up early to use the bathroom and can't get back to sleep or I will toss and turn for 2 hours and maybe sleep real light for a short while. Frustrating! Hope you can get it under control soon. Take care. Kevin





------------------


[This message has been edited by Dolphin (edited 03-21-2002).]

[This message has been edited by Dolphin (edited 03-21-2002).]

Hi Marie,

Yes, I've tried Elavil - in fact, had to take some last night 'cuz I just couldn't fall asleep after having tried for over two hours. I do find that it helps quite a bit except I feel tired all the next day whenever I take it regardless of the dose. I usually only take 10 mg. Plus, it slows down my metabolism and I struggle to keep my weight where I want it when I'm taking this medication. I swear you just can't win! As far as the sleep tapes go, I listen to "Relaxing into Sleep" by Mary Richards. I does help alot. The last few nights, however, I've struggling more than usual. Frustrated and sick of feeling tired or drugged. I know what you are saying about the sleep restriction thing. I, too, haven't yet tried it 'cuz I'm so worried about getting enough sleep at night that if I restrict the # of hours I'm in bed that I'll have even less time to sleep! I don't get the whole thing to be honost with you. It must be an anxiety-related problem. How are you doing these days?

Pam ~

Let's just say that the last week has not been a fun one. :( Three nights of the last week I was still awake when the sun rose. Not a pretty site!

I hope you are sleeping better. You mentioned that it's been a struggle lately. Hope things have improved for you.

Boy I'm sick of this!!!