Discussions that mention remeron

Pain Management board

Hey Ingy, Rather than specifically asking for a med, because you really don't know what will work if you haven't tried it, I would leave he chice up to the doc, It is trial and eror just like treating pain, adjusting s dose or picking amed. There are 3 basic tyes of sleep meds, the first is barbitiuates which are rarely used after all the Seconol abuse, the second is meds in the benzodiazapine Fanily, Xanax, Ativan, klonopin, Valium, Restoril. These meds are mrore prone to dependence, cause amnesia, and withdrawal frm benzo is very bad, worse than opiates because of the risk of seizures.

So some docs won't prescribe a benzo. Valium is by far the best muscle relaxer, but many docs won't prescribe it. Klonopin is great for RLS if the parkinsons meds don't work. Each benzo is a little different in it's length of action and other effects. Some are short acting , some long, some are prescribed for anxiety, Restrorillis specific for sleep, Some are used as anti seizure meds and some are great muscle relaxers. But they are fall in that same class of drug

Since the creation of the new meds like Ambien, Sonata and lunesta, more docs have gotten away from the benzo and try the new class or 3rd class of sleeping meds. They aren't benzo's but cause many of the same negative side effcts, like memory loss, sleep walking, and an amnesia type of effect of what you have done during the night. The Ambien CR is a good idea in theory, but I guess we wait and see. This clas hit the market hard as a non benzo "addicting" safe sleep aid. Rarely do meds live up to their clams when marketed this hard and agressively. Thee isn't much chmical difference between Sonata and Ambien, Lunesta s the newer one, but it doesn't mean an old cheapy won't work if this hasn't been a chronicproblem for years where you aave tried everything.

If you do use a sleep med every night it will loose it's effectvenes very qickly. Some of the anti Depressants are also used. Elevill makes you sleepy and also mayhelp with nerve pain. All the antiD's are supposed to help with nerve pain by inhibiting sunstance P, a mnuero inflamatory agent. But other Anti-D's like Trazadone and Remeron can also be used for both pain and the side effect it makes you sleepy. The bad thing about antiD's for sleep is the dry mouth and the dame it can do after time to your teeth.

The best bet is probably rotaing different meds from different classes and learning not to use them every night. I've tried them all and haven't slept more than 4 hours straight since my last surgery in 99.

The 3rd surgery where they removed broken hardware and fused my entire spineto my sacrum and it failed yada yada. Turned out it wrecked my life. But anyway, Back to sleep, You really have to just do the trial and error thing. What works for one may be terible for another. My experience with the old Ambien was I could fall asleep but never more than a couple hours, then I would wander the house, smoke cigs and burn holes in everything, particularly my thighs where I have no feeling. I finally stopped using it when I tried to make the bed at 3am with my wife still in it. I can fall asleep, but staying alseep is the problem.

I was takng to my shrink the other day and he said the greatest amount of research going on right now is in the sleep aid field. The baby boomers are getting older, sleep is a notorious problem for older folks and it's a huge market with few choices that really work.Hopefullya new breed of sleep aid will hit the market and actually worked when needed for prolonged use.

Short term, cetainly something will help and get you by because of yourlack of tolerance to sleep aids. Long term, it becomes a maint thing you have to control, rotate meds and just except you can't take a pill every night and sleep and not expect it to lose effectiveness. The amount of pain you're in makes a difference or how well it's controlled.Restless leg is a problem with spine injuries and the use of opiates for any reason. Your activity in the day, if your sedentary sleep is harder to come by. Unfortunately it's not uncommon to meet a CP patient that hasn't had a decent nights sleep in years, it just becomes part of the CP experience.
Good luck, Dave