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sleep apnea & rozerm & ambien

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cabits

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sleep apnea & rozerm & ambien
Posted: 03-19-08 21:27pm

I have severe sleep apnea, I'm on a CPAP machine that does nothing but keep me from falling asleep or wakes me up once I fall asleep at which point I just rip it off. I've already had all the sleep test done. I've been treated for years for anxiety, dysthymia, and major depression some of which I feel is a result of the sleep problems. I'm to the point where I'm taking 12.5mg Ambien CR and 8mg Rozerem before bed and many nights still never get to sleep. I average 2 to 3 hours on a good night. I've even tried a few beers with the meds and can lay there just staring at the ceiling. My psychiatrist has run out of ideas in treating me she's stumped so we've stopped all mental health meds but my sleep dr just keeps adding more sleep meds. I crappy from so many sleep meds but no sleep. My question is should I see a neurologist since all my research and other symptoms point towards a hypothalamus problem. I've asked all my dr's if it could be my hypothalamus but none was sure enough to touch the idea.
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MandMs

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Hi, cabits!
Posted: 03-21-08 03:23am

I can only guess how difficult is to have normal daily life with proper functioning and having sleep apnea causing extremely fragmented and of poor quality sleep. Insomnia and mood disorders can be caused and worsened by sleep apnea.
What type of sleep apnea you have?
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cabits

New User, Becoming EHEALTHy
Joined: 23 Nov 2005
Posts: 8
Location: Neverland

Posted: 03-21-08 10:17am

Doc says its obstructive but I notice when I'm laying down trying to get to sleep that I subconsciously stop breathing even before I'm asleep. I'll notice that I haven't taken a breath then have to take a deep breath and start all over again trying to get to sleep. I have a heart condition called PVC and the Dr knows about it too. Right now he doesn't want to call central sleep apnea or mixed sleep apnea. The sleep test show that I don't always get to sleep long enough to reach REM. I attain REM about 50% of the nights.
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MandMs

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Posted: 03-27-08 03:52am

Studies are currently being done on the effects of apnea on the hypothalamus and pituitary systems.
During sleep apnea events, patients are forced to come out of nourishing REM sleep in order to regain breath. Repetitive apneas cause sleep fragmentation and disorganization of sleep stages and cycles. Some, experts think that hypoxia may have direct central effects on neurotransmitters, which, in turn, will affect hypothalamic-pituitary hormone production. Sudden arousal from sleep may produce central "stress" response leading to hormonal changes. Daytime sleep episodes may interact with daytime hormone rhythms.
All of the above factors may interact and lead to changes in the central control of sleep and endocrine rhythms.
PVC can be triggered by anxiety, stress, hormonal imbalance, antidepressants, lack of sleep and exhaustion.
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painfree

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Posted: 05-03-08 16:41pm

The CPAP machine is usually a very effective treatment for sleep apnea. If you have been diagnosed with severe sleep apnea, please be aware that you are at high risk for the development of many serious, even life-threatening, conditions if it's left untreated. It's a real pity that you can't tolerate CPAP. Here are some other things that you can try on your own that might be helpful.
1. Make sure that you are not overweight.
2. Sleep on your side with your head angled upwards by about 30 degrees. Never sleep on your back.
3. Beware of sleep medications, even nonprescription ones. They can exacerbate sleep apnea.
4. Don't drink any alcoholic beverages within several hours of going to sleep. They can exacerbate sleep apnea.
5. Don't smoke tobacco products. That can exacerbate sleep apnea.

Good luck.
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