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My sleep has been getting worse since the start of the fall season. Now that we are basically into December, my sleep has still been worsening. I am increasingly more hypertensive despite drinking far less caffeine and taking less ADHD medicine. ADHD medicine was dexedrine tablets earlier from August-late October, but now have stopped dexedrine from doctor's wishes and am now trying focalin/dexmethylphenidate tablets. When switching to dexmethylphenidate tablets, my sleep has been substantially worse. I am typically up around 19-20 hours a day.

My sleeping environment is not very dark, and I've had a difficult time blocking out noises from outside, people living below my room whom I don't know personally, loud emergency vehicles outside, and I live by a loud bus transportation center.

I have been feeling muscularly very weak and as if even the simplest physical movements are exhausting. Lethargic sensations with my movements are there and high tolerance to 3-4 sleeping meds

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replied December 8th, 2018
Sleep Disorders Answer A64647
Thank you for asking at Ehealth forum!

I read your question and i understand your concern. All your symptoms are due to sleep deprivation. You need to reduce dosage of stimulants and take them first thing after you wake up for avoiding insomnia. Consult your psychiatrist for further management.

I hope it helps. Stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor.
Take care

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