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Meds During Sleep Study


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#1 Mmartens3

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Posted 04 May 2013 - 10:47 AM

I will be redoing my sleep study tonight. This past week, i have had a couple sleepless nights due to muscle pain and tension in my back. The sleep specialist said I can take pain meds during my study, so I had my GP prescribe me some. I don't take regular pain meds other than occasional tylenol. So now I have Tramadol and diazepam. My doc says I can take these together. Will I still get an accurate test result if I am on meds? I really want to be able to sleep tonight. How many of you were on meds during your sleep study?

#2 Silverfae

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Posted 04 May 2013 - 04:49 PM

I took vicoden during my sleep study, and though it reportedly inhibits REM sleep, I had still had lots of REM sleep.  I still don't have the official results though, so I don't know if the doc will say it effected my study or not.



#3 DeathRabbit

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Posted 04 May 2013 - 10:41 PM

Diazepam could actually yield a false positive. That's a benzo, major REM inducer there. At the very least, prolly gonna make the sleepiness worse. I do use my Xanax to sleep sometimes, but I think the only reason it helps me is that it is short-acting enough to put me to sleep, and then works it's way out of my system before I wake, so it doesn't eff my sleep architecture quite as bad. But a long acting one such as Valium I imagine is gonna put you in turbon Narc mode, if N is indeed your problem. And it could cast doubts on your sleepy study if it is N positive. I'd not take it.

 

EDIT: Oops, realized my post is too late and you've prolly already gone off to sleep study land. Good luck!



#4 Silverfae

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Posted 04 May 2013 - 11:00 PM

Diazepam could actually yield a false positive. That's a benzo, major REM inducer there. At the very least, prolly gonna make the sleepiness worse. I do use my Xanax to sleep sometimes, but I think the only reason it helps me is that it is short-acting enough to put me to sleep, and then works it's way out of my system before I wake, so it doesn't eff my sleep architecture quite as bad. But a long acting one such as Valium I imagine is gonna put you in turbon Narc mode, if N is indeed your problem. And it could cast doubts on your sleepy study if it is N positive. I'd not take it.

 

EDIT: Oops, realized my post is too late and you've prolly already gone off to sleep study land. Good luck!

 

All the literature that I have read says that diazepam, like vicodin, is a REM supressant.



#5 DeathRabbit

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Posted 04 May 2013 - 11:20 PM

Oh my bad you're right. Actually, it's worse. They suppress all deeper stages of sleep, REM and SWS. So you might have less HH and SP, but it's more likely to make you feel like poopie. I remembered they suppress SWS and so with that generally being inversely related to REM, I assumed it would be promoted. Plus Valium has really long lasting soporific effects. I'd still not use it unless I had to. I wish I didn't need the damn Xanax but Xyrem knocked a few screws loose in me, perhaps permanently. I was off it for over a month and still having panic attacks worse than I'd ever had before in my life. I can't risk any more of those. So on the Xanax I stay, at least until everyone at work forgets how much of a basket case I was there for a bit, then I might try titrating off the Xanax. Do you know the source of your back pain? I too am a fellow back pain sufferer. Mine is my bad posture, combined with the extra weight I still have. So I'm correcting my posture and doing low-impact, high-intenstiy cardio while using a back brace to keep me from pulling anything. The exercise is great for limbering me up and I feel my recovery is going well. But I got lucky, because I think I only compressed a disk, without herniating it completely.



#6 lkl

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Posted 05 May 2013 - 01:40 AM

I think that Tramadol might also decrease SWS and REM sleep, since it acts as an opioid, like morphine or vicodin, but also inhibits the re-uptake of serotonin and noradrenaline, like the SNRI Antidepressants do. Tramadol also causes drowsiness.



#7 Silverfae

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Posted 05 May 2013 - 08:50 AM

Interestingly, I have more HH and SP when I take them.  And crazy dreams that are like starring in my own action film - I have all those things all the time but I am guaranteed to have them if I take vicodin. I thought they increased REM too, until I looked it up.



#8 DeathRabbit

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Posted 05 May 2013 - 03:29 PM

Interestingly, I have more HH and SP when I take them.  And crazy dreams that are like starring in my own action film - I have all those things all the time but I am guaranteed to have them if I take vicodin. I thought they increased REM too, until I looked it up.

Well, I'm gonna borrow a line from Topher Brink: "We're all our own little cesspools of hormones, enzymes, chemical reactions." Paradoxical reactions to drugs are always a possibility.



#9 Mmartens3

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Posted 05 May 2013 - 06:21 PM

Ok. I did not take the Valium. I took the Tramadol and a Sonata provided by the sleep doc. The sonata caused me to have some anxiety but nevertheless I did get enough sleep to continue with the MSLT today.

#10 DeathRabbit

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Posted 06 May 2013 - 09:19 AM

How'd it go?



#11 Mmartens3

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Posted 06 May 2013 - 09:40 AM

I slept 4/5 naps. The tech said I went into REM during the first two.

#12 DeathRabbit

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Posted 06 May 2013 - 11:28 AM

I slept 4/5 naps. The tech said I went into REM during the first two.

I think that's identical to mine. Two SOREMs are the minimum of the daignostic criterion IIRC, so it will probably come down to what your PSG brain waves looked like to whether or not you'll get an N or an IH diagnosis. My nighttime REM was actually apparently normal, but they still gave me the N diagnosis, because I spent 80 of the time in stage 2 sleep. I actually only hit SWS for 16 minutes. I'm pretty sure tha must have been a particularly bad night, because I imagine I would be dead by now if I only got 16 mins of SWS each night.



#13 dormir

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Posted 21 May 2013 - 02:17 PM

I only had 6 minutes of SWS for my sleep study.  That was torturous to find out.

 

Valium makes all of my SP/HH/vivid dreaming SO MUCH WORSE.  I know it is supposed to suppress REM, but apparently not for me.  

 

 

It sounds like you fit the criteria for narcolepsy since you have that text book SOREM in your naps.  What does your treatment plan look like?



#14 Mmartens3

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Posted 21 May 2013 - 03:47 PM

I am on 2.25 grams go xyrem 2x per night. I just started last week. i got real dizzy and nauseated so the dr said I could just take the first dose for a week or so and see how it goes. I am going to try both doses tonight.

#15 Krickett

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Posted 18 June 2013 - 05:45 PM

Do you take the Xyrem while laying inbed and stay in bed? I've found that I only have issues with nausea when i stupidly get up and walk around trying to do things...althoughnow that i think back on it I did have one night that i basically fell out of bed vomiting (or more like just heaving as i had nothing in my stomach to vomit) violently on the floor unable to even get up an get to the bathroom or even do much other than rolling out of bed and turning my head to the side...luckily im lazy and when i got out of the shower that night i left my towel on the floor near the bed so..yeah.. a most unpleasant night .. but my experience with Xyrem has been overall AMAZING.. stick it out..when you find your dose its like a whole new lease on life! it was for me! ( and fyi nausea and vomiting is my LEAST favorite thing on the planet.. I detest it..with a fiery passion... I would rather lose a finger than vomit... it compeltely incapacitates me)

#16 Mmartens3

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Posted 18 June 2013 - 11:28 PM

I try not to move around as much now.i make sure not to get up out of bed. I have been on it for a month now and am starting to have some side effects, mostly anxiety and depression. But it had been improving my EDS symptoms. I want to give it another go but I am taking a few nights off until these anxious feelings go away.