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so I spoke to my pdoc about sleep difficulties today...fairly severe difficulty falling asleep about 3-4 times per week. I'm exhausted during the day but then, occasionally, completely wide awake when bedtime hits.

we talked a lot about different behavioral things I've tried and I explained that I'll usually give things like progressive muscle relaxation, deep breathing, counting backwards, etc. a good hour or so before I give in and take some form of drug if I'm still awake. I've been relying on either an extra dose of ativan or benadryl. both work usually, it's just not great...I still end up exhausted the next day.

so...even though we talked a lot about behavioral ideas, he asked me what I felt like had ever worked the best (this has been a pretty frequent issue) and I said "honestly, drugs." I've tried a bunch and they've all been helpful at various points (other than trazadone), but I haven't wanted to be on something regularly.

He ended up prescribing Sonata and said I could either do it PRN or just plan on taking it regularly for the next few weeks...that either's an option, depending on what I'm considering. He recommended it because my difficulty's in falling asleep (not staying asleep) and it has a short half life, so not likely to cause a hangover.

Anyone have any experiences? Reactions good or bad? And suggestions on whether to go the PRN route or the take regularly approach?

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If it were me I would take it every night for a week. Enough to get back into a sleep schedule where you wake up and go to sleep when you want to.

A week should avoid dependence issues. Then try PRN dosing and see if it will work. If you can get away with just PRN dosing, do it.

nf

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Notfred--thanks, your advice makes sense. I think that's probably what my pdoc was thinking as well...his comment was that if I have to be on it for a decent amount of time, so be it. If it helps, it helps.

May--thanks....I'm taking the first pill tonight, so it's nice to hear some positive feedback. It makes it a little less ohmy.gif

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