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Can't sleep at night...


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I'm a night owl by nature but lately I've been trying to go to bed early (well early for me) around 11pm or midnight. I pretty much lay awake all night until my husband gets up at 6am to go to work. Then I fall asleep in the early morning and sleep through much of the afternoon. I would love to be able to fall asleep before dawn but I just have so much trouble falling asleep. I'm on Saphris which was helping me sleep great the first few weeks I was on it but now, it's not helping at all. I was considering asking for something like Ambien or Lunesta, do pdocs prescribe these? My pdoc doesn't ever prescribe an actual sleeping pill, he'll always give me something like Trazodone or Seroquel. I was on the 'quel for 14 years and am off it now. I can't keep taking over the counter stuff like Zquil because it's making me feel weird but I am desperate to get some sleep at night. I feel so out of touch with the world sleeping all day and being up all night. I don't see pdoc until 10/25 but I am thinking of getting an earlier appointment. I know I should try not sleeping during the day so I'm tired at night but it's so hard to avoid the temptation to go back to bed when I'm just home with not much else to do.

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I was in the same kind of pattern earlier this year. I would be up all night, have to go to school/work during the day, so I would usually end up sleeping from like 4pm till midnight. Ambien helped me reestablish a more 'normal' sleeping pattern, but its effects have waned over time and I'm kind of slipping back into old sleeping habits these days. 

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I struggle with this, too. At it's worst I'll fall asleep at sunrise and wake up at sunset. I've been diagnosed with delayed sleep phase syndrome. It's worse when I'm depressed. Pdocs do prescribe the standard sleep meds, although I can't say whether yours will. My pdoc prescribes me Restoril sometimes and I have been prescribed Ambien by a different pdoc in the past. They do seem to prefer using the sedating psych meds (Seroquel, Remeron, Trazodone etc.), I guess because they don't have the risk of dependence and are okay for long-term use. I would try to get a closer appointment and if your pdoc isn't sure what to do, ask for a referral to a sleep specialist.

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