Jump to content

handling early morning wake-ups


Recommended Posts

So occasionally I find myself waking up at an hour that's just late enough to possibly stay awake and just early enough to possibly go back to bed...were I not scared of the nightmares that would come were I to return to sleep.  I'm starting on an anti-nightmare med tonight (though at a tiny dose according to my psychiatrist), so maybe that concern will be no longer a problem.  But for now, it is. 

I'm just curious...do you find that it's better to stay awake, possibly rest during the afternoon if tired, and then crash early that night?  Or do you find it better to try going back to sleep and seeing if it happens, nightmares and all?  

I think were I to have a work day today where I can't count on an afternoon nap, it would be an easier choice...I'd put up with nightmares and try to fall back asleep.  But because I have nothing other than cleaning my home planned, it's a little dicier. 

Link to comment
Share on other sites

2 hours ago, dancesintherain said:

So occasionally I find myself waking up at an hour that's just late enough to possibly stay awake and just early enough to possibly go back to bed...were I not scared of the nightmares that would come were I to return to sleep.  I'm starting on an anti-nightmare med tonight (though at a tiny dose according to my psychiatrist), so maybe that concern will be no longer a problem.  But for now, it is. 

Which one?  I think I remember you saying in another thread that it is prazosin?  If so I was on that awhile back (temporarily) and it does make you forget nightmares (you might still have them, but you will wake up not remembering them (at least that is how it worked for me).  But FWIW it reacted with me like ambien did, where I would sleep eat etc and not remember stuff.  YMMV though, so I would give it a try.

2 hours ago, dancesintherain said:

I'm just curious...do you find that it's better to stay awake, possibly rest during the afternoon if tired, and then crash early that night?  Or do you find it better to try going back to sleep and seeing if it happens, nightmares and all?  

For me, I do sleep during the day, and go to bed starting as early as 4 or 5 PM.  The reason I start so early though is because I have such fragmented sleep, so I wake up a bunch of times and can't fall back to sleep for another hour or 2 each time.  After the ~2 hours or so of being up, I usually go back to sleep.  And do this every time I wake up.  And then eventually I will get out of bed as early as 4 AM, but usually 5-6 AM for the day.  The one difference is that I don't have the nightmares, so that isn't on my mind when falling back to sleep. If I did have nightmares, I would dread going back to sleep ... but would because I end up being too tired during the day and feeling a certain way (it is hard to describe except to say that it isn't the typical "I'm tired" feeling) when this happens.  If the nightmares were really getting in the way, I would ask for a med that could help that.  When I was on Prazosin it was for PTSD nightmares, which eventually went away for me, and could stop the med.

2 hours ago, dancesintherain said:

I think were I to have a work day today where I can't count on an afternoon nap, it would be an easier choice...I'd put up with nightmares and try to fall back asleep.  But because I have nothing other than cleaning my home planned, it's a little dicier. 

IMO definitely if you have the time, I would take advantage of that and take a nap.  Sometimes for me sleeping during the day helps me sleep better at night.  Without a nap I am more restless and find it harder to fall asleep than usual at night.  It ends up being just a fucked up night.

Link to comment
Share on other sites

  • 3 months later...
  • 3 months later...
7 hours ago, dancesintherain said:

im also not sure if my pharmacy will fill two sedating benzos.

I have never had a problem with this.

As long as you have a prescription for it, they can fill it ... the only thing though is you might need a prior auth before it can be filled.  That is the only thing that has ever gotten in the way of prescribing any of my meds, including the 2 benzos.  But the PAs have all been approved.

YMMV though.

FWIW ... I use CVS for my pharmacy.

Link to comment
Share on other sites

My gf has this problem, where she wakes up at crazy hours and then can't get back to sleep. Falling asleep initially at night is not the problem, just staying asleep is, so traditional sleeping pills are not working for her. Sometimes they do but if she takes them more than 2 nights in a row they lose their effectiveness. 

I am sorry you are having nightmares, sounds terrible. I wish I had advice but just wanted to say I know (by proxy) what you're going through!!

Link to comment
Share on other sites

6 hours ago, Alien Navel Cord said:

Falling asleep initially at night is not the problem, just staying asleep is

Me too.  I can empathize with what you are dealing with.

Falling asleep is 99% fine for me, but waking up a couple hours after, then in chunks of sleep, each time waking up.  I wish I could sleep a full night!

Link to comment
Share on other sites

  • 3 months later...
On 11/06/2017 at 0:49 PM, melissaw72 said:

I have never had a problem with this.

As long as you have a prescription for it, they can fill it ... the only thing though is you might need a prior auth before it can be filled.  That is the only thing that has ever gotten in the way of prescribing any of my meds, including the 2 benzos.  But the PAs have all been approved.

YMMV though.

FWIW ... I use CVS for my pharmacy.

No, they don't. If there ks an interaction, or a controlled substance bejng filled earlier and earlier, they can refuse. They have flagging systems, one, for example is "double doctoring". A pharmacist filling prescriptions people lie about, ignore interaignore they are aware of are knowingly breaking the law.

A pharmacist is highly trained and goes through a lot of school and certifications. The techs may do the work, the head (usually has a doctorate) has to make sure its error free.

I have sat in pharmacies for hours because a doctor prescribed something that could interact. They dont just blindly throw pills in bottles, they can make almost 6 digits in a good area. Hell, some can prescribe in areas, and doctors and pharnacists arent perfect, the education and time to master bofh would not allow you to sleep, they are a team. Not a candy machine.

A pharmacists job is not easy, and is risky because they have narcotics locked behind them. 

Its like saying all a nurse does is change beds and flirt with doctors. And the training in Canada and US is similar because its in demand. 

  • Like 2
Link to comment
Share on other sites

2 benzos is fairly common; often a long acting one and one better suited for immediate needs. I usually have a valid script for 2 benzos at same pharmacy.  Don't fill your meds early. Usually interactions can be worked out between  the doc and the pharmacist.

I fill Adderall and the 2 benzos at one pharmacy and fill the sleeping pill at another as it has better cash prices and I pay cash for this med. My pdoc did suggest I not fill the Adderall. benzos, and lunesta at the same pharmacy.

 

Link to comment
Share on other sites

On 10/12/2017 at 2:48 AM, San said:

No, they don't. If there ks an interaction, or a controlled substance bejng filled earlier and earlier, they can refuse. They have flagging systems, one, for example is "double doctoring". A pharmacist filling prescriptions people lie about, ignore interaignore they are aware of are knowingly breaking the law.

A pharmacist is highly trained and goes through a lot of school and certifications. The techs may do the work, the head (usually has a doctorate) has to make sure its error free.

I have sat in pharmacies for hours because a doctor prescribed something that could interact. They dont just blindly throw pills in bottles, they can make almost 6 digits in a good area. Hell, some can prescribe in areas, and doctors and pharnacists arent perfect, the education and time to master bofh would not allow you to sleep, they are a team. Not a candy machine.

A pharmacists job is not easy, and is risky because they have narcotics locked behind them. 

Its like saying all a nurse does is change beds and flirt with doctors. And the training in Canada and US is similar because its in demand. 

San, what is the point of your post, made four months after this thread died, other to antagonize a person who left this place because of the shitty way mods like you treated her? And FWIW, you clearly have not been to a busy pharmacy on the west coast of the US. First of all, they can easily make 6 figures. Second of all, they're often so busy that they can't do much more than counting pills. And I've had a number of med interactions, and not one single pharmacy EVER, EVER, EVER caught it here, not even with the computer programs that are supposed to do it for them. But for my pdoc, no med interaction would ever have been caught, save for the times when I DIRECTLY asked the pharmacist about it (when I was concerned about combining an old med with my current regimen). And most of your post is completely irrelevant to what Melissa wrote anyway. Her point was that it's not particularly difficult to get two Benzos filled, and you get your knickers in a twist. Did Melissa imply that pharmacy is an easy job that is like nurses 'changing beds and flirting with doctors?' No, she most certainly did not. So why did you write that? 

Link to comment
Share on other sites

14 hours ago, Flash said:

San, what is the point of your post, made four months after this thread died, other to antagonize a person who left this place because of the shitty way mods like you treated her? And FWIW, you clearly have not been to a busy pharmacy on the west coast of the US. First of all, they can easily make 6 figures. Second of all, they're often so busy that they can't do much more than counting pills. And I've had a number of med interactions, and not one single pharmacy EVER, EVER, EVER caught it here, not even with the computer programs that are supposed to do it for them. But for my pdoc, no med interaction would ever have been caught, save for the times when I DIRECTLY asked the pharmacist about it (when I was concerned about combining an old med with my current regimen). And most of your post is completely irrelevant to what Melissa wrote anyway. Her point was that it's not particularly difficult to get two Benzos filled, and you get your knickers in a twist. Did Melissa imply that pharmacy is an easy job that is like nurses 'changing beds and flirting with doctors?' No, she most certainly did not. So why did you write that? 

Who the hell ard you to ask me, or any member, with one post, or signed up the day it was launched, to explain themselves?

Link to comment
Share on other sites

  • 1 year later...
On ‎10‎/‎12‎/‎2017 at 5:48 AM, San said:

No, they don't. If there ks an interaction, or a controlled substance bejng filled earlier and earlier, they can refuse. They have flagging systems, one, for example is "double doctoring". A pharmacist filling prescriptions people lie about, ignore interaignore they are aware of are knowingly breaking the law.

A pharmacist is highly trained and goes through a lot of school and certifications. The techs may do the work, the head (usually has a doctorate) has to make sure its error free.

I have sat in pharmacies for hours because a doctor prescribed something that could interact. They dont just blindly throw pills in bottles, they can make almost 6 digits in a good area. Hell, some can prescribe in areas, and doctors and pharnacists arent perfect, the education and time to master bofh would not allow you to sleep, they are a team. Not a candy machine.

A pharmacists job is not easy, and is risky because they have narcotics locked behind them. 

Its like saying all a nurse does is change beds and flirt with doctors. And the training in Canada and US is similar because its in demand. 

Thank you. There's a lot more going on behind the scenes than people realize. 

 

On ‎6‎/‎11‎/‎2017 at 5:16 AM, dancesintherain said:

 Could be worth trying again.  I'd have to run it though drug interacfions..

im also not sure if my pharmacy will fill two sedating benzos.  It's why I haven't tried with temazepam yet.

They should. We have no problem with it as long as the doctor is comfortable with it (or if by 2 different ones, both are aware and okay with it). It's better to go to the same place because they can monitor for drug interactions and if your insurance is being a pain in the ass, we have all the records rather than hunting through every different pharmacy a drug was filled at. We have called patients doctors to clarify taking the two is acceptable and will document accordingly in the patients file. This helps with repeat instances and so insurances don't get mad. 

But really it's about safety. If a patient fills her cholesterol meds at pharmacy X and her antibiotics at Y, the concentration of her cholesterol meds will quadruple and no one would have any idea because neither pharmacy knew about it. 

Alao, FYI filling your controlled meds at different places looks bad on your record, regardless of the reason. Any logical, rational pharmacy would fill both as long as they've checked all their boxes and cleared it with everyone. It only has to be done once. Then we refill every month like it's no big deal (because it isn't).

Link to comment
Share on other sites

 Share

×
×
  • Create New...