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Hi everyone, I have problems staying asleep. I usually sleep for 2-4 hours then wake up for a few hours then I usually but not always fall asleep again, unless I have to be up in the early morning for something. My Vraylar makes me tired enough usually to fall asleep (I take it at night due to that) but sometimes I need "high dose" melatonin (10 mg) to fall asleep but not every night.

I tried talking about my sleep issues at my last appt with my psych NP (she does my psych meds, I don't have a pdoc) and she seemed like she didn't take it seriously as she told me I can nap during the day. I see her again tomorrow and plan to talk about it again, but if she doesn't take it seriously again what should I do? Should I talk to my primary care doctor? I guess I can also ask my tdoc what to do, I see him next week.

I haven't tried much of the sleep drugs, back in late 2011-2012 my then pdoc had me on Ambien briefly when I was taking Geodon and couldn't sleep but I don't really remember if it helped or not as I was going through some bad personal stuff and was out of my mind mostly and don't remember much about that time.

Anyway, for those on sleep meds do you need a sleep study first before getting on sleep meds? What kind of doctor prescribes them? Do I need to see some sort of sleep specialist or does your pdoc prescribe them? Thanks in advance!

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Posted (edited)
3 hours ago, kittyloaf said:

   Anyway, for those on sleep meds do you need a sleep study first before getting on sleep meds? What kind of doctor prescribes them? Do I need to see some sort of sleep specialist or does your pdoc prescribe them? Thanks in advance!

IMO, if your NP brushes off your sleep issues again, I would suggest talking to your PCP (primary care doc) about it....Telling your tdoc would be a good idea, too.

No, you don't need a sleep study first to get sleep meds, although some docs might suggest it.....You don't need to see a sleep specialist, either............A pdoc, NP, or your PCP can prescribe them for you.....Before I had a pdoc, my first sleep meds were prescribed by my PCP, without a sleep study.     Then after he referred me to a pdoc, I got the sleep meds from her.

Edited by CrazyRedhead

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No sleep study required and any doctor can write a script for it. Generally it is family doctors or psychiatrists that use this class of meds a lot.

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Thank you both for replying and answering my questions. I saw my psych NP today, this time she took me seriously about my sleep and prescribed low dose Seroquel (100mg) for sleep. She also mentioned hydroxyzine but she felt Seroquel was more suitable as she said hydroxyzine and Benadryl are both antihistamines and I've had no luck with over the counter Benadryl. I've taken Seroquel before (long time ago, not for sleep but for bipolar as that was my dx at the time) and remember it making me sleepy when I first started it at the low dose. Hopefully the low dose Seroquel will work out.

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