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Doctor insights on:
Slow Sleep Insomnia
1
Sluggishness and depression, slow and bad sleep. Related?

Yes: All these things can certainly be related. Many people with depression not only feel slowed down mentally, but also physically. Sleep can be disturbed, which can leave you feeling even worse as the syndrome compounds. Please see your physician about this -- there is help! ...Read more
Insomnia (Definition)
A sleep disorder in which a person cannot fall or stay asleep. It usually accompanies another sleep, medical, or psychiatric disorder, and can lead to memory impairment, mood changes, and increased risk of ...Read more
2
Does sleep deprivation cause sleep walking?

Yes: People prone to sleep walking are more likely to do so when they are recovering (ie getting good sleep) after sleep deprivation. ...Read more
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3
How is narcolepsy and REM sleep related?

Closely: The symptoms of narcolepsy are those of parts of rem sleep intruding into wakefulness. These elements include sleepiness; hallucinations (dream imagery) while falling asleep or waking up; and cataplexy and sleep paralysis (both from the normal muscle paralysis that occurs during rem sleep). ...Read more
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4
Can inderal (propranolol) cause insomnia nightmares and trouble sleeping?

Possibly so: Trouble sleeping, as well as vivid and unusual dreams can occur when taking Inderal (propranolol). Worsening of depression can also be a side effect. Other medications and underlying medical conditions may interfere with sleep. You list being on Klonopin - is that being prescribed for anxiety? Persistent mood and anxiety symptoms impair one's ability to sleep, as well as the quality of sleep. Hope this helps. ...Read more
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5
Does sleep paralysis lead to insomnia?

Sleep Paralysis: Normal rem induced sleep paralysis should not, sleep apnea, rbd etc can. ...Read more
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6
Insomnia, frequent waking, very heavy snoring, unrefreshing sleep, fatigue every day. Sleep study confirms no sleep apnea present. What could it be?

You may suffer from: Upper airway resistance syndrom, most of the time this diagnosis is missed by sleep studies. Have them compare your rdi to ahi if it is almost double, you have issue, even though your ahi is very low and your oxygen saturation is above 90%. ...Read more
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7
Causes of never feeling sleepy, unrefreshing sleep and a racing mind?

Several causes: The most common cause is worry about things and not being able to turn your mind off. It is also common in people who exercise then try to go to bed when they have their endorphines high in their system. Are you drinking too much caffeine at night? Are you drinking alcohol at night? Is there a lot of stress in your life at work and or at home? Stress and overwork is probably most common. ...Read more
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8
What could be causing both sleep onset insomnia and sleep maintenance insomnia.

Many causes: There are many reasons for problems with both sleep onset and maintenance. Illnesses such as alcohol abuse, depression, bipolar disorder and anxiety can be the cause. Metabolic illnesses such as hyperthyroidism are also a possibilities. In addition stimulants such as cocaine, amphetamines, decongestants, caffeine and nicotine can contribute to this. ...Read more
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9
Bipolar 2/anxiety/insomnia. Sleep deficit- Exhausted in afternoon but can't nap, often get anxiety attacks in bed. Trazodone only for bedtime. HELP?

Many diagnoses: You need to return to the prescribing doctor of you medications and discuss the symptoms you are having. Start there ...Read more
10
What are circadian rhythm sleep disorders related to sleep paralysis and nightmares?

Sleep disorders: Sleep phase disorders may need to be diagnosed via sleep study and usually require really expert coaching to correct. Nightmares and often also sleep paralysis can easily be addressed with my No More Nightmares training. Please contact me if you request further details. ...Read more
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11
Can benzodiazepines cause sleep apnea?

R/O OSA: NO THEY MAY WORSEN IT: OSA can be suggested with underling obesity/small oral airway/collar size>18. The definitive test is a PSG with split night/CPAP titration. I would request copy of sleep study and get a second opinion if you are not satisfied with the options. You are young CPAP can be difficult to tolerate. ENT FOR UPP EVAL.VS HYOID SUSPENSION . ...Read more
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12
Think o have sleep apnea. Fatigue, depression anxiety low oxygen suicide sleep deprivation weakness can't stand laziness light sleeper can't feel legs?
Sleep apnea: Please talk to your physician immediately about this. A sleep study can confirm a diagnosis and treatment is essential. ...Read more
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13
Can Zoloft (sertraline) cause nightmares and poor sleep?

Yes: Change in sleep is one of the more common side effects. ...Read more
14
Can sleep deprivation cause twitching & anxiety?

We need REM sleep: (rapid eye movement - dream sleep) to blow off psychological stress. W/out it we become anxious and short-tempered, even hallucinate if deprived long enough. See your doc or a mental health professional to address your sleep deprivation. Peace and good health. ...Read more
15
Can nocturnal generalized seizures disrupt the sleep cycle and cause erratic sleep and daytime sleepiness? Will anti-seizure meds help?

Yes: That can occur and antiseizure meds would help. A sleep study with an expanded montage (more eeg leads) would be the way to evaluate it, or a several day ambulatory eeg. ...Read more
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16
Have ob apnea, use cpap nightly. Fatigue persists! could not nap for mslt. Rem sleep from 6-7am in overnight study. Rem interruption in am = fatigue?

Consider Nuvigil: For patients with ongoing sleepiness in spirited of cpap, Nuvigil is usually the next recorded treatment. It only occasionally raises blood pressure, but you should have it checked if you start on it. Good luck to you. ...Read more
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17
31yr male -sleep internal tremors, sleep apnea.wake up gasping for air, GERD for 1yr, high bp, sinusitis,awake muscle fatigue. What's causing tremors?

Sleep apnea : This could all be related to sleep apnea. You will require a sleep study and possibly treatment. There are many other causes for your symptoms. You will need to follow-up with your doctor. These symptoms require a systematic approach until a final diagnosis is found . ...Read more
18
Does Ambien (zolpidem) cause problems with sleep patterns and dreaming?

Yes: Though zolpidem (ambien) is primarily used for insomnia it can have other effects on sleep including sleepwalking. Discuss with your doctor if you have concerns. There are many alternatives. ...Read more
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19
Can Suboxone cause sleep apnea?

Bup & sleep apnea: Sleep-disordered breathing (eg sleep apnea) is more common in opioid (mu receptor agonist) users. However, the generalization hasn't been proven scientifically with buprenorphine, a partial mu receptor agonist. A poorly designed 2012 study showed an association between bup & sleep disorder breathing. A link may exist, but likely lower with bup than other opiates. A sleep study would be needed. ...Read more
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20
Is melatonin good for sleep maitenence insomnia?

Periodic insomnia: Melatonin can help with sporadic insomnia. Many conditions can contribute to insomnia. Best idea is to see a psychiatrist to investigate your insomnia and its cause(s). A sleep study may even be needed. Then the best treatment plan can be developed with you. ...Read more
See 1 more doctor answerSleep (Definition)
Sleep is a topic that involves concepts such as how long it takes to fall asleep, how many times one wakes up at night, how many hours one sleeps at night, sleep stages, ...Read more
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