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@seniormed

Also consider melatonin for insomnia. There is data demonstrating that it is anti- inflammatory and a metabolic
modulator. Very unusual to have side effects

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Replies to "Also consider melatonin for insomnia. There is data demonstrating that it is anti- inflammatory and a..."

Thanks @seniormed. About melatonin. I have tried it before (3-4 mg) without success. My problem isn’t getting to sleep, it’s staying asleep past 3 am. Maybe I’m not using it correctly. Appreciate any specific suggestions.

Melatonin should only be taken in low doses with prednisone as it can reduce prednisone's effectiveness. Some doctors say it shouldn't be taken at all, but I take 1mg each night on prescription (to compensate for the loss of natural Melatonin caused by beta blocker meds) and it does help with sleep. My doctor said to separate the prednisone and Melatonin doses by at least a few hours.