Anxiety adrenaline waves every AM waking me from sleep.

Posted by esikora @esikora, Nov 13, 2021

Hello,
As stated above,every AM at around 5, I start having uncomfortable adrenaline-like waves throughout my body. If I try to sleep, the waves cause weird dreams and then I wake up. This has been going on for about eight months. There has been considerable stress in my life during this time, but now things are improving, but the waves are just as bad.
Has anyone ever experienced this?
Thanks.

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@esikora

I've been dealing with anxiety/depression since traumatic life changes last year, including a cancer diagnosis.
I've been in therapy, but have resisted drugs. My anxiety now seems to come in"spells", including strange sleep disturbances and pre-dawn adrenaline rushes.
Every morning brings a kind of over whelming existential anxiety.
However...some days it dissipates randomly and I'm fine...even kind of happy. I try to hold on to the peaceful feelings, but of course I'm always fearing the return of the creepy spells.
So I guess my question is, does anxiety ever go away without drugs?
I do take supplements,exercise, do some meditation and yoga, and I know that these things help at least somewhat...
I'm just so tired of feeling psychologically "damaged".
Thanks for listening.

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I seriously think it’s gut or histamine related. I would try taking an h2 blocker and an antacid and see if it helps.

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@help4meandu

I completely relate. I try listening to meditation stories on my phone but still no success unless I take more Benadryl and klonopin.

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H1 or h2 blockers Xanax… most helpful for me so far… antacid has helped to a bit… brain and gut are closely related. Trying to find hope. This is the best I can find so far. Please let me know if you find anything better…

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@jnetweiss

What a relief to find this thread. I’ve always had some anxiety, and am a therapist, as well.
A year ago, I was given too much estrogen and put on many different medications trying to deduce the issue (like calcium blockers, beta blockers, cortisol reducers/Ashwagadah), which all impacted my sensitive body.
My cycles were waking me throughout the night until I finally got .25 mg of Klonopin to sleep; brought up my vitamin D and found an estrogen/progesterone balance with bio-identical creams.
I now sleep really well and have brought my estrogen levels down, except for the one sneaky thing-these adrenal surges at 6/8 hours of sleep.
When I pandiculate and stretch or move, my heart rate increases to 110 and then lowers and adrenaline surges in cycles that last usually every hour upon waking. I have not had Covid. I have tried every trick in the book. And, ruled out adrenal tumors.
My dreams are pleasant but when this happens, it’s like my mind starts finding negativity to match the adrenal rushes. Then there is the shakes or teeth chattering and need to relieve myself to get rid of the adrenaline.
I’m trying to find more solutions, as I will not give up.
I found a nice 300mg cinnamon cbd oil from “Bottle and Stone” which helps to lower some reaction (because too much Benzos dump me down.)
Let’s keep helping each other because my endo/chiro/gyno/functional/
Primary/cardio/adrenal MDS have all been stumped.

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h2 blockers Xanax… most helpful for me so far… antacid has helped to a bit… brain and gut are closely related. This is the best I can find so far.trying to find hope. Please let me know if you find anything better…

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@5148branelly

Are you sure you were on 2-4 mg of clonazepam (Klonopin)? That is a huge dose! The usual starting dose for clonazepam is 0.25 mg. twice a day.
Clonazepam is in a drug category called “benzodiazepines,” which includes Valium, Ativan, Xanax and many others. These drugs can be very helpful in the treatment of anxiety. Anxious people, IMHO, tend to be “control freaks” which is not necessarily a bad thing. Yes, benzodiazepines can be mildly addictive, but from what I’ve observed, anxious people find the dose that works for them (usually a low dose) and stay on that dose that helps them. Oddly, from a chemical standpoint, anxious people don’t seem to reach tolerance on benzos. Tolerance is where a person takes a given dose, but in a short time, the drug is no longer effective and the dosage must be increased in order to get the same effect. Tolerance develops quickly with narcotics (=opiates).
An anxious person might need to be on a “their” dose of a benzo for years. If it is a reasonable and effective dose, I don’t see that as a problem.
With the help of a psychiatrist, find the dose that completely relieves the anxiety. Stay on that dose for 3-4 months (or forever if you like). Then start to taper slowly w/ the help of your psychiatrist. With say, Ativan, an anti-anxiety dose might be 1 mg three times a day. Once you’ve taken that for 3-4 months, begin a slow taper (about 0.25 mg a month) until you reach the dose at which the anxiety recurs. Increase the dose by 0.25 mg. That is “your” dose and you can stay on it indefinitely. A great deal of paranoia has developed about benzodiazepines. It is true that IN COMBINATION with other drugs, respiratory depression can occur. Even death might occur but chances are that it is caused by an opiate that was prescribed with a benzo.
On their own, benzos are among the safest of drugs. It is extremely hard to overdose on them and most cause virtually no side effects.
If you have had cancer (or some other major traumatic event) and believe that you are anxious about a recurrence, find a dr. that will work with you on this. During crises, you may find yourself needing to go back up a milligram or two, but when the crisis abates, taper (w/ a dr.) yourself back down to the minimal dose that works for you.
Gabapentin and Lyrica are drugs that can also be used for some types of anxiety.
But some of the substitutions for benzos that I’ve seen cause more trouble than they are worth—far more trouble than sticking with a low dose benzo might.
Some have been prescribing atypical anti-psychotics for anxiety and sleep. These drugs can help, but they can also cause EPS (extrapyramidal symptoms) which are disconcerting muscle movements that can be treated with Cogentin quickly and easily. Less pleasant side effects are tardive dyskinesia, which are involuntary muscle movements—like tapping a finger, twisting a hand, facial grimaces and tongue protrusion. Akathisia, which is involuntary foot tapping, may also occur. These can be helped somewhat with propranolol. Tardive dyskinesia is permanent though. I think few patients are told about the risks of using these drugs for any length of time, even as they are being excessively cautioned about benzos.
If you are anxious and/or depressed, individual psychotherapy can help. Group therapy and support can also be very helpful especially if you are taking the appropriate medication.

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The idea of taking Xanax for longer than a week scares the crap out of me. I take either half a .5 or .25 to sleep at most.

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@tarmansbks

tyt : I wish I knew what causes the adrenaline rushes. I think that the pandemic mode really has many of us who are overly sensitive in a chronic case of some level of PTSD. Not that we can compare ourselves to those with truly terrible experiences but I think to some extent the covid news and death of my husband shortly after it started really topped me.

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It took me a while to figure this out but I had a dental bridge that was rubbing my tongue and that was the source of my stress that caused me to have adrenaline rushes in the middle of the night. I was stressed with the idea of having to remove the bridge, 5 teeth, and then what ???? Implants scared me too. I finally had to make the jump and get the bridge out. Long story short, the implants were a real stress maker too and I'm still dealing with adjusting to teeth that just don't feel right in my mouth. Hopefully I will get used to them. Until then, I take supplements like L-theanine, GABA, anything to bring down the adrenaline before bed. Lexapro helps too.

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@bnancy

Don’t accept these early AM anxiety quirks. Not normal at all. I’m 73 and know that anti depressants like Imipramine, elavil, lexapro, etc all for relief of anxiety, will relieve you of these early morning awakenings.

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I have tried all three of those medications but did NOT find relief for the early morning anxiety. Everybody is different. It's not fair to tell people what to do. I don't think that is appropriate for a SUPPORT GROUP! Judge not lest three be judged.

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I can relate. Sometimes I wake at around 4 and “thoughts” just start & I have difficulty getting back to sleep. I’ve been told I’m pessimistic about things but I believe I am realistic. I like to be on time, prepared for whatever, etc. My husband is just about the opposite & that I believe is part of my whatever ( anxiety?) because when I was single I didn’t have to think before I did anything, I just did what had to be done. Example: get car ready for winter, pay taxes on time, prepare house for winter. Now I have to constantly say “ have you done “x” yet? Very frustrating

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@drterri4specialkids

I have tried all three of those medications but did NOT find relief for the early morning anxiety. Everybody is different. It's not fair to tell people what to do. I don't think that is appropriate for a SUPPORT GROUP! Judge not lest three be judged.

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True, not everyone can take antidepressants. They actually make me worse. Glad they helped bnancy. Wouldn’t it be great if there was one solution for all of us?
Low dose Klonopin helps me, and I seem to be able to stop and start with no dependence issues. I know it’s a problem for other people.
I believe this issue to be adrenal related and not much is known about how to manage adrenal surges. I’ve worked with a variety of doctors and have yet to fully solve this issue.

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@5148branelly

Are you sure you were on 2-4 mg of clonazepam (Klonopin)? That is a huge dose! The usual starting dose for clonazepam is 0.25 mg. twice a day.
Clonazepam is in a drug category called “benzodiazepines,” which includes Valium, Ativan, Xanax and many others. These drugs can be very helpful in the treatment of anxiety. Anxious people, IMHO, tend to be “control freaks” which is not necessarily a bad thing. Yes, benzodiazepines can be mildly addictive, but from what I’ve observed, anxious people find the dose that works for them (usually a low dose) and stay on that dose that helps them. Oddly, from a chemical standpoint, anxious people don’t seem to reach tolerance on benzos. Tolerance is where a person takes a given dose, but in a short time, the drug is no longer effective and the dosage must be increased in order to get the same effect. Tolerance develops quickly with narcotics (=opiates).
An anxious person might need to be on a “their” dose of a benzo for years. If it is a reasonable and effective dose, I don’t see that as a problem.
With the help of a psychiatrist, find the dose that completely relieves the anxiety. Stay on that dose for 3-4 months (or forever if you like). Then start to taper slowly w/ the help of your psychiatrist. With say, Ativan, an anti-anxiety dose might be 1 mg three times a day. Once you’ve taken that for 3-4 months, begin a slow taper (about 0.25 mg a month) until you reach the dose at which the anxiety recurs. Increase the dose by 0.25 mg. That is “your” dose and you can stay on it indefinitely. A great deal of paranoia has developed about benzodiazepines. It is true that IN COMBINATION with other drugs, respiratory depression can occur. Even death might occur but chances are that it is caused by an opiate that was prescribed with a benzo.
On their own, benzos are among the safest of drugs. It is extremely hard to overdose on them and most cause virtually no side effects.
If you have had cancer (or some other major traumatic event) and believe that you are anxious about a recurrence, find a dr. that will work with you on this. During crises, you may find yourself needing to go back up a milligram or two, but when the crisis abates, taper (w/ a dr.) yourself back down to the minimal dose that works for you.
Gabapentin and Lyrica are drugs that can also be used for some types of anxiety.
But some of the substitutions for benzos that I’ve seen cause more trouble than they are worth—far more trouble than sticking with a low dose benzo might.
Some have been prescribing atypical anti-psychotics for anxiety and sleep. These drugs can help, but they can also cause EPS (extrapyramidal symptoms) which are disconcerting muscle movements that can be treated with Cogentin quickly and easily. Less pleasant side effects are tardive dyskinesia, which are involuntary muscle movements—like tapping a finger, twisting a hand, facial grimaces and tongue protrusion. Akathisia, which is involuntary foot tapping, may also occur. These can be helped somewhat with propranolol. Tardive dyskinesia is permanent though. I think few patients are told about the risks of using these drugs for any length of time, even as they are being excessively cautioned about benzos.
If you are anxious and/or depressed, individual psychotherapy can help. Group therapy and support can also be very helpful especially if you are taking the appropriate medication.

Jump to this post

the problem with klonapin is i get tired and sleepy. i feel like no one cares everyone says your doing this wrong etc. right now i have stomach ache. don’t know if it’s from food or the meds or anxiety. yesterday i had no stomach ache. i ate i piece of duck with bun , wonton mein soup and 1/2 c sprite. this morning woke up at 230 am took carafet and nexium, couldn’t sleep took klonapin .125,
got stomach ache. took luvox, then tylenol 500.
i have mild gastritis. i don’t know if the stomach ache is from food, meds, anxiety. now im asking if there’d is a way i can track food drugs and symptoms on cell phone and have my providers check it so i can get better input cause i have not been able to figure it out myself. when i get stomach ache i think is it recurrence of something. anyone have similar problem and get better. i took tylenol 500 at 5 am and then again at 10. praying alot
thanks

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@kathy88

the problem with klonapin is i get tired and sleepy. i feel like no one cares everyone says your doing this wrong etc. right now i have stomach ache. don’t know if it’s from food or the meds or anxiety. yesterday i had no stomach ache. i ate i piece of duck with bun , wonton mein soup and 1/2 c sprite. this morning woke up at 230 am took carafet and nexium, couldn’t sleep took klonapin .125,
got stomach ache. took luvox, then tylenol 500.
i have mild gastritis. i don’t know if the stomach ache is from food, meds, anxiety. now im asking if there’d is a way i can track food drugs and symptoms on cell phone and have my providers check it so i can get better input cause i have not been able to figure it out myself. when i get stomach ache i think is it recurrence of something. anyone have similar problem and get better. i took tylenol 500 at 5 am and then again at 10. praying alot
thanks

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I’ve been suffering with early morning anxiety for a few years, I wake up between 2am. - 5am. and I can feel the anxiety creeping up inside and then my heart starts racing which I’m sure is caused by the anxiety. I’ve been having rapid heart beats since covid infection and after two years there’s a little change but not much. However I did some research on the subject because I heard that so many people have this problem, I read that our cortisol levels are very high in the early morning, combined with being awakened by anxiety and no other distractions, thus the impact of this is huge..cortisol is a harmone our body produces when we’re faced with stress and anxiety. I take Ativan for quick relief and it helps me a lot to get the feeling under control, I would like to be able to get through it without medication but I lack the strength to do so, anxiety is easier to manage during the day along with more distractions but in the early hours I feel at my most vulnerable moments. I am curious about the connection to our stomach so I will try to look into this theory, thanks.

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