Difficulty falling asleep and staying asleep

Posted by ranarizk @ranarizk, Nov 1, 2024

I have struggled with getting quality uninterrupted sleep since I was a child. I am now 40 years old. It’s getting harder to maintain life with little sleep. I keep trying different habits, general sleep hygiene tips, I know I can exercise more regularly but even when I was dancing 5 times a week I still had the same sleep difficulties. It’s difficult to fall asleep before midnight and I often wake up around 3 or 4am, then don’t sleep till about 6am. I need to get up around 7:30am for work. I have been trying 300 mg of gabapentin with melatonin for 6 months, it helped initially but now I feel it has stopped working. Can someone advise if:
- does Long term use of gabapentin has negative side effects?
- I am not ecstatic to be taking an anti seizure medication for sleep - you thoughts?
- any idea what causes this waking up between 3-4am?
- do we get easily addicted to gabapentin to where I would need to increase the dose?

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I took a small dose of Klonopin for a short time and it helped me greatly. I also got talk therapy and addressed some health concerns. I no longer take that med though. I try to avoid any med that isn’t necessary. My sleep hygiene greatly improved. I am now having early a.m awakenings, but can return to sleep and sleep quite well. I also fall asleep with no trouble. And, feel rested and refreshed the next day. I believe my issue now is some worries on my mind. After that’s resolved, I think I’ll be fine.

I have great doctors. I’m mostly in the Duke and UNC system.

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Profile picture for kristajsorensen @kristajsorensen

@danilo1m Klonopin SHOULD be used more. I wish that doctors would stop trying out other medicines for their side effects and prescribe things like klonopin because when it is used safely it is 100% effective. In WA I cannot find a good doctor. Does anyone recommend any? I need a GP who actually cares.

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@kristajsorensen Since it can only be refilled every 30 days, I take half a dose of the 2mg pill. For me it calms my axiety, but does not help w/maintaing longer sleep periods (falling asleep is not an issue).

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Profile picture for celia16 @celia16

I took 2 weeks of Gabapentin for something else, but couldn’t tolerate it due to blurry vision. Wish I could take it.

I get to sleep pretty well, but wake up 3-4 hours later and struggle to resume sleep. I occasionally will sleep throughout night especially if I take a Klonopin (small dose). My therapist, says that our internal clock gets used to a certain schedule and it’s difficult to let it know to stop that early morning wake up. I think I need a sleep aid to get my body adjusted to staying asleep. Sort of a reset on my inner clock. I’m going to talk to my doctor about it.

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@celia16
Cortisol spikes. I take Integrative cortisol manager-
No big pharma meds

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Profile picture for rosalind308 @rosalind308

@celia16
Cortisol spikes. I take Integrative cortisol manager-
No big pharma meds

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I think for those of us with sleep problems there are no answers. I’ve been on numerous meds and nothing changes. I’m currently on 150 mg trazadone ( the 6th med tried) but it doesn’t do much. I was told the normal sleep cycle is 90 min and some people wake up each cycle. Last good sleep I had was years ago when they gave me too much anesthesia and I slept 10 hours.

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Profile picture for roxiesmom13 @roxiesmom13

I think for those of us with sleep problems there are no answers. I’ve been on numerous meds and nothing changes. I’m currently on 150 mg trazadone ( the 6th med tried) but it doesn’t do much. I was told the normal sleep cycle is 90 min and some people wake up each cycle. Last good sleep I had was years ago when they gave me too much anesthesia and I slept 10 hours.

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@roxiesmom13 My GP added 1/3rd capsule each night of Trazadone to the Zolpidem I've been taking for over a decade and it hasn't helped.

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