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Chronic severe nocturnal hypnic headaches

Headache & Migraine | Last Active: Apr 30 4:11pm | Replies (295)

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@vtjoanne Wow, that's amazing! So happy for you! The Immediate and complete disappearance of your nightly hypnic headaches when taking nightly 200mg tablet of caffeine is encouraging. I would like to understand the mechanism as well. Is your sleep "sound" sleep when you take 200mg caffeine prior to bedtime? When I stopped drinking the nightly coffee (along with taking my nightly Indocin and melatonin) I noticed my awakenings during sleep (monitored by Apple watch) showed 2-3 short awakenings per night; Awakenings per night WITH caffeine before bedtime were 11-18 (short). I don't know what it means but the nocturnal impact of caffeine on sleep quality and on the hypnic headache prevention are of great interest. Thank you for sharing that! I wonder how your neurologist was convinced of that dosage!

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Replies to "@vtjoanne Wow, that's amazing! So happy for you! The Immediate and complete disappearance of your nightly..."

@taterjoy I wake up during the early morning usually around 3-5am and have issues falling back to sleep but most times I do fall back to sleep. Of course, this happened before I took the caffeine tabs so I don't think it's the caffeine tab that is causing me to awaken at that time.

I found some insightful information regarding why we wake up at 3 a.m., based on research and papers from Nobel Prize-winning theoretical physicist Richard Feynman. It offers an in-depth explanation of how our circadian rhythms affect sleep as we age. I can't place a link here, but search YouTube for this title:

The Feynman Way

"Why You Wake Up at 3AM — What Your Body Is Really Doing"

To answer your question, the doctor said to start with 200mg's. Possibly because most dosage in OTC bottles are 200mg tabs. Thankfully it is still working.