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REM sleep disorder treatment ?

Question:
I realize that this is mostly a sleep apnea group. I suffer from REM sleep behavior disorder. This is when normal sleep paralysis does not occur. My GP prescribed .25mg Klonopin. I think it stopped the disorder but the medicine is worse than the disorder. I can not live with the side effects. Any recommendations on type of specialist to see? Any sort of tests to ask for? Anyone else have successful treatment?


Answer:
Know what you mean about Klonopin. Ooooh, the depression it caused! I can, however, take .5mg a couple of times a week which is a bit of a help. A doc who specializes in sleep disorders will probably order the PSG, which is done overnight in a sleep lab. Very revealing, that test! The results surprised the heck outta me!

I am unsure about the usefulness of the sleep study. What did yours reveal? Klonopin caused me to lose alertness during the day and to be sleepy all day long. It also caused vivid dreams at 3 in the morning such that I couldn't go back to sleep. It is hard to say if one caused the other. But after stopping the drug I fell much better.

The surprise reveal was PLMD. I had no idea as my sheets aren't even wrinkled in the morning! It also showed I got no stage 3 or 4 sleep probably because of the PLMD...something like 17 wake-ups per hour. I knew I wasn't getting a good night's sleep but I thought it was due to fibromyalgia. For me, the PSG was the most useful test I've had in the past decade. It also showed no apnea but that wasn't a surprise!

Sounds like you and Klonopin aren't meant for each other. I'm extremely drug sensitive so know what you're going thru. I worked up to the .5mg dosage. I like that it doesn't cause that sleepy hangover the next day but, as I mentioned, it did cause depression which stopped once I stopped taking it nightly. Sometimes, after taking a drug for a few weeks, the side effects diminish or go away. I don't have time to lose weeks of work to find out! Everyone reacts differently. I hope you find a solution.

i'd ask a neurologist, preferably one who specializes in sleep disorders- they do exist, especially at sleep centers.

according to my sleep test, i have very little rem sleep, and it all occurs in the morning, just before i'm wanting to get up. i was also found to have central sleep apnea, in which my brain forgets to breathe periodically during sleep. a full sleep study can be invaluable, as i expected only to find a strange cycle to explain why i was waking so tired. i didn't know i was partially rousing 42 times per hour!

i found the following page: http://www.emedicinehealth.com/articles/42826-6.asp

it suggests that klonopin works best, but that tricyclics help some people, while making others worse. the site also has physical treatment recommendations.




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