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Author Topic: Sleep issues with meds..  (Read 1467 times)

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Offline komnaes

  • Member
  • Posts: 1,899
Sleep issues with meds..
« on: March 01, 2010, 02:06:27 AM »
Actually not too much of an issue - just want to know if anyone have similar experiences.

I have been on Sustiva/Epizcom for almost exactly a year now. Initially had some mood swing and nightmare issues, and they're almost gone now. Like most folks I guess, dreams have become very vivid but so far they don't affect me much and I've been resting more than I ever could since my diagnosis.

The recent thing is that I seem to get up a lot between 4-5 hours after taking my pills. I usually take my meds between 11pm-12midnight, some days earlier and some days later, give an take an hour of this period. So many nights since January I woke up around 5pm. I was busy this weekend with family stuff and works so I went to bed early last night (Sunday), took my pills at 10pm and there I was awoke at 3am.

Some nights I could fall right back to sleep but some (early mornings?) I struggled, but the problem is that the dreams I would have after were also far more vivid. They're not nightmares or anything so not very troubling except the dreams make me feel not very well rested.

I suspect Sustiva is the culprit.. any inputs?

Thanks, Shaun
Aug 07 Diagnosed
Oct 07 CD4=446(19%) Feb 08 CD4=421(19%)
Jun 08 CD4=325(22%) Jul 08 CD4=301(18%)
Sep 08 CD4=257/VL=75,000 Oct 08 CD4=347(16%)
Dec 08 CD4=270(16%)
Jan 09 CD4=246(13%)/VL=10,000
Feb 09 CD4=233(15%)/VL=13,000
Started meds Sustiva/Epzicom
May 09 CD4=333(24%)/VL=650
Aug 09 CD4=346(24%)/VL=UD
Nov 09 CD4=437(26%)/VL=UD
Feb 10 CD4=471(31%)/VL=UD
June 10 CD4=517 (28%)/VL=UD
Sept 10 CD4=687 (31%)/VL=UD
Jan 11 CD4=557 (30%)/VL=UD
April 11 CD4=569 (32%)/VL=UD
Switched to Epizcom, Reyataz and Norvir
(Interrupted for 2 months with only Epizcom & Reyataz)
July 11 CD=520 (28%)/VL=UD
Oct 11 CD=771 (31%)/VL=UD(<30)
April 12 CD=609 (28%)/VL=UD(<20)
Aug 12 CD=657 (29%)/VL=UD(<20)
Dec 12 CD=532 (31%)/VL=UD(<20)
May 13 CD=567 (31%)/VL=UD(<20)
Jan 14 CD=521 (21%)/VL=UD(<50)

Offline Jeton

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  • Posts: 85
Re: Sleep issues with meds..
« Reply #1 on: March 01, 2010, 07:48:40 AM »
any psychotropic chemical taken b4 bed will affect ur sleep cycle, the question is how. in ur case it sounds like the period of time from when u nod off to waking up is about the amount of time it takes sustiva to "wear off" psychotropically, at least in terms of it's "downer" effect.

u might want to play with the timing...is it conceivable for u to work ur way down to a 7pm dosing for a 12am bedtime? that way the downer effect has time to wear off b4 u really commence sleep, possibly allowing ur normal circadian rhythm to run its course.

i know people who get drunk n pass out r usually only passed out for a length of time commensurate with how much they drank, and as the chemical (alcohol  in this case) passes into waste channels, the body reacts as if it was picking up from the circadian state u were in b4 the chemical took effect.

c if taking it earlier helps. enjoy the evening buzz but get to bed exhausted, not zooted.


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