
Originally Posted by
SampsonandDelilah
You’re basically describing every night for me. I toss and turn, my shoulders ache, my ears will burn and my hands are always asleep because I sleep with one folded under me. If I sleep on my back, I snore like crazy and cut off my air (hence the sleep study).
Trazadone is an interesting drug. It’s actually a really shitty antidepressant, but shows really good sleep impact at low dosages (50-200ish). It’s not really intended for sleep latency (falling asleep) but more for keeping you asleep and shows good impact on delta wave/REM sleep. Think of it as not really lighting the fuse, but keeping it lit once it’s starts. I will sometimes use it in conjunction with Xanax (.25) or a 5 mg ambien if I’m struggling to fall asleep.
It takes around 45 minutes to kick in so timing the dose is important and good sleep hygiene states you should shoot for the same bedtime each night. So say your goal is to be asleep by 10 every night, you should take it around 9 and climb into bed and start reading until you get sleepy, then you should be good to go, turn your lamp off and night night.
Now if I’m consistently waking up in the middle of the nigh (say 2 am every night) and can’t fall back asleep (this happens a lot when I travel for work) I will keep an ambien or sliver of Xanax on the nightstand and take it in case of emergency in order to help get me back asleep. I find that doesn’t happen if I’m diligent around my bed time, practicing good sleep hygiene and staying off of my phone in bed.
What I’ve learned is by continually having poor sleep, we can throw off our circadian rhythm and fall into poor sleeping habits. There is also data around hormonal imbalances and circadian rhythms as well as a depletion of the bodies ability to produce natural melatonin. Well hello, we are constantly messing with our hormones and the muscle mass puts strain on the joints (sore shoulders) and the mass can impact the thoracic spine and the ulnar nerve (hello numb hands).
We are kind of a perfect storm. Add in a big neck and it goofs up our pallet and we’re not getting the oxygen that we need. Could be one thing but in all reality it’s probably a combination of them all.
Hope this helps, as I said, I’ve been battling this a long time but don’t do myself any favors either and have gotten by with over medicating myself in order to sleep. My goal this year is to get a sleep study, practice better sleep hygiene and be kinder to my body around being a mass monster and putting unnecessary strain on my joints!