Marc's Public Blog - OSA, Obstructive Sleep Apnea and MMA Surgery


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This page has a few of my blog posts about my issues with OSA, Obstructive Sleep Apnea, which basically means not being able to breathe at night and having restless nights, night after night.
Because my sleep apnea scored low but somehow the impact on me was fairly high, it took a while to diagnose, and I tried several things before eventually getting Maxillomandibular Advancement Surgery (MMA) to fix my airway for good.

I made this summary page after the fact, so it starts with a few sleep studies I likely did 5 years later than I should have.

Table of Content for osa:

More pages: March 2004 November 2005 April 2006 July 2006 December 2009 January 2010 July 2010 August 2010 December 2010 March 2011 May 2011 December 2011 January 2024



2024/01/06 What I learned about sleep drugs
π 2024-01-06 01:01 in Osa
Since I sometimes share this with people after having learned this over the last 15 years, here is a summary for everyone.

There are plenty of sleep drugs, but first make sure you don't have Obstructive Sleep Apnea which definitely must be handled through whatever appropriate means and not paper over with drugs.

But if you have an hyperactive mind, took caffeine too late, or have dozens of others reasons for having poor sleep, please read up on natural things you can do in daily behavior and personal health, and if those don't help, here are drugs that can also help.

Falling asleep more quickly with Hypnotics

Those are ambien or sonata (US names, you can google for the molecule name like Zolpidem). They help quiet your mind if you're upset or have your mind racing, or took chemicals like caffeine too late and now you can't sleep.
Those are to help you fall asleep, they will not help keep you sleeping 7h or more unless you take a very high amount, and the sleep you get with ambien, is not very restorative, so only use this as an occasional "fall asleep" aid, not a "take everynight"

Those drugs are known to cause some people to sleep walk. I personally would only recommend taking 1/2 or 1/3rd of a pill if you need a little kick to help. It's also helpful if you have to go to bed early due to timezones or whatnot.

Staying asleep longer

These drugs are multiple classes, and not being a doctor I won't do a poor job but basically they are not going to help you fall asleep quicker unless you take them 1h or more before bedtime. They are useful to be drowsy and stay asleep longer. For me they are especially useful to go back to sleep when my mind starts waking up after 5h of sleep.

These are all off label, meaning they are meant ot treat something else, but can help to stay drowsy. One downside is if you take too much, you'll still be drowsy when you wake up, so you should adjust dosage by trial and error.

  • trazodone 50mg or so: worked great for me but dries out tear ducts
  • gabapentin 300mg or so: works but can have side effets long term like anorgasmia
  • some compound pharmacies are now selling this combo: Ramelteon 8mg + trazodone 25mg + doxepin 6mg. 1 or 2 out of 3 may also work for you
  • Unisom/Doxylamine and Diphenhydramine/Benadryl are antihistamines that will make you drowsy, but way too much so for me. Maybe better for you?
  • Seroquel 25mg works well but it may not be the first to try as it's originally a drug for people with bipolar disorder and might have non very well known side effects. Still, it works great for deeper sleep

  • More pages: March 2004 November 2005 April 2006 July 2006 December 2009 January 2010 July 2010 August 2010 December 2010 March 2011 May 2011 December 2011 January 2024

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