I’ve been struggling with sleep issues for over a decade now. My Doctor has prescribed me all sorts of medication, all of which has had many adverse side effects. What I do know that works, is Xanax. My wife was prescribed it for some stress issues and occasionally will give me one so I can finally sleep. Obviously asking my Doctor, “can I have Xanax” Will not go well. I’ve eluded to it in ways and the response has always been along the lines of “that’s habit forming, I’d rather you try this”. Of the many medications prescribed, none have worked. Resorting to the dark web is something I’d really rather not do. Fentanyl laced drugs took my sister and it’s a road I hope to not have to explore. Any suggestions?

  • Boozilla@lemmy.world
    link
    fedilink
    English
    arrow-up
    52
    ·
    edit-2
    6 months ago

    Apologies for giving you a boring canned answer when you are sleep-deprived and looking for help. But I swear these things really helped me.

    Number one: think about getting a sleep study done by an actual sleep doc (pulmonary doc or neurologist). This was life changing for me. Don’t go to a chiropractor or whoever the fuck and get a CPAP machine.

    Also, and this is important: Have you looked into tips for “sleep hygiene”? None of them are a quick fix like Xanax, but they can be powerful when used together.

    These include things like:

    • going to bed and getting up at the same times every day. this means getting up at your normal time, even if it’s a weekend, even if you didn’t sleep well that night, just make yourself do it
    • when sleeping…making sure the room is dark, cool, and quiet (ear plugs are a big help here). by cool, I mean 68-69F (about 20C).
    • cutting way back on caffeine and/or eliminating it…and absolutely no caffeine after lunch (the older we get, the longer it takes to metabolize caffeine)
    • not looking at any glowing screens (TV, phone, computer, tablet, etc) before bed time… for at least 15-30 minutes
    • avoid eating / drinking a couple of hours before bed time
    • using your bedroom only for sleeping and for sex

    And when you have trouble sleeping, it’s a very good idea to get out of bed, go to a different room (one that is not too bright) and do something boring like read a text book for 15-20 minutes then go back to bed and try again.

    When we stay in bed and aren’t sleeping, we’re training our brain that it’s OK to do that. You want to beat it into your subconscious brain that the bed / bedroom is for sleeping.

    • Boozilla@lemmy.world
      link
      fedilink
      English
      arrow-up
      15
      ·
      6 months ago

      And I should have included exercise. The best sleep I ever get is when I get in a really good amount of exercise during the day. I won’t lie to you, I’m pretty lazy about it myself. You don’t want to do this close to bedtime, either. Go for a really long walk / jog / whatever in early afternoon if you can squeeze that in somehow.

      • GBU_28@lemm.ee
        link
        fedilink
        English
        arrow-up
        8
        ·
        6 months ago

        Seriously. Nothing puts you to sleep better than 10 hours of hiking.

        Obviously that’s unattainable most days, but I struggle with insomnia all my life, and one of the things I look forward to most from backpacking trips is the restful call of sleep when I “actually” feel like I “need” it.

    • Anissem@lemmy.mlOP
      link
      fedilink
      arrow-up
      13
      ·
      6 months ago

      Thanks for the advice. There’s definitely some stuff here I can try. I have a stressful computer job so cutting back on caffeine makes sense along with several other tips you mentioned!

        • Anissem@lemmy.mlOP
          link
          fedilink
          arrow-up
          5
          ·
          6 months ago

          100%. It’s all I look forward to these days. I know that fact in itself is a huge problem though.

      • fine_sandy_bottom@discuss.tchncs.de
        link
        fedilink
        arrow-up
        4
        ·
        6 months ago

        A few things to add to this great list:

        Magnesium supplement before bed. They’re not all the same. Don’t just take a pill. Get one of the proper powdered ones magnesium citrate or threonate. I really like this one.

        Also, pod casts and audiobooks. I use headphones and turn the volume down just far enough so I really need to concentrate to hear the words.

      • AA5B@lemmy.world
        link
        fedilink
        arrow-up
        3
        ·
        6 months ago

        Also the exercise thing. I find that when stress from the computer job is likely to keep me awake, a fast walk before bedtime is enough to help smooth that out

    • weariedfae@lemmy.world
      link
      fedilink
      arrow-up
      7
      ·
      6 months ago

      Caveat: doctors will only let you have a sleep study if they suspect sleep apnea. Other sleep studies that capture off-the-wall sleep disorders don’t seem accessible, at least in my local health system which is a Catholic-run local monopoly. Perhaps HCA, or Kaiser, or others may have a different philosophy.

      • GBU_28@lemm.ee
        link
        fedilink
        English
        arrow-up
        5
        ·
        6 months ago

        This is not universal. I have average US insurance in Colorado and my GP sent me for a sleep study after we tried just a few things for my insomnia.

      • Boozilla@lemmy.world
        link
        fedilink
        English
        arrow-up
        4
        ·
        6 months ago

        I wasn’t aware of this. That is discouraging. I think there are like 30-something sleep disorders. Though apnea is extremely common. Some insurance plans will also push hard for an “at home” sleep study first, which is fine if you just need a CPAP machine. But it’s no bueno if you need someone to monitor you and hook you up to all those Star Trek devices like they did to me.

    • Melobol@lemmy.ml
      link
      fedilink
      arrow-up
      5
      ·
      6 months ago

      To add to the ‘canned answers’ here is one more:
      As non medication, Magnesium has a muscle relaxation effect. With a big cup of water before going to sleep it could help falling asleep. (Tho make sure you are using the right kind of magnesium pill that actually gets absorbed into the body)

      • Boozilla@lemmy.world
        link
        fedilink
        English
        arrow-up
        3
        ·
        6 months ago

        Thank you! Today I learned. (I’m usually kind of skeptical about supplements but what I’ve been able to find supports what you’re saying here).