Which sleep aid gives you the best sleep?

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maharishi3383 said:
Leave it to MDs to start listing medications first. I can't believe no one has said this before but a glass of warm milk is the best natural sleep aid we've got. You can add a turkey sandwich if you like. Thats the worst advice I've ever heard.

I think he spikes his warm milk with dilaudid.

Posts like this are what cause animosity between complementary and traditional medicine. And come on, if you've gotten to the point of using drugs, you've probably already tried the simple things.

Warm milk with a sonata. Done.

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I've had sleep problems for 10+ years, and have seen a couple of the sleep specialists at the Stanford sleep center. I'm reading Demente's book right now -- highly recommend it to anyone intersted in the subject.

I think cognitive behavioral therapy should be tried before any medication. I've used Neurontin, Ambien, Sonata, etc. but for ME CBT was the most effective. Somewhat related, a related study found patients receiving CBT did about as well as those receiving antidepressants (for depression, not insomnia).

Obviously not everyone lives near a university with a world class sleep center, but there are many more practicing sleep medicine now-a-days...
 
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megboo said:
The designated driver :smuggrin:

I was under the impression that the designated driver is the one who had the least to drink at the end of the night. Am I wrong?
 
OSUdoc08 said:
I was under the impression that the designated driver is the one who had the least to drink at the end of the night. Am I wrong?

Yeah, sorry about that. Typically the DD doesn't drink, unless they have an actual device to check BAH, then as long as they blow under a .08 they're the DD.

I'd prefer to ride with someone who doesn't drink at all if they're the DD. You never know what medications someone might be taking that alcohol could affect. :eek:
 
megboo said:
Yeah, sorry about that. Typically the DD doesn't drink, unless they have an actual device to check BAH, then as long as they blow under a .08 they're the DD.

I'd prefer to ride with someone who doesn't drink at all if they're the DD. You never know what medications someone might be taking that alcohol could affect. :eek:

Must be a girl thing. We just decide the driver when we walk to the car. Whoever doesn't fall on the way gets the keys.
 
1) stuff that looks like :luck:
2) jack daniels
3) sedatives (not of the ambien/lunesta variety)
it works. i have insomnia as well... sometimes i don't sleep for 2 days straight.
 
megboo said:
Naw, it's one of those wanting to be alive things.

Hopefully you are joking! :oops:

It's worked for me so far!

Of course one of the people we go drinking with is a county Sheriff.

(If she's not with us, that's why you sober up at Whataburger or IHOP before heading home.)
 
OSUdoc08 said:
It's worked for me so far!

Of course one of the people we go drinking with is a country Sheriff.


My brother's best friend is a K-9 officer (the human one), and they are pretty bad about driving home after a late night at the bar. In their case, the bar is on the other side of the county, too!

That must be a man thing :laugh: .
 
OSUdoc08 said:
Must be a girl thing. We just decide the driver when we walk to the car. Whoever doesn't fall on the way gets the keys.
then call a cab...
 
my best sleep is when i'm under anesthesia, the only time i feel rested
 
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Psycho Doctor said:
my best sleep is when i'm under anesthesia, the only time i feel rested

haha..good one. :laugh:
 
Lanced said:
I've had sleep problems for 10+ years, and have seen a couple of the sleep specialists at the Stanford sleep center. I'm reading Demente's book right now -- highly recommend it to anyone intersted in the subject.

I think cognitive behavioral therapy should be tried before any medication. I've used Neurontin, Ambien, Sonata, etc. but for ME CBT was the most effective. Somewhat related, a related study found patients receiving CBT did about as well as those receiving antidepressants (for depression, not insomnia).

Obviously not everyone lives near a university with a world class sleep center, but there are many more practicing sleep medicine now-a-days...
I haven't read the whole thread, but..

I'm in the bay area as well & have pts & one of their physicians whose family is are pts I fill rx's for. I've spoken with him about their philosophy about sleep disorders & they have good success (altho...I admit, I wouldn't necessarily know about those who failed treatment. But...I've never had a disgruntled pt!).

Dement's book is great & gives good insight into the physiology of sleep deprivation. Not a textbook, but a good read for those of us who appreciate a cursory review.

Good luck!
 
I've had problems with sleep for ever. I like Melotonin-3 somewhat. I got addicted to ambien because a friend jsut gave me a butch and said it would probably be safe because ambien was non-addictive. Anyways- I've learned that getting only 6 hours isn't that bad. During exam weeks your cortisol levels become very high and 6 hours or even 4 or 5 might be what your body expects you to get. I imagine it will level out at non stressful periods. Just learn to get your but out of bed.

Also roomates are bad for people with insomnia unless they are good ones. You'd be surprised how living alone makes things easier after years of having roomates that you stay up with late that messes up your rhythems. If your rhythems are off expect to get less sleep for a fews days until they are in synch.

sdn1977 said:
I haven't read the whole thread, but..

I'm in the bay area as well & have pts & one of their physicians whose family is are pts I fill rx's for. I've spoken with him about their philosophy about sleep disorders & they have good success (altho...I admit, I wouldn't necessarily know about those who failed treatment. But...I've never had a disgruntled pt!).

Dement's book is great & gives good insight into the physiology of sleep deprivation. Not a textbook, but a good read for those of us who appreciate a cursory review.

Good luck!
 
I have been using the source naturals orange flavored 2.5mg sublingual melatonin tablets for over six years now and they always work. I dont know what I would do without them, also I take sublingual 5-HTP when I wake up because I heard that the melatonin can lower serotonin levels. Try this out, with daily exercise, and you shouldnt have sleep problems, unless your taking adderral or drinking caffeine after 11:00 AM.
 
Holistic said:
I have been using the source naturals orange flavored 2.5mg sublingual melatonin tablets for over six years now and they always work. I dont know what I would do without them, also I take sublingual 5-HTP when I wake up because I heard that the melatonin can lower serotonin levels. Try this out, with daily exercise, and you shouldnt have sleep problems, unless your taking adderral or drinking caffeine after 11:00 AM.

I wish I could take the melatonin. I actually can take it for about 2 nights in a row without any problems but if I take it a third night I have depression the next day. Not out of control but studying for step is making me want to cry already (yes I am a girl) without the addition of a chemical imbalance! I am not sure why it does this but I have noticed that it is a possible side effect listed for the new melatoin receptor agonist sleep aid so I must not be the only one who is effected in this way. **sigh** right now I am trying to curtail the caffiene to 1 cup of green tea in the morning, make sure I excercise etc. and relax in the evenings. The big problem is turning my mind off. I will be almost asleep and I will start thinking of my translocations and trying to remember which goes with what disease etc. Then I am wide awake and thinking of all the other stuff I studied that day. I may try the ibuprofen thing that someone mentioned.
 
JBlue said:
I wish I could take the melatonin. I actually can take it for about 2 nights in a row without any problems but if I take it a third night I have depression the next day. Not out of control but studying for step is making me want to cry already (yes I am a girl) without the addition of a chemical imbalance! I am not sure why it does this but I have noticed that it is a possible side effect listed for the new melatoin receptor agonist sleep aid so I must not be the only one who is effected in this way. **sigh** right now I am trying to curtail the caffiene to 1 cup of green tea in the morning, make sure I excercise etc. and relax in the evenings. The big problem is turning my mind off. I will be almost asleep and I will start thinking of my translocations and trying to remember which goes with what disease etc. Then I am wide awake and thinking of all the other stuff I studied that day. I may try the ibuprofen thing that someone mentioned.

Take some St. John's Wort.
 
OSUdoc08 said:
Take some St. John's Wort.

Interesting that the melatonin causes affect problems. My guess is negative feedback on the 5HT receptor system with post synaptic downregulation of 5HT receptors, or an alteration in the 5-hydroxytryptamine synthesis pathway- but that could take a year or more to really figure out in the lab.

I feel you shouldn't take St. John's wort, and see a professional if the mood or sleep issues become bigger problems. Moreover, I wouldn't try to reverse a side effect of self medicating with more self medicating. Self medicating with one OTC drug is arguably an OK practice, but self medicating w/ two drugs for related indications is looked upon as poor judgement by most physicians (including AMA guidelines).
 
Has anyone here tried valerian tea as a sleeping aid with success?
 
medhacker said:
Has anyone here tried valerian tea as a sleeping aid with success?

My Melatonin supplements contain Valerian Root.
 
OSUdoc08 said:
Take some St. John's Wort.

That can mess with other medications that you're taking, like birth control pills (meaning, can make them ineffective).
 
I combine 750mg(1 & 1/2) of chewable melatonin from trader joes with 2-144mg
high choline lecithin softgels. The mel. makes me tired and I believe the lecithin makes me wake up faster and more refreshed. I use it for a max of 5 days, then wait a week or so. If I take it for a few days longer I start to grind my teeth and have very vivid dreams.
 
Cinnameg said:
That can mess with other medications that you're taking, like birth control pills (meaning, can make them ineffective).

You'll have to quit acting like a jackrabbit, then.
 
Different methods work for different people. You can usually automatically ignore someone's advice when they say "don't take this..." or "This is the trick..." or crap like that because they obviously don't understand that everyone reacts differently to everything. Yes you can generalize about some things, such as the weird amnesia with Ambien, but NOTHING is universally true with these methods. I tried kava root, which is supposed to be awesome, but it did nothing for me. I also tried Tylenol PM and it did absolutely nothing. I know other people who say this stuff knocks them out. A buddy says if he takes Tylemol PM with ONE beer it knocks him out (and you won't find a credible doctor that will say you will cause liver toxicity with a tylenol and one beer). Anyway, it didn't work for me.
I always just try to finish whatever chores or business I have so I don't have to worry about it when I'm trying to sleep. I try to wake up realatively early even when I don't have to so I won't be wide awake at night. A fan for white noise. A cool room. And 5-10 mg ambien only ONCE EVERY FEW DAYS if I really need it. Tolerance to it builds up quickly, so you need to take breaks from it often. I have had NO side effects from it. I have woken up early on it, because I don't have the CR type. Usually I'm able to fall back asleep anyway.
I think the bottom line is: Take everything everyone says with a grain of salt. Try it if it sounds reasonable.
 
Pooh & Annie said:
Different methods work for different people. You can usually automatically ignore someone's advice when they say "don't take this..." or "This is the trick..." or crap like that because they obviously don't understand that everyone reacts differently to everything. Yes you can generalize about some things, such as the weird amnesia with Ambien, but NOTHING is universally true with these methods. I tried kava root, which is supposed to be awesome, but it did nothing for me. I also tried Tylenol PM and it did absolutely nothing. I know other people who say this stuff knocks them out. A buddy says if he takes Tylemol PM with ONE beer it knocks him out (and you won't find a credible doctor that will say you will cause liver toxicity with a tylenol and one beer). Anyway, it didn't work for me.
I always just try to finish whatever chores or business I have so I don't have to worry about it when I'm trying to sleep. I try to wake up realatively early even when I don't have to so I won't be wide awake at night. A fan for white noise. A cool room. And 5-10 mg ambien only ONCE EVERY FEW DAYS if I really need it. Tolerance to it builds up quickly, so you need to take breaks from it often. I have had NO side effects from it. I have woken up early on it, because I don't have the CR type. Usually I'm able to fall back asleep anyway.
I think the bottom line is: Take everything everyone says with a grain of salt. Try it if it sounds reasonable.

Why not just take Lunesta?
 
OSUdoc08 said:
Why not just take Lunesta?
Well, for one, Medicaid prefers Ambien CR and some people don't like the horrific taste that Lunesta is so gracious to bestow.

:)
 
bigfrank said:
Well, for one, Medicaid prefers Ambien CR and some people don't like the horrific taste that Lunesta is so gracious to bestow.

:)

What medical student is on Medicaid?

Isn't this a medical student forum?

Toss the pill to the back of your throat and drink juice with it immediately. Don't let it sit on your tongue while you run downstairs to find some water.

I'd be willing to put up with the taste of Lunesta to avoid the addictive properties of Ambien. Anyone else should too.
 
OSUdoc08 said:
What medical student is on Medicaid?

Isn't this a medical student forum?

Toss the pill to the back of your throat and drink juice with it immediately. Don't let it sit on your tongue while you run downstairs to find some water.

I'd be willing to put up with the taste of Lunesta to avoid the addictive properties of Ambien. Anyone else should too.
:laugh:

The STRONG metallic taste occurs the next morning, lasts for hours, and is rather troublesome to many people. It has *nothing* to do with taking a quick drink when you swallow the pill and has everything to do with circulating metabolites of the drug.
 
bigfrank said:
:laugh:

The STRONG metallic taste occurs the next morning, lasts for hours, and is rather troublesome to many people. It has *nothing* to do with taking a quick drink when you swallow the pill and has everything to do with circulating metabolites of the drug.

I'm sorry you feel that way, BigFrank. Try some Sonata, then.
 
maharishi3383 said:
I didn't say it knocked me out cold I was simplying suggesting an scientifically proven alternative that hadn't been mentioned before.

i was hoping this person would post a study - any study - where warm milk put people to sleep faster than sonata/ambien/lunesta.

"scientifically proven." :rolleyes:

to the poster: are you, by chance, related to kevin trudeau?
 
ghb would win hands down. everything ive read on it says it is the most ideal sleep producing compound.... too bad it is abused.
 
no one here has mentioned Chloral Hydrate. Less addictive/strong than most benzos, it helps you fall asleep, not necessarily sleep through the night. I only try to use it when I have a test (I am clear the next morning) or if I haven't slept well in 3 days.

Otherwise, there are a lot of valerian root + hops tabs and sleepytime teas that I try to use for the everday stuff.
 
I don't mind replying to several year olf threads.

Anyway, someone mentioned Trazadone. My word of caution is watch out for the side effects . . . hooray priapism. That risk isn't worth catching a few z's in my opinion when there are so many other drugs to try.
 
Earplugs, m**turbation, and 25mg of diphenylphydramine. Out in 20-25 mins!
 
Regarding next day grogginess after 2 Tylenol PM:

If you only take half the dose (12.5-25 mg) you should have enough diphenhydrine to get you to sleep but not give you the grogginess. Same thing with Nyquil. The half life is around 4 hours, so if you halve the dose it should be down below the effective dose by the time you're waking up.
 
Why not just take Lunesta?

:laugh:

The STRONG metallic taste occurs the next morning, lasts for hours, and is rather troublesome to many people. It has *nothing* to do with taking a quick drink when you swallow the pill and has everything to do with circulating metabolites of the drug.

These people are wusses:smuggrin:

Has anyone had a problem with Lunesta not working anymore? I have tried it for a month, and at first, I slept great (usually I wake up every 1.5 hours or so). It still puts me to sleep within 1/2 an hour, but now It only lasts for 3 hours. I go to bed at 10 (weeknights) and wakeup at 1am. Needless to say, I am p***ed off because I thought it would cure my insomnia, and now I feel like the most powerful non-addictive sleep aid is a sham.

Is it dangerous to take 2 (4mg total) pills at once? I don't think so since the warnings aren't in very big or bold letters on the instructions, but I am a little worried about trying it.
 
I love this thread. :laugh:

Try to get your doctor to write a prescription for clonazepam 0.5 mg. ... Works like a charm with no adverse memory effects.

Have a moderately insomniac friend who says this worked well for her, too; nothing else does.

I'm surprised at how many of you take some kind of drug to help you go to sleep.

I'm not!

The only thing that really does the trick is promethazine.

Phenergan kicks your ass? Whoa, never did that for me.

Earplugs, m**turbation, and 25mg of diphenylphydramine. Out in 20-25 mins!

Masturbation... hrm. DPH sorta kinda works.

As for the OP's question, doxylamine works well for me. No, not by chugging Nyquil; Unisom still puts it out as a sleep aid.
 
Wow, this is an old thread but I will put in my two cents.

Most sleep aids give hypnotic sleep and you won't get the proper REM sleep that you really need. Plus too many of them create dependence.

I feel the best medicine for sleep is exercise, sleep hygiene and dealing with stress and depression properly.
 
Nothing puts me to sleep faster than a set of cardiophys notes. Or cardiophys lectures. Something about the lulling waves of venous pressure... No amount of sleep the night before or any amount of coffee or Mountain Dew keeps me awake in that class for more than 3 minutes.

Physio is great for my sleep cycle. Not so great for my exam grade :(
 
I have never had trouble falling asleep, but had trouble waking up fairly early (at 5 a.m. or so, and not feeling terribly refreshed). So...what works for me:
1. High intensity exercise (intervals)
2. Absolutely no caffeine
3. Stop studying about 1 hour before bed and do something you really enjoy (for me...watching sports on the internet)
4. About 20 minutes before bed spend time in prayer/spiritual exercises...puts you at complete peace...:)
 
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