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I have a problem similar to the one posted here http://forum.asktheneurologist.com/sleep-problems-f14/excessive-daytime-sleepiness-rls-idiopathic-hypersomnia-t23.html (in terms of symptoms).No one of my family have any sleep problems.
My problem started on December 2008 and I made this summery for what happened since this time record to show to my next doctor.
I now take TOFRANIL 25 only. 125-150 mg/day
and my sleep lab results
/***********************************************************/
Sleep Start 27-10-2009 16:55:40
Sleep Ended 27-10-2009 17:32:10
TIB : 3:45
SPT : 36:30 m
TST : 36
time of sleep vigilance 00:01:00
sleep effectiveness 16%
latency to REM 2:58
latency to NREM1 3:18
latency to NREM2 3:19
latency to NREM3 00
latency to NREM4 00
num of arousal: 2 arousal index 3.3
Stage Total Time %(/SPT)
Guard 00.01.00 2.74
REM 00.20.30 56.16
Non- REM1 00.15.00 41.10
Non –REM2 00.00.30 1.37
Non- REM3 00.00.00 0.00
Non –REM4 00.00.00 0.00
MT 00.00.00 0.00
SAO2
Full Report Saturation
Chba SpO2 00:00:04 0.03% 80% - 76% 00:00:00 0.00 %
100% - 96 % 03:43:09 99.18% 75% - 71% 00000000000%
95% - 91% 00.01.47 0.97% 70%-66% 0000000000%
90% - 86 % 00.00.00 0.00% 65% - 61% 00000000000%
85%-81% 00.00.00 0.00% <60% 0000000000 %
average saturation 97.6 Minimal saturation 95
Sleep record nearly 4 hrs revealed markedly decreased sleep efficiency with
increase stage I & REM, decreased stage II and absent SWS.
S.L. is prolonged however; there was an evidence for sleep onset REM periods
no ebnormality regarding sleep related respiratory events or periodic limbs movements (PLM)
picture suggestive of decreased sleep effiecncy with sleep onset REM periods
/**********************************************************
and I will answer the questions:
1) What dose of ritalin / provigil / mix you took?
This one was answered in the images above. But the new is i have tried Provigil 4 days ago . at the first day it caused me a bad headache but i completed using it and the headache was gone.I didnt find any thing affective in this medication although I heard it is a magic treatment. I took 100 mg in the first day , 150 next day, 200 next day, 300 next day and no effect at all. I stopped it. also it is so expensive for me and I will not be able buy it , but i gave it the chance.
2) How long it takes you to fall asleep at night
Not much time. 5 minutes to 20 max. That's way I didn't make the sleep test at night.
3) Whether you fall asleep whilst watching TV in lectures / meetings etc?
No Never.I never fall a sleep while watching TV or Lectures but I usually feel sleepy and go to sleep by my self if I'm at home. If I'm not at home, there is no chance to sleep.
4) How many hours you sleep at night
I don't know the accurate answer. I force my self to wake up after 6 hours and I don't feel refreshed at all even I make them 8 or 10
5) Whether you wake up during the night
No I don't. But I do if I forgot to take "Tofranil 25". I noticed that for 3 or 4 times when I forgot to take it.
But since the sleep problem started I never wake up at night. and also during these days ( the days of PROZAC and Wellbutrin) when i sleep during the day, I was enjoying my sleep time and i was dreaming many times in the 2-hour sleep period as I remember, The dreams were like action movies.
This problem destroying my life and I stopped dreaming because I feel much bad when I cant work on them because of this problem.
I will be the happiest man in the world if you can help me on this.
Thanks.
