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  • BDD Moderators: Keif’ Richards

fentanyl insomnia?

S

stefx85

Bluelighter
Joined
Jun 12, 2015
Messages
120
Location
Johannesburg South Africa
I have been using sandoz transdermal fentanyl 50ug as directed.. for about 1+half months now for chronic pain. Ive had trouble falling asleep ever since I can remember. But the last month or so I seem to have a bit more insomnia than usual. Or is it just the psychiatric effects of the chronic pain coupled with depression of being diagnosed with chronic pain 6 months or so ago?
 
I've had trouble falling asleep properly on the end of a hydrocodone dose before. Maybe it's common with opioids?

It would put me into this "half-sleep" which was quite frustrating. The meds and pain could be very well causing it. Try melatonin.
 
Yeah, this can happen pretty easily with opioids. It's tricky to find something to help since you probably don't want to add any more CNS depressants, but there are some things like hypnotics and OTC anticholinergics that can help. What have you tried?
 
Blank said:
It would put me into this "half-sleep" which was quite frustrating. The meds and pain could be very well causing it. Try melatonin.
Click to expand...

This! Opiates fucked my sleep up almost like a nod instead of sleep.

I could never get sound sleep, lots of awakenings or just crap sleep.

Seein as your on fent gonna go off what wez said with avoid cns depressents.

Try a benadryl melatonin or valerian.
 
Opiates, benzodiazepines, alcohol, etc. etc. They all lead to insomnia IMO.
Or, like TRGB says above, you can hardly sleep non stop for more than a couple of hours.
I haven´t slept well for ages, except for one isolated night, regardless of having stopped using.
 
Yea.. No .. This isn't that irritating half-sleep cause yer itchy kind of insomnia.. Im talking full on awake. It was 38h. And used no stimulants, nor am I bipolar. Yea..

Guess its time for the psychiatrist..
 
Indeed, it is. Nothing worse than lousy nights of sleep and the never ending feeling of not having the rest you need.
 
fentanyl was always weird for sleep for me. Its like if i did too little i would be to agitated to sleep. If i did a medium amount, i would sleep real nice but have to redose middle of the night. If i did more, then it kept me up like this weird insomnia your body fights the nod and you just cant let go into a sleep state. So then I would freak out and do a ton more which would lead to total nod out / close to OD levels. Which is how i slept half the nights of the week. This is with pure powder fentanyl HCL and acetyl fentanyl. So I dont have experience with patches. But lemme tell you, my tolerance got so high from doing these nod out levels of fentanyl that it took me 32mg of suboxone to induce a detox yesterday. Never will I do pure fent powder again. I used to make nasal spray bottle solutions out of em. I had an endless supply with $ being no issue. Recipe for disaster. On days where i didnt have fent, even 25 bags of dope wouldnt set me straight. Its crazy what fent does to the brain. I think I probably could have survived that moscow theater hostage crisis where they sprayed some crazy strong analog of fent into the air ducts. I probably wouldnt have even nodded. I was on 25-50mg of fentanyl HCL a day or 10x that amount of acetyl fentanyl. Believe me thats not a typo.
 
My pain management doctor wanted to put me on Fent patches from day one. Yep, it's THAT BAD, with the question being more of...How the HELL have you existed without anything for pain? I had only found minimal relief with Darvocet for decades, because I had (have) to keep a sharp mind in my work.

I delayed the trial of Fentanyl until Morphine and Oxycodone failed me. I tried the Mallinkroft (sic) patches for 6 weeks before stopping. They provided NO RELIEF whatsoever. The night sweats were soaking and sick, preventing sleep. My days were spent in a comatose haze.

I'm sorry you're not sleeping. I hope things get better for you, with or without the Fentanyl. It caused such reverse effects for me that my doctor did genetic testing for metabolism. It seems (YAY...not) I have not only absorption failure, but also do not metabolize the codone meds properly. Morphone types are suggested as alternatives. However, I CANNOT function if sedated.

What's a CP patient to do?
 
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