First of all i suffer from fibromyalgia. I am currently on cymbalta 30 mg daily. I have been suffering from depression and was not able to sleep. The ambien with the rozarem seemed to work but i awake 3 hours later in severe pain and can't go back to sleep. He prescribed remeron 7.5 mg daily at night. It nocks me out but i can sleep for days. Nuvigil 150mg was also ordered to help with waking. The nuvigil does absolutely nothing and i feel drugged all day. I am hesitant to take the remeron again. I am chronically fatigued and in pain with no relief from motrin and tylenol. I think if my pain was treated and I just took the ambien with the rozarem as i was , i would feel much better and be more productive as a business owner with high demanding hours which can mean different shifts. What should i do? And why are doctors hesitant to treat pain, which we all know can cause depression? Please help!
Currently prescribed remeron 7.5 mg nightly with ambien 10mg. Nuvigil 150mg to help me wake up?
- 17 May 2010 by nursetracie
- 14 Jul 2010
- ambien, cymbalta, nuvigil, remeron, depression, anxiety, insomnia, pain, drowsiness, shift work sleep disorder, fibromyalgia, sleep disorders, chronic fatigue syndrome (cfs), sleep
Hello... I, too have quite a few medical ailments, I also work for a large neurology group (11+years, not a Dr or nurse, but I hope maybe I can give you some helpful information). First, I think you should speak with your Dr if your fibro pain is not in control. The best way to do this is by making an appointment. Pain alone can cause a person to not be able to sleep. You may need to change or suppliment your medication for pain control. Everyone is different, and you have to find a medication regimen that works for you. Ambien should keep you asleep for 6 hours from my experience, the pain is probably disrupting that. I've heard Lyrica is often rx'd for fibro, as well as Neurontin. (Other medications can be used in conjuction with these as well). If your pain is controlled, you should see better results in your sleep, whether or not you still need the aid of Ambien, or Lunesta. I used to take Nuvigil every day- but now I have replaced that with that "5 hour energy drink"- you may only need 1/2 of the small bottle, and it's full of Vitamin B6, B12, Niacin, and folic acid. Just a thought! Best of luck to you.
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