Here is My Question:
I'm a working female in my late 30s with RRMS. I am doing ok with it, but it is the secondary stuff I am trying to learn to live with.
What is the priority to handle: sleep cycle disturbance or daytime fatigue? They're both negatively affecting one another.
I'm dragging myself to bed between 10 and 11pm nightly (can't go any earlier). I am up between 3:30 and 4am for a variety of reasons (not often MS symptom related...I'm a light sleeper), and I can't go back to sleep. Once I'm up, that's it! By mid-day, I'm a walking zombie. I can't function without caffeine around 2 or 3pm. Wash. Rinse. Repeat.
I am already on 100mg Amantadine in the morning and 50mg before 1pm, but it hasn't really done much. Sleeping pills make daytime drowsiness so horrible.
How can I get more sleep and more energy? Help!
Managing daytime fatigue and sleepiness must begin with a thorough evaluation of altered or disrupted sleep. You can only beat the proverbial, “dead horse” so much with caffeine and stimulants . It sounds like you have longstanding problems as a light sleeper but were able to compensate in the past. Common problems to address include the following:
Revere (Rip) Kinkel MD
Professor of Clinical Neurosciences
Director of the Multiple Sclerosis Program
Clinical Neurosciences Director
University of California San Diego
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