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Mental Health (Expert Forum)
Hormonal Sleepiness
Answered by
Roger Gould, M.D. - Mental Health, Wellness
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD) , bipolar disorder , dementia , electroconvulsive therapy (ECT) , learning disabilities, memory, obsessive compulsive disorder (OCD) , panic , personality disorders, phobias , post-traumatic stress disorder (PTSD) , schizophrenia , stress , transitions, and work problems.
Hormonal Sleepiness
by Treehugger, Mar 31, 2004 12:00AM
For the past two years I have been suffering through perimenopause. My Gyn. has prescribed estrogen and micronized progesterone. The worst symptoms that remain are insomnia (early wakening) and daytime sleepiness/fatigue. Other natural sleep aids were not effective. Two weeks ago I was prescribed Trazadone (50 mg) by a psychiatrist to see if that would help. This started to help right away and life was getting back to normal. But the last two days I noticed that I am having trouble sleeping again and that I am very groggy during the day. I was really hoping this would work.
This may have to do with my hormone fluctuations. But could the Trazadone be causing the daytime grogginess or do I need to take more Trazadone to improve my sleep? It is hard to pinpoint what is causing the problem?
Another option the psychiatrist offered was to begin monophasic birth control pills.
Do you have any suggestions for improving my sleep and curing the daytime grogginess? Other than the above I am healthy as a horse - 43 years old - normal weight - no previous mental health issues.
This may have to do with my hormone fluctuations. But could the Trazadone be causing the daytime grogginess or do I need to take more Trazadone to improve my sleep? It is hard to pinpoint what is causing the problem?
Another option the psychiatrist offered was to begin monophasic birth control pills.
Do you have any suggestions for improving my sleep and curing the daytime grogginess? Other than the above I am healthy as a horse - 43 years old - normal weight - no previous mental health issues.
Doctor's Answer
by Roger Gould, M.D., Apr 01, 2004 12:00AM
, Apr 01, 2004 12:00AM
You might start by increasing the dose of Trazadone to see what happens..it is very good for your kind of insomnia, and is probably the first thing to try.
Member Comments (2)
by Treehugger, Apr 01, 2004 12:00AM
Thanks so much - I will try that.
