Nicky,
I always take my Pred around 7:30-8:00 am. I do drink alot of caffiene. I am a coffee and tea drinker. I only drink coffee in the mornings but drink tea all day. Maybe I need to switch to decaffienated tea. I have not been using the patch recently so it's not from that.

I am also going to try taking my last Mestinon around 3:00 PM since the pred is working so well. Thanks for the info. Maybe with these changes I can finally get a good nights sleep. Thanks to all of you for your insight. I sooo appreciate it.
Kendra