Hi, Waves
I did not get back to sleep in the afternoon and have not gone back to bed. I do not have any idea what is going on. I feel depressed.
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Originally Posted by waves
Hi Mari
yes i understood it makes you fall asleep for a short time.
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See, I did not know that until you pointed this out. Gabapentin helps with sleep less than anything else in the world.
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my observation was that you were "crashing out" inadvertently and it was probably not quality sleep.
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That is exactly what was happening.
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might as well make it quality sleep, if possible... and in a different situation you might sleep longer, was my thought (perhaps wrong).
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That is right.
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ok, anyway, just now when i saw your other post listing your recent titration what jumped to mind is that you are going too fast.
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I know. And you sort of said something along these lines the last time I put myself through this.
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i would step the dose up by a week at a time. i'm not kidding. it's not usually necessary for gabapentin, but then, people aren't usually as sensitive to the drug as you are. imho, that needs to be taken into consideration wrt titration as well.
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Friday night I took 200 mgs (two capsules) for the second night in a row. . . Mostly it is hard to work with the capsules. I need a scale or some tool.
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i understand you "need" results .... and i've seen you do what i felt was "jumping the gun" on other meds (my opinion of course, forgive me if i am out of place saying so)
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I do not remember doing this with other meds. For those other meds, I took this as prescribed. The Gabapentin I have been playing with for 13 or 14 months now. I am ok with taking your word for it because I feel really messed up right now.
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but if as you say the primary side effect of stepping up is sleep deprivation, then all the more reason to go slowly.
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Here is the thing. while I am titrating I am getting depressed and missing sleep and getting nothing done. I have a list as long as my arm that I have to get done by August 13 when we return to people and meetings and more expectations on top of what I already have in my hand.
Oh heavens, I am so freaked out about having my work done on time.
Just before I posted this, emailed a request for a phone appointment with Work Buddy. Two weeks ago, I put out a distress call for phone help and then we talked almost two hours and I felt better about my stuff I am trying to get done.
I crammed before that call. . .worked all night for two nights . . . He helped tremendously. He enthusiastically offered suggestions, gave me lots of ideas, told me what I had so far would work, reminded me to be realistic, . . .
That was eight days ago and I feel stuck again. I do not know how to get progress on that particular project without him.
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sleep deprivation will only work against you -- it will produce more anxiety, tend to increase all types of pain sx you might have, decrease concentration etc etc i'm sure you are all too aware... or then again perhaps not.
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I am aware. I have some logic for this. I cannot remember what it is, but the plan (HA!) made sense for a moment.
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i wonder if you get sleep deprived so often and have been for so long that you've begun to see some of the sx as primary issues rather than ascribing them to the sleep deprivation.
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This seems insightful but I do not understand. Maybe you can explain it to me.
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anyway. my point is i would slow the titration to a 30ish mg per week. 
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I really hope that after three nights of this dose, I will settle in. Maybe I can stay at that 200 mg dose for a week or more before considering titatrating a little more.
PLEASE recognize that I am very appreciative of your help.
I suppose that my replies show that either 1 I am not thinking clearly or 2 I am thinking clearly but have a not so good plan.
M