Health QuestionsCategory: MedicationsAtivan plus sleeping pills
Imperfect asked 2 years ago

Is this a bad idea? I’ve tried many sleeping pills, Ambien CR, benedryl, etc and the only thing that seems to work is an Ativan and a sleeping pill. Of course I can hardly move in the mornings, but it’s the only thing that lets me get a full night’s sleep. Just how dangerous is this combo?

11 Answers
Zeke answered 2 years ago

I’ve been taking Ativan some nights to help me get to sleep, because I needed to get up for work.  Now I’m on administrative leave from work because they say my speech is sometimes slurred and I seem “out of focus” at times.  I wonder if it has been on mornings when I have had Ativan the previous night.  Does it stay with you that long?  It says on the Ativan page that it has a halflife of 16 hours–does that mean that 16 hours later you are still zoned with half of what you took?  I don’t feel any different, and when they told me this and put me on leave I was flabbergasted.  Anybody have similar experience with this?

mania answered 2 years ago

The half life of any drug is that in x hours, half of the drug will have metabolised out of your system.
 
If it has a single, simple half life.
 
So, for your Ativan, in 16 hours +/- your body will have metabolised half of your last dose.
 
Some people are fast metabolisers, some are slow.  You really have to figure out your own system in general, and then your own system on particular drugs.
 
I would check my script and see when I filled it, if my sig. other remembered when I took it, etc. to see if there was any pattern.
 
Perhaps your dosing was too high, of you needed to take it earlier in the evening.  You’d need to ask your doc.
 
Beyond that, you need to find out why you’re on admin. leave: do they think you’re on illegal drugs, or are they discriminating against you for being mentally interesting.  The former is within their rights.  The latter is not.

Zeke answered 2 years ago

The leave is because of behaviors, they say–the speech and so forth, not necessarily why but what.  I am keeping my union president informed, though, just in case.  If it is the Ativan, I may just have to be short of sleep instead, which isn’t good either if you have to be alert.  I was taking it with Lunesta, which doesn’t put me to sleep but seems to keep me asleep better so I am not getting up a lot in the night.

mania replied 2 years ago

If you truncate your sleep cycle, you risk knocking yourself into mania.

If your “behaviors” are including increased use of foul language, short temper, and raging, you may already be there – in the form of a dysphoric mania.

Remember that all sleep is not “good” sleep. Often times, the drugs given to put one to sleep give what someone above referred to as “anxious” sleep. You get up just as spun up as when you went to bed. This type of sleep doesn’t help a bipolar (IMO). Ultimately, your mind has to wind down for your mania to wind down (I know, duh).

Finally, if you are in a type of dysphoria, I would highly recommend something physical. Running. Punching bag. Making bread by hand. Rebuilding an engine. Turning earth with just a shovel. Chopping wood. I’ve found that there is something about the mechanics of heavy body movement the help “flip the switch” back out of ragey mania. Not exercise, per se, but rather movement. It helps if no one is around to give commentary.

My $.02.

mania

tooky answered 2 years ago

I think Ativan sucks as a sleeping pill because if I’m really upset it gives me anxious dreams instead of sleep and even taking a higher dose has me waking up in four hours pissed and sleepy but AWAKE. I’d find something else.

adieuolivaw answered 2 years ago

IMPERFECT and CRSHLANDIN and TOOKY—I agree about stopping the sleeping pills, as Crshlandin suggests.  Before I used Seroquel, I was using Ativan.  And I had the same problem as Tooky.  I kept waking up in the middle of the night, unable to go back to sleep.  Seroquel lets me sleep the whole night.  But I guess you could use both, because Ativan is good for that instantly-sleepy feeling.

ZEKE—I have this funny feeling that Geodon 160 mg (maximum dose) could be contributing to your problems.  Here’s a link for what Jerod says (in CrazyMeds) about Geodon.  He mentions certain possible side-effects you might find interesting — loss of short-term memory, aggravated or induced mania especially in the presence of an antidepressant or the more antidepressing of the mood stabilizers like Lithium or Lamictal.  Hmmm.

Ativan, Amitriptyline, and Lunesta for sleep?  I assume you mean 40 mg Amitriptyline, not 4 mg, unless you’re injecting.

I ran the medchecker.  Found 3 MAJOR drug-drug interactions and 13 MODERATE interactions. Here’s the URL to use the med-checker for yourself, to see the results.  Please remember to add Lunesta?  Basically, there is increased risk of seizures & prolongation of QT interval.  If this is nothing new to you or your pdoc, please disregard.

These drugs do not play nicely together:
Amitriptyline & Geodon
Amitriptyline & Wellbutrin
Geodon & Wellbutrin.

Adieu

Anonymous asked 3 years ago

Is this a bad idea? I’ve tried many sleeping pills, Ambien CR, benedryl, etc and the only thing that seems to work is an Ativan and a sleeping pill. Of course I can hardly move in the mornings, but it’s the only thing that lets me get a full night’s sleep. Just how dangerous is this combo?

12 Answers
Zeke answered 2 years ago

I’ve been taking Ativan some nights to help me get to sleep, because I needed to get up for work.  Now I’m on administrative leave from work because they say my speech is sometimes slurred and I seem “out of focus” at times.  I wonder if it has been on mornings when I have had Ativan the previous night.  Does it stay with you that long?  It says on the Ativan page that it has a halflife of 16 hours–does that mean that 16 hours later you are still zoned with half of what you took?  I don’t feel any different, and when they told me this and put me on leave I was flabbergasted.  Anybody have similar experience with this?

mania answered 2 years ago

The half life of any drug is that in x hours, half of the drug will have metabolised out of your system.
 
If it has a single, simple half life.
 
So, for your Ativan, in 16 hours +/- your body will have metabolised half of your last dose.
 
Some people are fast metabolisers, some are slow.  You really have to figure out your own system in general, and then your own system on particular drugs.
 
I would check my script and see when I filled it, if my sig. other remembered when I took it, etc. to see if there was any pattern.
 
Perhaps your dosing was too high, of you needed to take it earlier in the evening.  You’d need to ask your doc.
 
Beyond that, you need to find out why you’re on admin. leave: do they think you’re on illegal drugs, or are they discriminating against you for being mentally interesting.  The former is within their rights.  The latter is not.

Zeke answered 2 years ago

The leave is because of behaviors, they say–the speech and so forth, not necessarily why but what.  I am keeping my union president informed, though, just in case.  If it is the Ativan, I may just have to be short of sleep instead, which isn’t good either if you have to be alert.  I was taking it with Lunesta, which doesn’t put me to sleep but seems to keep me asleep better so I am not getting up a lot in the night.

mania replied 2 years ago

If you truncate your sleep cycle, you risk knocking yourself into mania.

If your “behaviors” are including increased use of foul language, short temper, and raging, you may already be there – in the form of a dysphoric mania.

Remember that all sleep is not “good” sleep. Often times, the drugs given to put one to sleep give what someone above referred to as “anxious” sleep. You get up just as spun up as when you went to bed. This type of sleep doesn’t help a bipolar (IMO). Ultimately, your mind has to wind down for your mania to wind down (I know, duh).

Finally, if you are in a type of dysphoria, I would highly recommend something physical. Running. Punching bag. Making bread by hand. Rebuilding an engine. Turning earth with just a shovel. Chopping wood. I’ve found that there is something about the mechanics of heavy body movement the help “flip the switch” back out of ragey mania. Not exercise, per se, but rather movement. It helps if no one is around to give commentary.

My $.02.

mania

tooky answered 2 years ago

I think Ativan sucks as a sleeping pill because if I’m really upset it gives me anxious dreams instead of sleep and even taking a higher dose has me waking up in four hours pissed and sleepy but AWAKE. I’d find something else.

adieuolivaw answered 2 years ago

IMPERFECT and CRSHLANDIN and TOOKY—I agree about stopping the sleeping pills, as Crshlandin suggests.  Before I used Seroquel, I was using Ativan.  And I had the same problem as Tooky.  I kept waking up in the middle of the night, unable to go back to sleep.  Seroquel lets me sleep the whole night.  But I guess you could use both, because Ativan is good for that instantly-sleepy feeling.

ZEKE—I have this funny feeling that Geodon 160 mg (maximum dose) could be contributing to your problems.  Here’s a link for what Jerod says (in CrazyMeds) about Geodon.  He mentions certain possible side-effects you might find interesting — loss of short-term memory, aggravated or induced mania especially in the presence of an antidepressant or the more antidepressing of the mood stabilizers like Lithium or Lamictal.  Hmmm.

Ativan, Amitriptyline, and Lunesta for sleep?  I assume you mean 40 mg Amitriptyline, not 4 mg, unless you’re injecting.

I ran the medchecker.  Found 3 MAJOR drug-drug interactions and 13 MODERATE interactions. Here’s the URL to use the med-checker for yourself, to see the results.  Please remember to add Lunesta?  Basically, there is increased risk of seizures & prolongation of QT interval.  If this is nothing new to you or your pdoc, please disregard.

These drugs do not play nicely together:
Amitriptyline & Geodon
Amitriptyline & Wellbutrin
Geodon & Wellbutrin.

Adieu

Imperfect asked 3 years ago

Is this a bad idea? I’ve tried many sleeping pills, Ambien CR, benedryl, etc and the only thing that seems to work is an Ativan and a sleeping pill. Of course I can hardly move in the mornings, but it’s the only thing that lets me get a full night’s sleep. Just how dangerous is this combo?

12 Answers
Zeke answered 2 years ago

I’ve been taking Ativan some nights to help me get to sleep, because I needed to get up for work.  Now I’m on administrative leave from work because they say my speech is sometimes slurred and I seem “out of focus” at times.  I wonder if it has been on mornings when I have had Ativan the previous night.  Does it stay with you that long?  It says on the Ativan page that it has a halflife of 16 hours–does that mean that 16 hours later you are still zoned with half of what you took?  I don’t feel any different, and when they told me this and put me on leave I was flabbergasted.  Anybody have similar experience with this?

mania answered 2 years ago

The half life of any drug is that in x hours, half of the drug will have metabolised out of your system.
 
If it has a single, simple half life.
 
So, for your Ativan, in 16 hours +/- your body will have metabolised half of your last dose.
 
Some people are fast metabolisers, some are slow.  You really have to figure out your own system in general, and then your own system on particular drugs.
 
I would check my script and see when I filled it, if my sig. other remembered when I took it, etc. to see if there was any pattern.
 
Perhaps your dosing was too high, of you needed to take it earlier in the evening.  You’d need to ask your doc.
 
Beyond that, you need to find out why you’re on admin. leave: do they think you’re on illegal drugs, or are they discriminating against you for being mentally interesting.  The former is within their rights.  The latter is not.

Zeke answered 2 years ago

The leave is because of behaviors, they say–the speech and so forth, not necessarily why but what.  I am keeping my union president informed, though, just in case.  If it is the Ativan, I may just have to be short of sleep instead, which isn’t good either if you have to be alert.  I was taking it with Lunesta, which doesn’t put me to sleep but seems to keep me asleep better so I am not getting up a lot in the night.

mania replied 2 years ago

If you truncate your sleep cycle, you risk knocking yourself into mania.

If your “behaviors” are including increased use of foul language, short temper, and raging, you may already be there – in the form of a dysphoric mania.

Remember that all sleep is not “good” sleep. Often times, the drugs given to put one to sleep give what someone above referred to as “anxious” sleep. You get up just as spun up as when you went to bed. This type of sleep doesn’t help a bipolar (IMO). Ultimately, your mind has to wind down for your mania to wind down (I know, duh).

Finally, if you are in a type of dysphoria, I would highly recommend something physical. Running. Punching bag. Making bread by hand. Rebuilding an engine. Turning earth with just a shovel. Chopping wood. I’ve found that there is something about the mechanics of heavy body movement the help “flip the switch” back out of ragey mania. Not exercise, per se, but rather movement. It helps if no one is around to give commentary.

My $.02.

mania

tooky answered 2 years ago

I think Ativan sucks as a sleeping pill because if I’m really upset it gives me anxious dreams instead of sleep and even taking a higher dose has me waking up in four hours pissed and sleepy but AWAKE. I’d find something else.

adieuolivaw answered 2 years ago

IMPERFECT and CRSHLANDIN and TOOKY—I agree about stopping the sleeping pills, as Crshlandin suggests.  Before I used Seroquel, I was using Ativan.  And I had the same problem as Tooky.  I kept waking up in the middle of the night, unable to go back to sleep.  Seroquel lets me sleep the whole night.  But I guess you could use both, because Ativan is good for that instantly-sleepy feeling.

ZEKE—I have this funny feeling that Geodon 160 mg (maximum dose) could be contributing to your problems.  Here’s a link for what Jerod says (in CrazyMeds) about Geodon.  He mentions certain possible side-effects you might find interesting — loss of short-term memory, aggravated or induced mania especially in the presence of an antidepressant or the more antidepressing of the mood stabilizers like Lithium or Lamictal.  Hmmm.

Ativan, Amitriptyline, and Lunesta for sleep?  I assume you mean 40 mg Amitriptyline, not 4 mg, unless you’re injecting.

I ran the medchecker.  Found 3 MAJOR drug-drug interactions and 13 MODERATE interactions. Here’s the URL to use the med-checker for yourself, to see the results.  Please remember to add Lunesta?  Basically, there is increased risk of seizures & prolongation of QT interval.  If this is nothing new to you or your pdoc, please disregard.

These drugs do not play nicely together:
Amitriptyline & Geodon
Amitriptyline & Wellbutrin
Geodon & Wellbutrin.

Adieu