temazepam and sleep study

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temazepam and sleep study

Postby capecodmomma » Sun Jan 18, 2009 6:58 pm

I am going back for my second sleep study tomorrow night (Monday). My doctor put me on temazepam to at least get me some relief as I was taken to the emergency room after collapsing due to no sleep for 4 1/2 days. Not a wink. I haven't gotten the results from the first study 2 weeks ago, but they called me back to try this with a cpap unit. My question: will the temazepam skew the results? I know this is a sleep study and not an awake study, but after 3 years I need to get to the bottom of this.

Thanks guys!

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Postby RAM_Sleep » Sun Jan 18, 2009 7:25 pm

Temazepam hasbeen known to skew sleep stage percentages, however you have been called in for a titration study, therefore the pressure will attempt to ameliorate the respiratory events (apneas + hypopneas + RERAs) that occur during sleep.

In any event, the findings from Temazepam are:

++ Markedly decreased sleep latency
+ Increased sleep efficiency
-- Markedly decreased slow wave sleep
+ Little, if any, effect on REM sleep
- Increased morning sedation
+ Decreased limb activity

---

The +'s and -'s are based on the impact this will have on your study, in terms of being good or bad for you.
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Postby ApneaKiwi » Sun Jan 18, 2009 7:31 pm

RAM_Sleep wrote:however you have been called in for a titration study, .


RAM, I'm not so sure this can be assumed - this is the member's first post and she has not said anything about when the first study was, its findings, or sleep apnea. 4.5 days of not sleeping sounds more like another sleep or medical disorder than SA to me.
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Postby RAM_Sleep » Sun Jan 18, 2009 7:35 pm

ApneaKiwi wrote:
RAM_Sleep wrote:however you have been called in for a titration study, .


RAM, I'm not so sure this can be assumed - this is the member's first post and she has not said anything about when the first study was, its findings, or sleep apnea. 4.5 days of not sleeping sounds more like another sleep or medical disorder than SA to me.


Sorry, but that is untrue. Read her post:

I am going back for my second sleep study tomorrow night (Monday). My doctor put me on temazepam to at least get me some relief as I was taken to the emergency room after collapsing due to no sleep for 4 1/2 days. Not a wink. I haven't gotten the results from the first study 2 weeks ago, but they called me back to try this with a cpap unit.
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Re: temazepam and sleep study

Postby ApneaKiwi » Sun Jan 18, 2009 7:36 pm

capecodmomma wrote:I am going back for my second sleep study tomorrow night (Monday). My doctor put me on temazepam to at least get me some relief as I was taken to the emergency room after collapsing due to no sleep for 4 1/2 days. Not a wink. I haven't gotten the results from the first study 2 weeks ago, but they called me back to try this with a cpap unit. My question: will the temazepam skew the results? I know this is a sleep study and not an awake study, but after 3 years I need to get to the bottom of this.

Thanks guys!

Cape Cod Momma


Hi there and welcome. If the previous or current studies show reduced slow wave sleep, then that could be a clue to your symptoms. Are there other conditions or even medications that could be causing the extreme insomnia? Did something happen 3 years ago that may have triggered this, such as an auto accident, childbirth or major illness? And how long ago was the first study and what did it find? This will help us help you, if that's what you are asking for (if it's just about Temazapam then that's ok of course).

Cheers
AK
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Postby ApneaKiwi » Sun Jan 18, 2009 7:42 pm

RAM_Sleep wrote:
ApneaKiwi wrote:
RAM_Sleep wrote:however you have been called in for a titration study, .


RAM, I'm not so sure this can be assumed - this is the member's first post and she has not said anything about when the first study was, its findings, or sleep apnea. 4.5 days of not sleeping sounds more like another sleep or medical disorder than SA to me.


Sorry, but that is untrue. Read her post:

I am going back for my second sleep study tomorrow night (Monday). My doctor put me on temazepam to at least get me some relief as I was taken to the emergency room after collapsing due to no sleep for 4 1/2 days. Not a wink. I haven't gotten the results from the first study 2 weeks ago, but they called me back to try this with a cpap unit.


Ok RAM, you're right, I misread it. Mistakes happen.
"Attitude is a little word that makes a big difference" - Winston S Churchill
Machine: Respironics M Series Pro, 17cm
Mask 1: Respironics Comfortgel nasal
Mask 2: Resmed Quattro full face
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thanks guys

Postby capecodmomma » Sun Jan 18, 2009 8:00 pm

That good old menopause started my awareness of a lot of things. First of all I haven't slept well for years. Up and down; hours to get to sleep; waking up 8-10 times per night; no feeling of having slept. But just last month, during the Christmas season I had my breakdown. I am an owner of a retail business-80 hour work weeks, an hour commute each way 7 days a week from Thanksgiving til Christmas. I think my body just started screaming for help. It's been terrible for years, but I just lived with it and never really complained about it. I did use Tylenol PM and Advil PM every night for over 2 years. But, my brain finally gave up I guess. But now, my doctor is suspecting SA and I'm along for the ride. I am on temazapam just so I con get some rest and continue to get thru the day. I'm down to a manageable 50 hour work week and hope to cut that some more in the next few weeks. We have to do what we have to do.

I'm sorry, but I really didn't understand the drug reactions with my sleep study. I am kind of new to all of this. Should I not take it? I have made notes to my doctor at the sleep lab about it though. I have not been given any results from the first test yet. My GP hasn't received them either. I've asked and will get them all after this test tomorrow night.


Thanks!
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Postby RAM_Sleep » Sun Jan 18, 2009 8:18 pm

ApneaKiwi wrote:
RAM_Sleep wrote:
ApneaKiwi wrote:
RAM_Sleep wrote:however you have been called in for a titration study, .


RAM, I'm not so sure this can be assumed - this is the member's first post and she has not said anything about when the first study was, its findings, or sleep apnea. 4.5 days of not sleeping sounds more like another sleep or medical disorder than SA to me.


Sorry, but that is untrue. Read her post:

I am going back for my second sleep study tomorrow night (Monday). My doctor put me on temazepam to at least get me some relief as I was taken to the emergency room after collapsing due to no sleep for 4 1/2 days. Not a wink. I haven't gotten the results from the first study 2 weeks ago, but they called me back to try this with a cpap unit.


Ok RAM, you're right, I misread it. Mistakes happen.


Absolutely. Ive made my fair share, that is certain!
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Re: thanks guys

Postby RAM_Sleep » Sun Jan 18, 2009 8:22 pm

capecodmomma wrote:I'm sorry, but I really didn't understand the drug reactions with my sleep study. I am kind of new to all of this. Should I not take it?


Yes, get titrated with CPAP. The impact of the drug is not going to change the fact that you need treatment during sleep. The medication may be able to explain the results of both sleep studies, but that will be an issue that can be addressed after you have the data from both studies. Again, go get the CPAP and let them find the best pressure for you and then get a copy of all test results!

Good luck!!
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Sleep

Postby capecodmomma » Sun Jan 18, 2009 8:30 pm

Thanks! It's off to work tomorrow;after work off right away to the lab; get up (hopefully after sleeping); get changed; then go back to work. I'll let you know how I make out. Just give me a machine if I need it and let me get my life back!

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Re: thanks guys

Postby ApneaKiwi » Sun Jan 18, 2009 8:39 pm

capecodmomma wrote:That good old menopause started my awareness of a lot of things. First of all I haven't slept well for years. Up and down; hours to get to sleep; waking up 8-10 times per night; no feeling of having slept. But just last month, during the Christmas season I had my breakdown. I am an owner of a retail business-80 hour work weeks, an hour commute each way 7 days a week from Thanksgiving til Christmas. I think my body just started screaming for help. It's been terrible for years, but I just lived with it and never really complained about it. I did use Tylenol PM and Advil PM every night for over 2 years. But, my brain finally gave up I guess. But now, my doctor is suspecting SA and I'm along for the ride. I am on temazapam just so I con get some rest and continue to get thru the day. I'm down to a manageable 50 hour work week and hope to cut that some more in the next few weeks. We have to do what we have to do.

I'm sorry, but I really didn't understand the drug reactions with my sleep study. I am kind of new to all of this. Should I not take it? I have made notes to my doctor at the sleep lab about it though. I have not been given any results from the first test yet. My GP hasn't received them either. I've asked and will get them all after this test tomorrow night.

good heavens momma, now I understand why you were awake for 4.5 days. I figured it had to be something life-changing, and I have a feeling this winter will be a turning point for you, as you recover from the effects of working too much, for too long, quite possibly with a serious medical condition. "We have to do what we have to do" is what I said for many years. My doctor would say to me "you're not a machine, eventually your body will tell you to stop". It's really good that you've reduced your work hours. You may need to reduce your hours further for the next few weeks if you have sleep apnea and are starting treatment. If you have sleep apnea, then temazapam is not a treatment, it is a short term emergency way of masking some of the symptoms. Taken long term it would make sleep apnea worse. If you have sleep apnea then the treatment (usually CPAP) is likely to eventually help you sleep better and have more energy during the day. You would probably not need the temazapam then. For the sleep study, as long as the sleep lab technician knows you are on temazapam then they can take that into account. The sleep lab doctor would have said not to take it if it was a 'show stopper' issue.

The sleep symptoms you mention are suggestive of sleep apnea, particularly if 'up and down' means getting out of bed to use the bathroom during the night. Insomnia can be due to a subconscious fear of sleeping, because we have such a bad sleep. And we wake unrefreshed because we've been stressed out all night from stopping breathing, waking up and gasping for air. Does your commute involve any driving? Are you able to get to work some other way (and to and from the sleep study)? You may be at high risk of an auto accident. I've had one, due to being sleepy from sleep apnea.

Best wishes
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hanks

Postby capecodmomma » Sun Jan 18, 2009 8:54 pm

I fell asleep at the wheel going around a rotary on my drive to work (rotary=traffic circle here in Massachusetts- we're weird) just before my breakdown. My husband and I rode together as much as possible after that until I got the temazepam and a bit more sleep.

Does anyone know if SA is inherited? My Dad (80 years old) doesn't sleep much, my daughter (35) doesn't either. We also had a son die from SIDS 39 years ago. Anyone doing research out there on this? Especially with my family. Our son that died of SIDS was an identical twin (still surviving). If anyone does know of something, let me know. We'll all be there in a heartbeat.

Knowledge is power!

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Re: hanks

Postby ApneaKiwi » Sun Jan 18, 2009 10:26 pm

After I fell asleep at the wheel I stopped driving more than a few blocks, even though it was pretty inconvenient. The impacts of drowsy driving are similar to drunk driving. I was lucky, I was the only person involved and I wasn't injured. Sleep apnea often runs in families (it does in mine) but the only way to be sure is to have a sleep study. If your father, daughter or anyone else in the family are excessively sleepy in the daytime I think they should find out more and if appropriate get a sleep study. The sooner it is diagnosed the better. I'm sorry your son died from SIDS. There is a link between premature birth and a condition called 'apnea of infancy'. It might pay to mention it to your sleep dr when you see him for your results - he will know more about any links that have been found, or research being done.
"Attitude is a little word that makes a big difference" - Winston S Churchill
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CPAP Joy

Postby capecodmomma » Tue Jan 20, 2009 6:04 pm

Had my CPAP test last night. It was great! I actually felt as if I had slept even with all those darn wires and that mask. Did get some results from first test. Don't understand all the wording yet but with the help of this site I will figure it all out. My GP will see me as soon as he gets the results from last night and then he'll give me a script for a unit. Then hopefully, I will start to feel rested. If I have any questions regarding the wording in the report, I'll ask you guys. They called me a "moderate" kind of gal. Not too severe, but surely need the CPAP. After the quality of sleep I got last night...darn tootin'!

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Postby ApneaKiwi » Thu Jan 22, 2009 5:43 am

Just saw your post. I'm so pleased it went well. Puts a spring in your step, doesn't it.
"Attitude is a little word that makes a big difference" - Winston S Churchill
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