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123Abc123 profile image
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Does anyone else have problems sleeping? Getting a good nights sleep when I was on Bisoprolol was not good despite having persistent waves of fatigue during the day. When I changed to Atenolol I seemed to be ok for a while (ie no waves of fatigue and slept well maybe 4 out of 5) but now I seem to be constantly tired, I either don't get to sleep till 3 or 4 or I wake at about 1 and stay awake for hours. I probably get 1 good nights sleep in 3 at the moment. I think I do all of the suggestions such as bed at the same time, cool room, no using my phone after 7 ish...

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123Abc123
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7 Replies

Hi 123 ABC 123,

Sleep is something that has been a problem for me for some years, and certainly since I've been on Bisoprolol. That said, I have never blamed Bisoprolol, rather because I'm a bus driver, and before I retired and slowed down to driving buses part time 3 days a week, I always blamed being a shift worker for my disruptive sleep patterns that I experience today. In those days I drove 5 or 6 days a week, full shifts between 8 and 10 hours duration. all sorts of shifts sometimes early, sometimes late and often broken shifts.

I usually find I can drop off to sleep easily enough at around 9 pm, but wake up between 2 am and 3 am. Then its very hard to get back to sleep - such as right now. I don't fight it. I get up, make a cup of tea and get on my computer as I am right now and catch up with my emails (I've been working 10 hour shifts the last 3 days). Must say - despite this weird sleep pattern I never tire during the day, nor feel drowsy or sleepy. No fatigue at all. However, when I get home and after my evening meal I tend to doze on and off until my partner gets crapped off and sends me to bed. When I'm not working (the other 4 days), I tend to treat myself to a nap in the afternoon for an hour or so. Mind you, this doesn't help the night time sleeping either.

I am 72 and although diagnosed with paroxysmal AF in Jan 2010 (aged 65), I have been AF free since April 2015 thanks to a combination of medication (blood pressure tablets and Bisoprolol) and diet and lifestyle changes. As I said, I still drive buses, in the tourist industry which also involves handling passengers luggage in and out of the bus. So I keep fairly trim.

I do have to say though I do often wake up hot and the bedroom is at best stuffy. My partner won't sleep with the window open. I then get up and open up the rear French doors of the house to cool down. (Not in winter though).

I suppose I get a good 8 hours sleep once or twice a week, usually after a days driving. After I've been up a few hours, I go back to bed, read a little and go back to sleep for up to another 4 hours - but I can't do that on a work day when I'm up about 5 am. I try and 'download my brain' and clear it out of all unneccessary clutter but this tends not to work for me. Sort of like trying to calm my mind.

I have to say though my partner very often just can't get to sleep. She'll go to bed at the same time as me but will often still be awake at 1 am having not slept a wink. She doesn't drive buses, never worked shifts and has no AF !

I give up ......... now I've written this ............ back to bed shortly :-)

John

123Abc123 profile image
123Abc123 in reply to

I guess not fighting it is the answer. I often lay in bed worrying about still being awake.

doodle68 profile image
doodle68

Hi 123Abc123 :-) I have read that sleep is very important for AFibbers, like carneuny until my retirement many of my jobs required working unusual hours which didn't help with forming good sleep patterns.

I am sleeping well at the moment mainly because my mind is not troubled but I still have spells of poor sleep. Sometimes, before I was formally diagnosed, episodes of AF began at bed time and I was afraid to go to sleep worried something nasty might happen while I was sleeping but now I am anti coagulation that is not such a worry.

If I can't sleep there are things I try, firstly the bedroom must not be too hot, fresh air is important.

Getting up and having a bath or shower can help.

Pure oil of lavender (a few drops on a tissue) near your pillow helps some people.

I try remember poems I learn as a child or visualise walks all the time breathing slowly and rhythmically.

It that fails I never just lay there worrying about it but get up and do something undemanding, ironing or starting a batch of bread maybe then back to bed and try again to sleep.

KALIFORNIAKITTY profile image
KALIFORNIAKITTY in reply to doodle68

Margerum (?) Spelling) is an essential oil that has been known to help sleep. I sleep better now because since I was diagnosed with sleep apnea, I use a CPAP machine with a humidifier attachment. The masks are awful but there are many to try.

Bauldy profile image
Bauldy

My first visit to see the ep specialist about my af he referred me to a sleep clinic the appointment is in September.

I always believed I slept well until my wife mentioned to the dr that I sometimes hold my breath, he said sleep apnea can contributed to af symptoms.

I have just had my ablation done on Thursday so hoping everything gets sorted.

KALIFORNIAKITTY profile image
KALIFORNIAKITTY

123abc: have you been tested for sleep apnea? Many people with Afib are prone to sleep apnea. Sometimes it can bring on an episode. When I was tested, I stopped breathing 37 times in one hour. I went from 37 to 3.2 which is normal, anything under 4 is normal.i was tested at home with a smart watch and some finger sensors for oxygen and heart rate. You don't have to spend the night in a sleep clinic

Many blood pressure meds will make you tired at first. I'm on Atenolol as well but sleeping so much better. Good luck in your journey.

KITTY

123Abc123 profile image
123Abc123

I don't think I have sleep apnea but I sometimes wake myself up if I snore!! I have been on high blood pressure tablets for about 18 years so perhaps that is adding to the problem. I might look into the idea of using essential oils though. Thanks.

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