I have had very poor sleep for the past 2 years or so, with a random pattern. Some nights, I drop off easily, on others, I lie awake for many hours. In any case, I wake frequently and sleep quality is always poor, with many dreams and sleep paralysis. On the best nights, I sleep for up to 4 hours, waking once. It's not obvious what causes the problem - I can work out no pattern to it and always feel exhausted and sleepy. My pain is generally low and quite well controlled with Zapain, and I am on a low dose of prednisolone (4mg a day) . I also take 20mg amitriptyline at night. I'm awaiting assessment by endocrinology for a possible thyroid/adrenal problem.
I have recently seen 3 medics and each has recommended a different solution. My rheumatologist says to increase the amitrip and start on gabapentine. My neurologist says to stop the amitrip and start on a SSRI. My GP suggests dropping the amitrip and start on duloxetine.
Obviously, I would like to sleep like a normal person, without using drugs.
What to do?! x