Back history: Went into the ER for a migraine, came out with a lupus diagnosis. Turns out the migraine was because my kidneys had failed, and I landed me a membership into the Lupus Club.
Because the condition was so severe - and fatal - they put me on 60 milligrams of prednisone. I stayed on that 60 milligrams of prednisone for 3 months, after which they dropped it to 20. I'm still on that 20.
Problem: Prednisone can make normal people restless and sleepless. I am Type 1 Bipolar, which means it can make me *psychotic*. It had already rocketed me into full blown mania and a nasty, self-destructive mixed episode once, just a few weeks ago, but even as they've dropped the dose, I'm still not getting more than 4 hours of sleep a night.
For mentally ill people, this is an especially bad thing. We lose our best defense against episodes and I'm terrified of losing what little defense I've managed to build back up.
I guess my question is: Is there any drug, ANY at all, that does the same thing prednisone does without the insomnia? I'm on plenty of sleep meds/sedatives/psych meds known for their calming properties and they don't make a dent.
I have lupus nephritis, if that makes a difference.