A lot of RLS meds *can* cause central sleep apnea. And/or they *can* cause sleepiness after taking them. And/or they *can* screw up sleep architecture. This has been my new fixation. Studies have shown that opiates/opiods decrease deep slow wave restorative sleep, the kind of sleep you need to feel refreshed the next day. Morphine was shown to reduce slow wave sleep by 75%!!! I don't know if all opiates/opiods affect slow wave sleep the same amount across the board (assuming equivalent dosage) or if it's a sliding scale (oxy affecting more than morphine affecting more than codeine, etc.), but to have slow wave restorative sleep messed with at all is dirty business. That's not fair. We're finally getting a "good" night's sleep from RLS, but it turns out, we're actually not getting quality sleep at all. I've actually tossed and turned and had a miserable night with RLS, finally getting two hours of sleep in at the end before the alarm clock goes off, and felt "better" when I woke up than I have falling asleep peacefully RLS-symptom free and woken up after 7 or 8 hours... feeling exhausted and barely able to get myself going. It seems like there's no hope for us. One way or the other, we're going to wake up and spend the day tired. If it's not struggling with RLS at night that will make us tired, then it's our meds that will make us tired. Can we please get a break somewhere? At one point, I came to the conclusion that quality was more important than quantity, so I tried giving up my RLS meds figuring a few hours of good sleep would be better than more hours of inadequate sleep. Well, that wasn't very realistic. You can only agonize and thrash around for so long when there's a "solution" right in the drawer next to you. I can last one, maybe two hours before I can't take it anymore and reach for the pills. And then I have to take different pills to stay awake during the day (as a side note, I wonder if pharm puts side effects into their pills on purpose, so they can sell you another pill for that - one day, we'll go to the pharmacy and they'll just cut to the chase: "here's your medication, and would you like the anti-nausea medication that goes with it? mmk, and how about the anti-cramps medication that goes with that? if you get all three together, we'll give you free rust proofing!"). It's frustrating for those of us stuck with narcotics to seemingly have no hope of ever feeling refreshed and well-rested ever again. I hope I'm wrong. I hope I'm the only one going through this and everyone else here has a great med that works really well and they feel great when they wake up in the morning and all day long. If not, I hope you find something like that soon. /rant
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