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3am all day long

  • Apr. 14th, 2008 at 8:43 PM
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Last night, 3am, in the barely-dark darkness of the big city, I composed in my head a rant about the latest outburst from the factions of the 'Sleeping pills are bad' fashionistas. Those squalling, hawking, superstitious scuzzballs, those sentries of self-righteousness.

Suicide has given sleeping pills a bad name.

The fact that I was awake at 3am & the fact I was composing anti-anti-sleeping-pill rants in my head are not unrelated. It was an excellent rant, too, though probably nothing I haven't said before. Full of vim and verve. Or venom. Or whatever the words are I mean.

After ending the rant against the ranters who rant about sleeping pills, I went on to compose a lengthy explanation about insomnia, for the sleeping beings I disturbed during the night, who may not understand why at 3.30am I got up and turned on the mosquito lamp, or why at 4am (having sunken into fury about still being awake while a whole goddamn week lay ahead of me) I started in again on Michael Robotham's latest book, 'Shatter' (which is very good, but which wasn't responsible for keeping me awake). Or why at 5am I switched the light off again, 5.30am I moved the cat to a spot on the bed further away from my frown, 6am I swore at the red halo of the alarm clock (fuck that alarm clock). Or why when I got up at 7am, my face rigid with fatigue, why then I was so incensed to have been robbed of one night's sleep and my peace of mind. Left to stumble over my words for the rest of my waking hours and divide the day not into morning and afternoon, but nausea and headache.

Let them ask. I have devised an excellent explanation (that my wakeful-weary brain has momentarily misplaced).

They say they want to set up a national directory of sleeping pill users (since those of us who want to sleep are apparently closer to danger and death than those who hide their chemical imbalances with drink or drugs or bad television). I say: bring it on. Let the bitches who suck at the teat of trendy faux-concern, who enjoy the drama of overwrought anxiety, let them have their directory of dirty drug users like me. Let them, I say, suck on that.

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Comments

[info]nephron wrote:
Apr. 14th, 2008 10:54 am (UTC)
I so wholeheartedly agree.

The number of people calling for sleeping tablets to be banned scares me- I know that without the occasional use of these medications I wouldn't be able to safely hold down a job.

OK, your daughter died, and maybe it is easier to blame the sleeping tablet than anything else that might have been going on unseen. Maybe the sleeping tablets have caused some people's deaths- but it is also possible that they have saved other people's lives.
[info]deborahb wrote:
Apr. 14th, 2008 11:04 am (UTC)
>Maybe the sleeping tablets have caused some people's deaths- but it is also possible that they have saved other people's lives.<

Exactly! Pretty much like any powerful thing humans have invented, ever. And those who want to use it for good are at the mercy of those who use it for evil. Or something. Eh, I'm tired.
[info]nephron wrote:
Apr. 14th, 2008 11:23 am (UTC)
It's a risk/benefit thing. I think some people have trouble understanding that just because something is risky, that doesn't mean it isn't worth that risk under certain circumstances.
[info]deborahb wrote:
Apr. 14th, 2008 11:30 am (UTC)
That's very true. Risk = unavoidable disaster.
[info]gillpolack wrote:
Apr. 14th, 2008 11:11 am (UTC)
Doctors have refused to give me sleeping pills forver, even though I am also an imsomnimaniac. Trouble is, the insomnia leaves my other aches worse.

What I've discovered is that significant amounts of ginger helps relax the day-after muscles: it means I can get through the day a little less worse for wear.

I've also discovered that if I eat no carns after 8 pm, I'm less likely (only less likely, not 100% unlikely) to get insomnia.
[info]deborahb wrote:
Apr. 14th, 2008 11:31 am (UTC)
You know, I took on board a comment you made at a Conflux or other re. almonds being good for energy, so I might try that ginger thing, too.

But what's a carn? Do you mean meat?
[info]gillpolack wrote:
Apr. 14th, 2008 11:38 am (UTC)
I need to clean my computer screen. There is just one small bit of fuzz and it was at the 'n' so I read it and thought 'that's the blotch' but no, it was a typo.

Why not go with gourmet cures? Dark choc almonds and dark choc ginger.
[info]mikandra wrote:
Apr. 14th, 2008 12:15 pm (UTC)
Ow, I hate that, people trying to interfere into other people's lives, while they don't even know what it's about.

My insomnia troubles have lessened a lot since I decided it was ridiculous to go to bed as the same time as my husband, then wake up at 3am, unable to sleep until 6.30 and then be woken up by the &*&%$ alarm (and cranky!)

Now I never go to bed before 12pm on the pain of death, and I wake up at about 6am. My body says that's enough. No more tossing and turning (I believe that is much worse than the actual sleep missed).
[info]deborahb wrote:
Apr. 15th, 2008 11:46 am (UTC)
Yeah, I have a friend who insists sleep needs to be for 8 hours, but really I can function quite well on much less. It mostly depends on the TIME I sleep, not the duration.

But being awake an entire night when you're tired & really wanting to sleep, sucks.
[info]crankynick wrote:
Apr. 14th, 2008 12:25 pm (UTC)
And, at the end of it all, Stilnox has had warning labels on it for some time - well before that young woman died. There were warnings on the product when it was approved in 2005, warning against extended use, and there has been substantial noise about some of the more bizarre (and rare) side effects like sleep walking, eating and driving since 2006, particularly since one of the Kennedy's blamed the drug for getting busted pissed behind the wheel in early 2006.

But people don't pay attention to drug warnings - seriously, spend five minutes watching people as they come out of chemists. Almost no-one reads the warning labels on the pack, let alone the more detailed ones inside the box. You take the pills and dump the pack.

And even fewer get any serious monitoring from their GP when they start on new meds.

I think there's a number of reasons for that first part - firstly, like everything else, consequences (side-effects) are for other people. Nobody really takes them seriously until they're dealing with them - and then only if they recognise them for what they are.

Secondly (and this can be partly attributed to pharma marketing), you take pills to deal with a particular problem - be it insomnia, pain, or whatever. If the drug is doing its job, it's really difficult to give it up because there's a possibility of something else becoming a problem - you're more likely to take something else to deal with the problems caused by the first drug, IMHO. That's particularly true when the problem is a debilitating as insomnia.

And that also leads into the problem with drug monitoring by physicians - how many people, do you think, visit a doctor monthly to talk about the monitoring of an ongoing condition? Mostly we visit GPs to get a new script when the old one has run out - because talking the pill solves the problem, right?

And how many people tell their doctor the truth about side effects when they do? I know I've downplayed the side effects of meds I've taken when I'm desperate to solve the original problem - I figure I can muddle through the rest myself. Except when I can't.

Don't get me wrong - I think pharma marketing people, like Frenchmen, are shat out by the devil - but there's a lot of our own behaviour that contributes to pharma adverse events, also.

PS - you want adverse events? There is no way paracetamol or aspiring would get through the clinical trial process, if you were trying to get them approved now. The level of renal damage attributable to paracetamol would probably see it rubbed out pretty early on in the clinical trial process, these days.
[info]nephron wrote:
Apr. 14th, 2008 02:22 pm (UTC)
It's liver damage that paracetamol does, not renal damage, but you're right. It's an amazingly dangerous drug when misused- but people aren't crying out to have it banned.
[info]crankynick wrote:
Apr. 14th, 2008 02:26 pm (UTC)
It's liver damage that paracetamol does, not renal damage

Indeed it is. And I was doing so well, too.
[info]doctor_k_ wrote:
Apr. 14th, 2008 02:48 pm (UTC)
And non-steroidals like aspirin cause kidney damage, so you were almost there.
[info]crankynick wrote:
Apr. 14th, 2008 10:58 pm (UTC)
It's probably symptomatic of a bad habit I should break before it gets settled in - I think I used "renal damage" because I was reading some analysts report on NSAIDs in development and it stuck in my mind. If I'd translated it out of medicalese I probably would have asked myself which damage it did, double checked, and got it right.
[info]deborahb wrote:
Apr. 15th, 2008 11:50 am (UTC)
It does all spring from the same mechanism as that whole litigious mindset, doesn't it. The 'I want someone else to take responsibility', blaming, self-defensive thing.

And you're right, I'm not one for paying attention to warnings. But the very particular social phobia about sleeping pills really gets on my nerves. I've had people reel back when I've mentioned sleeping pills & then say to me, 'oh, you don't want to do that'. As if I've just said I'm about to use a pitchfork to give myself a tattoo.
[info]wendy_waring wrote:
Apr. 14th, 2008 11:21 pm (UTC)
I'm completely with you on this. In fact, I'm ready to form up a zombie posse to attack these people...save I'm sure they have no brains.

K--, whose arthritis regularly wakes him (and yeah, me, cuz there I am, just 5 cm away) wasn't able to get his rheumatologist to write him a script for Stilnox at his last annual visit. He'd been having a series of really bad nights, to the point where he'd completely lost any decent sleep pattern. Even now that his flare-up had subsided, he couldn't sleep. But no stilnox. Even though he's been using it for years, on and off, with no noticeably bizarre side effects.

Now this is just nuts. His only other options are to load up on NSAIDS, with all their charming side effects mentioned above, or to just remain awake admiring the effectiveness of pain. (I will not comment the absence in Oz of medicinal cannabis cuz, like, that'd just get me started...).

In fact, I'll just stop now. All that spittle dripping onto the keyboard....
[info]deborahb wrote:
Apr. 15th, 2008 11:52 am (UTC)
How ridiculous. Having to swap a drug that hasn't caused him side-effects for one that has.

I, too, have taken Stilnox & so far no jumping off buildings or suddenly coming 'round in a car being driven by Jack Nicholson.

Thankfully.

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