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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest ways to manage REM sleep

Answered by
Dr.
Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 3161 Questions

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Posted on Wed, 30 May 2018 in Brain and Spine
Question: My son is a couple of months from turning 30 years old.
When he was 3 1/2 years old I ended up taking him to the emergency room because it was impossible to wake him up from a nap. At first the Dr thought that he might have spinal meningitis because of his lack of response to outside stimulus. They tried to give him a spinal tap during which he woke up fighting them. The doctor said that my son had too much strength for it to be SM.
He was admitted to the hospital for a variety of test. The diagnosis was that he had a type of seizure that children get from not getting enough sleep.
Fast forward to now.... He still has difficulty waking up.
He recently had a sleep study done which shows that he has no REM sleep.
He asked me for help finding out more about this problem and what can be done to help him live a normal life.
He is on medication for ADHD & has been prescribed a sleeping pill.
Because of his inability to wake up he is living in a group home and has difficulty making it to appointments.
doctor
Answered by Dr. Erion Spaho 3 hours later
Brief Answer:
REM sleep may be suppressed by the antidepressants.

Detailed Answer:
Hello and thanks for using HCM.

I have read your question and understand your concerns.

It is necessary to clarify if the sleep study was undertaken simultaneously with the use of antidepressants ( Zoloft ), or not, because antidepressants use usually suppress the REM sleep phase.

In such cases, sleep study should be done after stopping antidepressants for few days, in order to get a correct understanding of the condition.

Hope you found the answer helpful.

Let me know if I can assist you further.

Take care.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Erion Spaho 18 hours later
Thank you.
He said he will follow up with both doctors about doing that.
Your answer was a great help.
Wishing you a Merry Christmas & Happy New Year!
doctor
Answered by Dr. Erion Spaho 1 hour later
Brief Answer:
You are welcome.

Detailed Answer:
Glad that I helped.

Wishing you a Merry Christmas too and your family good health.

Take care


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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The User accepted the expert's answer

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