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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Using Methatrexate And Salfasalazine. Suffer From Sleeplessness. Have Fibromyalgia, Psoriatic Arthritis. Symptoms Due To Medication?

Please can you tell me if methatrexate can be a cause for poor sleep. I have been on this drug, together with Salfasalazine now for 6 years and I am suffering from real sleep depravation. Some nights I might go straight to sleep but wake up two or three times a night, others I am awake all night or until at least 4.00am. My doctor has me on nitrazepam but I have been trying to get off it but it is nearly impossible. I have psoriatic arthritis , I have suffered from fybromialgia, but don t have any problems while on these drugs. I have tried several remedies from health food shops to try to get off the sleeping tablets, but can t. I am so tired I am just fed up.
Thu, 31 Jan 2013
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General & Family Physician,  's  Response
Hi,
there are various determinants in quality of sleep. These range from organic diseases to psychological factors. In your case, I propose you start by using other non drug methods. You can read a book or newspaper then get into sleep, you can watch a film, and you try to liberate your self from the tension of your pathologies of fact that you are on drugs. Get to be and discuss with loved ones. Depression and anxiety too can affect quality of sleep.
It shall be interesting also to discuss other options with your caring physician or a neurologist/psychiatrist for a proper evaluation and more specific therapeutic options.
Regards,
Luchuo, MD.
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Using Methatrexate And Salfasalazine. Suffer From Sleeplessness. Have Fibromyalgia, Psoriatic Arthritis. Symptoms Due To Medication?

Hi, there are various determinants in quality of sleep. These range from organic diseases to psychological factors. In your case, I propose you start by using other non drug methods. You can read a book or newspaper then get into sleep, you can watch a film, and you try to liberate your self from the tension of your pathologies of fact that you are on drugs. Get to be and discuss with loved ones. Depression and anxiety too can affect quality of sleep. It shall be interesting also to discuss other options with your caring physician or a neurologist/psychiatrist for a proper evaluation and more specific therapeutic options. Regards, Luchuo, MD.