I had a knee scope on 7/3. I eat paleo with dairy (cream + cheese) and per below some coffee and some alcohol (though not at all for past week for either). I only tend to eat 2 meals per day, and pretty low carb. Last night I added a bunch of sweet potato at both meals, thinking more carbs might help, but for most part I haven't been worrying about diet as much as the drugs.
I've never been a great sleeper, but was doing ok at the time, generally sleeping 1-2AM to 9-10AM. I often read for 30-60 mins before falling asleep. I try to avoid computers late at night but usually watch TV.
I was prescribed Vicodin and used it fairly sparingly for the first few days after surgery, taking maybe 4 the first 24hrs, then 3, and then just 1 when I went to bed for maybe two days. I was sleeping ok thru this period.
However the first night I didn't take it I just couldn't sleep. This would happen every so often (a few times per year) so it was unpleasant but didn't think that much of it. For the next few days I went back to taking 1 pill when going to bed and slept ok (probably a bad mistake). I also decided to completely drop caffeine. I had been drinking a fair bit of decaf coffee (never after early afternoon) but gave that up (I'm pretty sensitive to regular coffee and switched to mostly decay a while back). I also gave up all alcohol. I had been drinking 1-2 glasses of red wine per night prior to the surgery, didn't drink at all immediately after (while on the heavier Vicodin) but then went back to some wine during the failed transition (never with Vicodin though, I know the Tylenol + alcohol is terrible for liver).
About a week ago, I decided I really should stop taking Vicodin at night. The first night I didn't sleep at all again, and I pretty much haven't slept since. After 2 days I happened to have a followup with surgeon and asked for Ambien (5mg, the smaller dose).
My experience with the Ambien has been awful, the pills give me incredibly anxiety and don't seem to knock me out, or if they do I might sleep for 10-15 mins. When I take the Ambien I wakeup with my heart absolutely racing. I think I tried using Ambien on its own for 2 nights.
Last night I took 5mg time-release Melatonin and after a few hours I gave in and took 2 Vicodin's, figuring it'd at least knock me out, but it made me incredibly hyper. After six more hours, I took 1 Ambien and it didn't do much of anything. I'm absolutely desperate and I'm pretty sure I have clinical strength depression/anxiety right now. I'm having a hard time avoiding crying during the day and am absolutely miserable all night.
Finally, I have one of those blue-light-therapy boxes and I've been using it for 45mins around 6AM most days, figuring it wouldn't hurt and might help.
My blood pressure is actually normal, but my pulse is elevated and at night I feel like my heart's going to burst out of my chest. I'm so anxious about falling asleep that I can't seem to follow any sort of relaxation technique.
I fear I've completely broken all hormonal balance and have no idea what to do next. I'm going to try to make an appt at a sleep clinic.
Has anybody out there gotten things this broken and found a way to get back on track?