peanut1 wrote:I did get ill on the methadone, but it's because I took a multivitamin in the morning as it is stated on the instructions not to take multivitamin.
I mentioned to my doc. about taking methodone in the morning since it causes me to stay awake at night. How early do you take the methodone in order to sleep i.e. if you want to sleep at 2 a.m., take it at 9 p.m. etc.?
I have to take the majority of it at least 4 to 5 hours before sleep. The alerting starts about an hour after I take it. It peaks about 3 hours after it starts and winds down. Lately I've moved my schedule a bit earlier thanks to using pramipexole during the week. Since the iron infusions, I am less concerned about augmentation so have been using it more often. When I take methadone, here is what I do.
Up at 10-11 AM.
1/5 dose at 3 PM
1/5 dose at 5 PM (sometimes I take the first and second together around 4 PM)
2/5 dose at 8-9 PM
1/5 dose at 12 AM
Bedtime around 1-3 AM
I try to take that 2/5 dose as close to 8 PM as a can. If I'm late, I'm almost guaranteed to be asleep that much later. I definitely "need" at least 9 hours with the methadone. I've always needed more sleep - assumed it was the PLMS that kept me from getting decent sleep. But, the drugs seem to change my sleep architecture so that if I don't get at least 9 hours (and I wake up multiple times, sometimes with some wandering around), I am very tired. I can do it one or two days, but by day three, I need at least 10-12 hours to make up for it. I know that sounds luxurious to everyone who's lucky to get 3 or 4 hours - I hear you and I've been there, too. I have to wonder if 30 or more years of deprivation doesn't permanently make you need more sleep or something. Or maybe it's just the drugs.
Ann - Take what you need, leave the restManaging Your RLS
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