Sleep Medicine Specialist Questions

No Sleep for Four Days

My husband, age 32, has not slept since Wednesday night. He's napped for maybe a cumulative three or four hours in the days since then. He started taking Lunesta on Thursday night, which has clearly not had the desired effect. He's not allowed to take any other sleep medications while on Lunesta, although he has tried using weed to make him tired. He was feeling fine until today, where he now presents with nausea, aches, brain fog, and feels like he's freezing and sweating at the same time. What should he do? Will the ER be able to help him?

Male | 32 years old
Complaint duration: 4 days
Medications: Lunesta, Sertraline, Wellbutrin, marijuana (recreational)

1 Answer

I am sorry to hear of this distressing problem. The fact that he is taking sertraline and Wellbutrin and marijuana tells me there are underlying psychiatric difficulties, and his insomnia may well be related to those problems. . Anxiety, depression and various drugs are among the most common causes of insomnia. It is important to seek help and he needs to start by discussing this with the physician prescribing the sertraline and Wellbutrin. Referral to a psychiatrist or sleep specialist may be required.