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prednisone and I can't sleep

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7 years 11 months ago #62404 by esthera
prednisone and I can't sleep was created by esthera
I was put on prednisone last week for itp in pregnancy (I'm in my 8th month)
I find I can't sleep at night - I have terrible insomnia

can anything be done? not sure if I can take anything for sleeping due to pregnancy but I can't sleep.
I am on 40 mg of prednisone and I do take it in the morning

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7 years 11 months ago #62407 by momto3boys
Replied by momto3boys on topic prednisone and I can't sleep
Hi esthera,
Congratulations to making it to the end of your pregnancy and only just now needing the prednisone.
I had three ITP pregnancies and needed to take steroids pretty much all the way through until delivery, so it is great that you have been able to avoid it until the eighth month.
Regarding the sleep, I found that the final month is very difficult for sleep in general because you are so large and uncomfortable. People love to say, "sleep now because you won't get to later," to women in their final trimester, which I always found to be a ridiculous comment. Even women not on prednisone have lots of trouble sleeping toward the end.

I never tried any medications for insomnia, but if you are really getting no sleep at all, you should certainly talk with your OB/GYN to see what might be safe for you to take during pregnancy. Luckily you don't have too long before your delivery, so this will pass quickly.

Please let us know how things go when you have the baby. Good luck!

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  • Sandi
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  • Sandi Forum Moderator Diagnosed in 1998, currently in remission. Diagnosed with Lupus in 2006. Last Count - 344k - 6-9-18
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7 years 11 months ago #62408 by Sandi
Replied by Sandi on topic prednisone and I can't sleep
If your counts are responding well, maybe you can taper to 30 for a while. That might help a bit. Otherwise, there isn't much you can do about it. Insomnia is one of the nasty side effects.

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7 years 10 months ago #62962 by Darby17
Replied by Darby17 on topic prednisone and I can't sleep
Had my first Rutuxan treatment, second go around, with 40 mg. Predisone , Thurs. Can't sleep but 20-30 min. Will this get better❓

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  • mrsb04
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  • ITP since 2014. Retired nurse. My belief is empower patients to be involved as much as possible in their care. Read, read, read & ALWAYS question medics about the evidence base they use.
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7 years 10 months ago #62963 by mrsb04
Replied by mrsb04 on topic prednisone and I can't sleep
I very much doubt it on 40mg but it will do once you have started tapering. Personally any dose of 20mg or over turns me into a raving insomniac.
Just take quick naps when you need them, little & often I used to nod off in the middle of sentences when I was on a high dose.
The following user(s) said Thank You: Darby17

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7 years 10 months ago #62964 by Darby17
Replied by Darby17 on topic prednisone and I can't sleep
I just started my second round of Rutuxan in two years and I know this is part of the problem. Thank goodness I have a supportive husband that helps to keep the house quiet during the day when I do fall asleep.

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  • dru
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  • I developed hemolytic anemia in 1999 and ITP in 2005. Treatments have been splenectomy, prednisone, IVIG, and Rituxan.
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7 years 10 months ago #63019 by dru
Replied by dru on topic prednisone and I can't sleep
I can't sleep even on the 10mg prednisone I am on now. Im going to have to take 10mg until May 3 when I will get Rituxan. I take 5mg ambien which I really hate to take but worth it for me.

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7 years 10 months ago #63020 by Darby17
Replied by Darby17 on topic prednisone and I can't sleep
You say you take 5mg ambien. Does your Dr. prescribe it?

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  • dru
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  • I developed hemolytic anemia in 1999 and ITP in 2005. Treatments have been splenectomy, prednisone, IVIG, and Rituxan.
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7 years 10 months ago #63023 by dru
Replied by dru on topic prednisone and I can't sleep
Yes, my hematologist prescribes it as he knows the prednisone makes it hard to sleep.

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