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Cymbalta and sleep- how can I regain some control of my sleep schedule?
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I have been on 60mg once a day (taken at 11pm) for almost 3 years now. I have social and general anxiety, PTSD, and depression along with chronic pain issues. Cymbalta hasn't "fixed" everything, but it has helped me a lot with the above. My biggest side effect/issue with Cymbalta is being tired literally all. The. Time. I could sleep for 12hrs and still want to sleep more.

I used to need naps to get through the day, but in the past year or so I've been going without a nap on most days and that's great! However, I typically go to bed late at night (maybe 1-4 AM) and generally sleep until I naturally wake up (maybe 12-4pm.) This has been fine for me, but my spouse has recently changed their sleep schedule and I want to change mine a bit along with them.

I've been getting about 7-9 hours of sleep before the time that I try to wake up in the morning, but I either sleep through my alarms or turn them off/set to snooze and go right back to sleep. I got an app with puzzles that I have to solve to turn off the alarm or snooze (what day was it yesterday, do this equation, which of these numbers is divisible by x number, etc) and I'm solving the puzzle, snoozing for 5 mins, and then repeating the whole process for hours. I end up fully waking up about 2-3hrs later than I want to, and I feel like crap about it.

For just a bit more context, I've never felt as tired in my life as I do on Cymbalta. Before taking this med, I used to run on 4-6hrs of sleep and wake up to my alarms with no problems. I would feel exhausted, but not nearly as completely drained as I do on Cymbalta. My spouse has said that when he tries to wake me up, I'll sit up and open my eyes and have full on conversations with him in which I make excuses as to why I don't actually need to wake up, and he says I seem so coherent that he genuinely thinks I'm actually awake while making these decisions. I then go back to sleep and wake up hours later with no memory of these conversations, panicking over sleeping longer than I had meant to.

I don't know what else to do, and I accept that I generally need more sleep than I used to, but if anyone has any suggestions as to how I can take back some control over when I wake up, they'd be really appreciated. Especially if anyone has had similar experiences to mine. Thank you for taking the time to read this, I hope you have a great day/night <3

TL;DR- I sleep through my alarms and have full on conversations with my spouse that I don't remember, before going back to sleep. This is making it hard to maintain a sleep schedule. How can I make this stop?

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2 years ago