Go Back   NeuroTalk Support Groups > Health Conditions M - Z > Traumatic Brain Injury and Post Concussion Syndrome

Traumatic Brain Injury and Post Concussion Syndrome For traumatic brain injury (TBI) and post concussion syndrome (PCS).

Difficulty breathing and sleeping after taking Gabapentin and Cyclobenzaprine?

Reply
Thread Tools Display Modes
Unread 10-16-2011, 01:25 PM   #1
SpaceCadet
Member
 
SpaceCadet's Avatar
 
Join Date: Oct 2011
Location: Las Vegas, NV
Posts: 752
Default Difficulty breathing and sleeping after taking Gabapentin and Cyclobenzaprine?

So, last night I finally started taking Gabapentin. I took it before bed, as directed for the first dosage and I laid in bed awake for awhile to see how I felt. It kicked in and I felt...HAPPY. So I got up and walked around for a bit...no panic/anxiety attacks, no pain, no symptoms at all. I actually felt normal. But for some reason it had an opposite effect on me as far as making me drowsy, it actually woke me up. So I decided to take a Cyclobenzaprine [Flexeril] to put me to bed. I laid down again and I was RESTLESS and I was having trouble breathing. I was up till about 4am last night... Could I be allergic to Gabapentin? Could it be because I mixed the 2 drugs? I wasn't having trouble breathing when it first kicked it, before I took the Cyclo... I've never had trouble breathing or sleeping after taking Cyclobenzaprine so I know I'm not allergic to that... Should I try taking a Gabapentin by itself during the day today and see how it makes me feel, and take the muscle relaxer before bed? Any thoughts on that would be appreciated.

I called the last doctor I seen and left a message so I can ask what she thinks about it, but haven't got a call back yet.
SpaceCadet is offline   Reply With Quote
Unread 10-16-2011, 01:43 PM   #2
nightnurse30
Member
 
Join Date: May 2011
Location: san diego
Posts: 303
Default

Quote:
Originally Posted by nwsmith1984 View Post
So, last night I finally started taking Gabapentin. I took it before bed, as directed for the first dosage and I laid in bed awake for awhile to see how I felt. It kicked in and I felt...HAPPY. So I got up and walked around for a bit...no panic/anxiety attacks, no pain, no symptoms at all. I actually felt normal. But for some reason it had an opposite effect on me as far as making me drowsy, it actually woke me up. So I decided to take a Cyclobenzaprine [Flexeril] to put me to bed. I laid down again and I was RESTLESS and I was having trouble breathing. I was up till about 4am last night... Could I be allergic to Gabapentin? Could it be because I mixed the 2 drugs? I wasn't having trouble breathing when it first kicked it, before I took the Cyclo... I've never had trouble breathing or sleeping after taking Cyclobenzaprine so I know I'm not allergic to that... Should I try taking a Gabapentin by itself during the day today and see how it makes me feel, and take the muscle relaxer before bed? Any thoughts on that would be appreciated.

I called the last doctor I seen and left a message so I can ask what she thinks about it, but haven't got a call back yet.
I searched for drug interactions between the two and there is a link with it causing respiratory depression. Meaning, you are not taking deep enough breaths or quality breaths. the two together act together to multiply the effect of each (they are synergistic). I would try taking the gabapentin alone. And only take the flexeril if you are having muscle spasms. Are you taking the flexeril to go to sleep? Or for muscle spasms? If its for sleep, i would consider trying a different agent to sleep if its going to interfere with the gabapentin. This is what the link says....

"MONITOR: Central nervous system- and/or respiratory-depressant effects may be additively or synergistically increased in patients taking multiple drugs that cause these effects, especially in elderly or debilitated patients.

MANAGEMENT: During concomitant use of these drugs, patients should be monitored for potentially excessive or prolonged CNS and respiratory depression. Ambulatory patients should be counseled to avoid hazardous activities requiring mental alertness and motor coordination until they know how these agents affect them, and to notify their physician if they experience excessive or prolonged CNS effects that interfere with their normal activities."
__________________
Suffered a TBI with PCS on April 25th 2011 from multiple blows to the head from falling, unconscious for 12 hours with no memory of event. Hit the back of my head, and above right eye. MRI and CT negative. Symptoms included constant headaches (migraine, pressure, tension, icepicks), dizziness, tinnitus, visual changes, photophobia, fatigue, "spacing out", word finding difficulties, depression, and emotional lability.
Began Healing in November 2011 after starting acupuncture and Healing Touch (a nurturing energy therapy that promotes relaxation and pain relief). I went back to work in February 2012. Ive been symptom free since July 2012. Very happy, positive, energetic and working out every day, doing yoga, and living a normal life again!
I also began taking Healing Touch classes in November 2011 and completed 5 Levels of Healing Touch Certificate Program that included a 1 year mentorship to become a Healing Touch International Practitioner in June 2013. I am so pleased to offer this wonderful healing therapy to my patients, friends, and clients.
nightnurse30 is offline   Reply With Quote
Unread 10-16-2011, 01:55 PM   #3
Mark in Idaho
Elder
 
Mark in Idaho's Avatar
 
Join Date: Feb 2009
Location: The Treasure Valley of Idaho
Posts: 6,729
Default

I wholeheartedly agree with nightnurse. Try just the gabapentin. Your dose is very low so you may not notice a lot of difference. You should take it an hour or more before going to bed.

You also need to practice good sleep hygiene. Shut off those stimulating events around you. TV, loud music, etc. You might try some simple reading before lights out. The goal is to get your mind off the activities of the day and evening.

I need to start shutting my body down hours before I try to go to sleep. When I add the gabapentin to this more relaxed body and brain, it allows me to finish relaxing and letting go. It does not cause the sleepiness. It just allows it.

The Cyclobenzaprine [Flexeril] is also not a cause of sleep. It should just make your body more relaxed so you can sleep. It sounds like the gabapentin alone, maybe at an increased dose for bed, may do all that you need.

My best to you.
__________________
Mark in Idaho
.


59 years old, retired due to disability, married 34 years, father of three, grandfather of four, Suffered a serious concussion at 10 years old (1965) stopped most driving after concussion at 46 years old (2001), Post Concussion Syndrome/Multiple Concussion/Impact Syndrome with PTSD, immediate/short term visual and auditory memory problems, slowed processing speed, visual/auditory processing difficulties, insomnia, absence seizures, OCD, 14 concussions since first concussion at 8 years old, Taking paroxetine for 14 years and gabapentin for 12 years. Added L-Tryptophan and stopped paroxetine after 3 months of tapering. I currently take 500 mgs of L-Tryptophan AM, 500 mgs noon, and 500 mgs PM.


As of Nov 15th, Due to high stress issues resulting in PTSD, docs put me on 3 meds. Clonazepam but only for 30 days ) .125 mgs twice daily (Doc presc. .25 mgs 2x daily but half a tablet is good) , citalopram (Celexa), an SSRI , and olanzapine (Zyprexa), an atypical anti-psychotic that usually causes weight gain before bed. I lost over 30 pounds since mid July. It just stopped the weight loss. Took me off the gabapentin. I am feeling better than I have in years.

This great feeling only lasted a month. Back to the same old PCS doldrums.

May 2014, I am off the olanzapine due to a 6 fold price increase. Back on 600 mgs of gabapentin before bed.

I am also taking L-Theanine to help with GABA regulation


"Be Still and Know That I am God" Psalm 46:10
Mark in Idaho is offline   Reply With Quote
Unread 10-16-2011, 02:49 PM   #4
SpaceCadet
Member
 
SpaceCadet's Avatar
 
Join Date: Oct 2011
Location: Las Vegas, NV
Posts: 752
Default

Well, I usually have trouble sleeping at night because I'm very tense and my nerves are on edge [I've got 2 kids, 4 month old and 18 month boys that I deal with all day]. When I take the Cyclobenzaprine, it relaxes my muscles and calms my nerves so it helps me fall asleep.

Thanks for the information on mixing the two drugs being known to cause respiratory depressant effects. That could be the problem... My concern is, after tomorrow I'm supposed to take the Gabapentin 3 times a day, and I'm prescribed Cyclobenzaprine 2 times a day...How can I work it out where I'm not taking them at the same time?
SpaceCadet is offline   Reply With Quote
Unread 10-16-2011, 03:02 PM   #5
nightnurse30
Member
 
Join Date: May 2011
Location: san diego
Posts: 303
Default

Quote:
Originally Posted by nwsmith1984 View Post
Well, I usually have trouble sleeping at night because I'm very tense and my nerves are on edge [I've got 2 kids, 4 month old and 18 month boys that I deal with all day]. When I take the Cyclobenzaprine, it relaxes my muscles and calms my nerves so it helps me fall asleep.

Thanks for the information on mixing the two drugs being known to cause respiratory depressant effects. That could be the problem... My concern is, after tomorrow I'm supposed to take the Gabapentin 3 times a day, and I'm prescribed Cyclobenzaprine 2 times a day...How can I work it out where I'm not taking them at the same time?
I would talk to your doctor about maybe switching to something for anxiety to calm your nerves. There are so many better drugs you could take. Flexeril during the day will wipe u out and make your fatigue so much worse. Other options might include... elavil (amitriptyline), temazepam (restoril....helps with sleep and anxiety), alprazolam (xanax). Of course, ask your doctor what would work best and wont interfere with the gabapentin.
__________________
Suffered a TBI with PCS on April 25th 2011 from multiple blows to the head from falling, unconscious for 12 hours with no memory of event. Hit the back of my head, and above right eye. MRI and CT negative. Symptoms included constant headaches (migraine, pressure, tension, icepicks), dizziness, tinnitus, visual changes, photophobia, fatigue, "spacing out", word finding difficulties, depression, and emotional lability.
Began Healing in November 2011 after starting acupuncture and Healing Touch (a nurturing energy therapy that promotes relaxation and pain relief). I went back to work in February 2012. Ive been symptom free since July 2012. Very happy, positive, energetic and working out every day, doing yoga, and living a normal life again!
I also began taking Healing Touch classes in November 2011 and completed 5 Levels of Healing Touch Certificate Program that included a 1 year mentorship to become a Healing Touch International Practitioner in June 2013. I am so pleased to offer this wonderful healing therapy to my patients, friends, and clients.
nightnurse30 is offline   Reply With Quote
Unread 10-16-2011, 03:25 PM   #6
mrsD
Super Moderator
 
mrsD's Avatar
 
Join Date: Aug 2006
Location: Great Lakes
Posts: 28,464
Lightbulb

If tension is your only sensation at night, try using a magnesium lotion on your tense areas...you'll be surprised at how well it works!

Many of us at PN use this now: CVS Epsom lotion.
I buy at my local CVS. Another brand that is more expensive is called Epsom-it.

You can also soak in a tub with epsom salts.... about 6oz to a bathtub of warm (not hot) water. This can be very soothing too.

Quote:
Originally Posted by nwsmith1984 View Post
Well, I usually have trouble sleeping at night because I'm very tense and my nerves are on edge [I've got 2 kids, 4 month old and 18 month boys that I deal with all day]. When I take the Cyclobenzaprine, it relaxes my muscles and calms my nerves so it helps me fall asleep.

Thanks for the information on mixing the two drugs being known to cause respiratory depressant effects. That could be the problem... My concern is, after tomorrow I'm supposed to take the Gabapentin 3 times a day, and I'm prescribed Cyclobenzaprine 2 times a day...How can I work it out where I'm not taking them at the same time?
__________________
aka mrsdoubtfyre
All truths are easy to understand once they are discovered; the point is to discover them.-- Galileo Galilei

.
11-23-14 Gray squirrel wrestling with tray feeder, trying to get it to fall down. Did not succeed BTW. LOL
************************************
Please use the search function to find more information here in our forums. Your keyword must be at least 4 letters long. This is the handy link:


.


************************************
Here is a link to our guidelines that explains how to post links and information properly here due to copyright laws:


.
mrsD is offline   Reply With Quote
Unread 10-16-2011, 08:40 PM   #7
Mark in Idaho
Elder
 
Mark in Idaho's Avatar
 
Join Date: Feb 2009
Location: The Treasure Valley of Idaho
Posts: 6,729
Default

Knowing how well tolerated gabapentin is compared to anti-anxiety drugs and such, I would ask about increasing your dose of the gabapentin before trying an anxiety med.

Have you stopped all caffeine and any MSG or processed soy? They excite the nerve cells.

Try not taking the Cyclobenzaprine at all.

Maybe the 3x a day dose of gabapentin will help. Or you could take 200mgs of gabapentin before bed and 100 mid-day. It should help you end of day tensions.

Extended maintenance on muscle relaxants can be problematic. Long term gabapentin is not a problem.

My best to you.
__________________
Mark in Idaho
.


59 years old, retired due to disability, married 34 years, father of three, grandfather of four, Suffered a serious concussion at 10 years old (1965) stopped most driving after concussion at 46 years old (2001), Post Concussion Syndrome/Multiple Concussion/Impact Syndrome with PTSD, immediate/short term visual and auditory memory problems, slowed processing speed, visual/auditory processing difficulties, insomnia, absence seizures, OCD, 14 concussions since first concussion at 8 years old, Taking paroxetine for 14 years and gabapentin for 12 years. Added L-Tryptophan and stopped paroxetine after 3 months of tapering. I currently take 500 mgs of L-Tryptophan AM, 500 mgs noon, and 500 mgs PM.


As of Nov 15th, Due to high stress issues resulting in PTSD, docs put me on 3 meds. Clonazepam but only for 30 days ) .125 mgs twice daily (Doc presc. .25 mgs 2x daily but half a tablet is good) , citalopram (Celexa), an SSRI , and olanzapine (Zyprexa), an atypical anti-psychotic that usually causes weight gain before bed. I lost over 30 pounds since mid July. It just stopped the weight loss. Took me off the gabapentin. I am feeling better than I have in years.

This great feeling only lasted a month. Back to the same old PCS doldrums.

May 2014, I am off the olanzapine due to a 6 fold price increase. Back on 600 mgs of gabapentin before bed.

I am also taking L-Theanine to help with GABA regulation


"Be Still and Know That I am God" Psalm 46:10
Mark in Idaho is offline   Reply With Quote
Reply

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Forum Jump

Similar Threads
Thread Thread Starter Forum Replies Last Post
Well I know someone here is taking a cruise, any one taking vacation real or imag? DiMarie Thoracic Outlet Syndrome 42 02-10-2014 01:39 AM
Taking Gabapentin and Lyrica together ? groskilly Peripheral Neuropathy 55 07-06-2013 10:07 PM
Asthma, Difficulty Breathing Increase Suicide Risk NewsBot Health News Headlines 0 07-17-2010 10:40 AM
Swallowing Difficulty karenjane New Member Introductions 6 03-25-2010 05:56 PM
Breathing Difficulty leaningin Myasthenia Gravis 3 08-24-2009 02:33 PM


All times are GMT -5. The time now is 08:44 AM.
Brought to you by the fine folks who publish mental health and psychology information at Psych Central Mental Health Forums

The material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment
provided by a qualified health care provider. Always consult your doctor before trying anything you read here.


Powered by vBulletin • Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.


All posts copyright their original authors Community Guidelines Terms of Use Privacy Policy
NeuroTalk Archives