Sensação de "Adrenalina" ao adormecer - Apneia do Sono? Preciso de Alívio

Estou escrevendo aqui porque só poderei ver um médico no dia 28 de agosto. Recentemente, quando tento dormir, assim que começo a adormecer, sinto algo que só posso descrever como um surto de adrenalina que me acorda. Isso aconteceu uma vez há algumas semanas e tem sido consistente desde então, especialmente nas últimas 2-3 noites. Às vezes, deixa uma sensação no meu peito, outras vezes, na minha cabeça. Já ouvi dizer que a sensação de adrenalina é um sintoma de apneia do sono.

Minhas perguntas são se 1.) alguém com apneia do sono pode confirmar este sintoma como um que pode ser de SA, ou se poderia ser outra coisa.

2.) No tempo entre agora e quando eu puder ver meu médico, há algo que eu possa tomar sem receita médica, ou uma posição para dormir, etc, que possa ajudar? Já tentei melatonina, que não ajudou, desligar todas as luzes, rotinas de relaxamento, etc. Então, se alguém puder me ajudar com algumas informações, eu realmente apreciaria.

Alguém??

Did you use any medication lately.Did you stopped any medicines cold turkey?

Oi...

Você já tentou se levantar tentando perceber o que você sente vontade de fazer? Tipo, eu não sei, mas a adrenalina não é como uma reação positiva do corpo? Qual é a sensação no seu coração? E a da cabeça? Como você descreveria elas

Saúde,

m

Is it not just a hypnic jerk?

I have a pounding heart when I go to sleep and if I wake up in the night.  It's a learned response and fear of not being able to sleep.  About to have cbt for it.  Controlled breathing, magnesium citrate and magnesium oil all help a bit. I don't have sleep apnea as far as I know.  

Hi Josh, I'm inclined to agree with RobertT, that it's a hypnic jerk. We all get these as we're dropping off to sleep. I suspect that what's happened is you've suddenly noticed one of these, got anxious about it, and now your unconscious keeps producing them. Our own mind can be very good at working against us sometimes!

Obviously the usual "sleep hygiene" rules apply. No coffee after 3pm, get enough exercise during the day, no computer or phone activity in the last hour before bed.

You could also try a small dose of an OTC antihistamine - preferably the older types that make your sleepy. Examples are promethazine (Phenergan), diphenhydramine (Benadryl) and chlorpenamine (Piriton). Brand names are those used in Europe, and may be different in the US or elsewhere.

However, you should keep the dose to the absolute minimum. It doesn't sound as if you have sleep apnoea but it is a possibility, so large doses of any sedative medication would not be a good idea. If you're going to try an antihistamine, take it an hour before going to bed. The sedative effect of these drugs is quite weak and takes a while to kick in. If you take it at bedtime you won't feel any effect from it, you'll get anxious, then the whole thing will start off again.

Also don't take antihistamines every night. You very quickly develop tolerance to the sedative effect and they stop working. I had very poor sleep throughout my entire working life, and took a very small dose of phenergan for 2-3 consecutive nights every 10-14 days. I found this gave me a few good nights' sleep, which restored my confidence that I could sleep for a week or so before the whole cycle started again. In 50 years I never developed tolerance to phenergan, so never had to increase the dose.

I don't think you need to worry about this, whatever it turns out to be. (I'm a former neuro nurse, btw.) But you should keep that appointment with your doctor anyway.

Não acho que seja um sobressalto do sono porque meu corpo não se mexe, é apenas um surto de adrenalina que me acorda. Posso sentir isso no peito, como uma energia ou como uma queda no peito, mas não notei meu corpo se sacudindo de forma alguma

Eu acho que isso começou ANTES de eu realmente ter o medo de pegar no sono, embora eu tenha certeza agora que esse medo pode contribuir para as coisas agora. Vou tentar o citrato de magnésio, mas meus níveis de eletrólitos no sangue estavam normais segundo os médicos.

Obrigado pela resposta, Lily. Isso realmente seria considerado um sobressalto hipnótico se meu corpo não se mexer? Eu literalmente só sinto a sensação no peito e às vezes no cérebro. Isso ainda seria considerado um sobressalto hipnótico? Além disso, eu definitivamente não quero depender de drogas para me ajudar a dormir, mas parece ser a única coisa eficaz. Você conseguiu superar permanentemente sua situação? Se sim, dicas além da higiene do sono seriam ótimas, porque já as implementei. É só que bem quando vou cair no sono, algo me impede e sinto aquela adrenalina no peito. O que poderia ser isso se não for um sobressalto hipnótico ou apneia do sono?

É quando você não está tentando dormir... É literalmente bem quando estou prestes a adormecer. Como um jato de energia que percorre meu peito.

I know exactly what you mean about that sudden adrenaline feeling. I get it too, even now in old age. I believe it's due to mild sleep apnoea in my case. I sleep alone these days, but have always been told in the past I have fairly frequent periods of apnoea in my sleep. However, I've noticed this is more likely to happen on nights when I'm a bit anxious about something. I don't mean in a state of frantic, nailbiting anxiety. It can just be an underlying unease about something going on in my life, or that's going to happen the next day.

I think people sometimes misunderstand the concept of anxiety. While it's true that some people manifest as clearly over-anxious, many more of us don't. With us, it's a bit like that swan simile. You know - the one about the swan sailing along serenely with unruffled feathers, with all that frantic activity below the water-line to keep it afloat.

I can't say I ever permanently beat my sleep anxiety problems - not during the course of my working life anyway. They mainly cleared up when I retired from paid employment, which took away the pressure to get a so-called "good night's sleep" (which is actually a bit of a myth). It was more a question of managing the problem, and the intermittent tiny doses of antihistamines did the trick for me.

I never consulted a doctor about it as, like you, I didn't want to take seriously addictive medications and knew that females couldn't be referred to a sleep lab for apnoea investigations. If you consult a doctor about any sleep problems there's no way you'll come out of his/her office without a prescription for sleeping pills! That's not to say it's not worth trying though. As a male, you stand a much better chance than a female of being referred to a sleep lab, where you can be checked for sleep apnoea. And you don't have to take the medication or even fill the prescription, do you?

Concerning sleep apnoea - it's not always a serious problem. Most of us have occasional periods of apnoea. A sleep study will establish how serious this is on the basis of how frequent and how long the periods are. It will also rule out one possible cause for these sensations you're having.

There really isn't an easy answer to this kind of problem, unless it turns out that you have severe sleep apnoea, in which case you'll be given a CPAP machine - which will in turn require a lot of work on your part in getting used to it. Antihistamines were the only solution for me. Incidentally, I'd like to stress that the doses I took were minute - I was cutting the lowest-dose pills in halves and quarters. When I told my then-GP how much I was taking about 20 years ago she nearly fell off her chair laughing, and said: "That's practically homeopathy!" She said it was completely impossible that such a dose could have any impact on my sleep. I'm actually inclined to agree. Sometimes I'd wake up after a good night's sleep only to find half a tiny blue pill still sitting on the kitchen worktop, after I'd forgotten to take it.

Never underestimate the power of the mind! But keep that appointment with your doctor anyway. I can see you're seeking a fix rather than management, so I think it's inevitable that you'll end up on sleeping pills anyway. However, there's nothing to stop you taking them the same way as I took the antihistamines. Just take them on nights when it's most important that you get a good night's sleep, but never on more than two consecutive nights and always with at least four clear nights in between. This will stave off addiction for quite a few years.

 

não. A única coisa nova que venho tomando é um baixo dose de Xanax genérico que meu amigo me deu para ajudar com este problema.

Sim, claro, se houver um jeito de resolver meu problema temporariamente, eu preferiria isso, mas, neste ponto, eu só quero dormir novamente. Quero resolver isso logo, então fui marcar uma consulta com o pneumologista que trabalha com o especialista em sono que eu deveria ver para o meu sono. Só espero que eles não me dispensem porque sou jovem.

Eu definitivamente acho que meu cérebro tem um papel, pelo menos em uma pequena parte, mas toda vez que eu fico mesmo remotamente perto da relaxação, BAM.

I gather they're getting a bit more open-minded about sleep apnoea these days, and some sleep specialists accept that younger men who aren't obese can get it. So you might be in with a chance. I'm not, of course, as most experts "know" women can't get it. There are just a few specialists (all female themselves) publishing on the internet who say this is absolute nonsense, but I doubt whether their view will prevail in my lifetime!

I hope you'll come back on here and tell us how you got on.

I get these in my sleep, got tested for sleep apnea but it showed up clear so Ive been told there just Panic Attacks in my sleep

Hi Josh,

I have the EXACT same issue..

Did you ever find out what it was in your case?

I have not yet - still await a home sleep study...

Chris

Hi Josh,

I am experiencing the EXACT same feeling as you described. But I kept thinking it was my heart. I will feel that "heart drop " sensation as I am falling asleep. I feel it in my chest and my brain. My heart is fine. I actually suspected sleep apnea myself. I am planning on making an appointment soon. I am female so I hope they'll still do a sleep study! Did you ever go to the dr?

Kelle

Josh,  I have the exact same symptoms as you do! Recently the last 2 months I’ve had issues right at that moment of falling asleep. Same adrenal rush from the chest, sometimes head, and then I can almost feel the after effects of the adrenaline in my arms and legs for a good 5-10 min making it harder to fall asleep. 

Sometimes I fall asleep fine but around 3/4am I’m up and then the ‘surges’ start up and continue every 15-20 min each time I’m at that critical second of entering deep sleep. And again I get this wave of adrenaline (feels like adrenaline or energy surge).

I’ve been tested for adrenal gland mass, cyst or tumour and came out negative. Now I’m in a sleep study and writing this literally as I’m all plugged in before bed! Apparently sleep apnea results in adrenaline as a symptom of the brain telling the body to wake up ASAP as it’s low on oxygen. 

I have low energy every day. Wake up feeling like I’m half drained because of the adrenal surges quite debilitating in terms of not being able to function normally.  It’s been 2 months of this now and I have to get to the bottom of this. I can’t imagine what all this overload of epinephrine/adrenaline is doing to my adrenals and my kidneys in the long run. Not to mention heart palpitations/high bp as other possible symptoms. 

I would advise to get a sleep study done right away.! 

Hi nav,

I have the same issue did you get it resolved at all? It's hell.