Here is my story, please read, information, because it may be important to you someday.
I have had many stressors the last couple of months, from my health to my children to death in the family. I started seeing a behavioral therapist and taking Zoloft 3 weeks ago.
The moment I started taking Zoloft I was awake every 1 to 2 hours. 5 days later one of my girls was hospitalized for a few days, then I increased my dose of Zoloft last Monday and my agitation and stress level increased, with fleeting suicidal thoughts in the mornings after taking Zoloft. On Friday, the agitation and the thoughts were more persistent (looking back it was because I took Prilosec/Cimetadine the night before). Did you know that it increases the side effects of Zoloft?
I went to the ER on Friday, and was admitted and in behavioral health inpatient hospital for 5 days.
The physician I saw upped my dose of Zoloft on Saturday, and I took Ambien as well (and Prilosec, too). Even though I took Ambien I did not fully sleep, for 2 hours I couldn't move but heard everything, and my Restless Legs/Periodic Limb Movement Disorders in Sleep were terrible. I woke up fully and couldn't sleep, as my legs and arms were flinging out every 30 to 60 seconds, then my muscles were so sore from the activity.
On Sunday, I asked many people for help for my RLS/PLMS, they said sorry your Dr. is not in today. So another terrible night, in addition to my legs and arms jerking around, my neck repeated jerked around. I got up after an 1 1/2 of trying to sleep and asked for help, (they did nothing!) I was in so much excruciating pain, I have neck problems and been going to PT 2 times a week for neck pain. I saw my therapist today, and she said my muscles were much tighter in my neck and my neck was much less flexible then it was a month ago when I started therapy with her.
On Monday, I told the doctor, and he ordered and anti-anxiety medication (Klonopin). He said my dose of Zoloft was so small it couldn't have side effects like that. So I called my sleep physician, and he said that Zoloft and other antidepressants can cause increased RLS and PLMS, and said to let the attending Dr. know that he should increase my RLS medication or use another medication. Talked to my nurse, she said I am sorry he is gone for the day. I had another hellish night and hardly slept, kept trying to take naps, but couldn't as the symptoms were bad during the day, too (like a huge full body startle reflex).
Tuesday, I mentioned it again, he said I am sorry I do not know that much about RLS and he obviously did not know about the connection with Prilosec either. WTF! Doesn't depression and poor sleep and sleep disorders correlate???? Do you know how many people I asked for help? I couldn't even get a hot pack for my neck, much less any sleep.
I am home now, I am finally sleeping, I slept 6 hours in a row, and another 2 hours, plus naps today... without any or very little RLS. You ask why?
Because my sleep physician ordered Neurotin/Gabapentin!
And now I have the diagnoses of anxiety, suicidal ideation, depression and somatization disorder. I have had the label of hypochondriac before, because I am hyper aware of my symptoms (although I was have a big fibro flair at the time because I found out my RLS were not treated).
Interestingly, there was no mention of how 2 1/2 weeks of not sleeping might make my fibromyalgia and other symptoms worse.