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Eyes Wide Shut - How Sleep Affects Mood - Page 3© John McManamy
If sleeping pills are being prescribed, a similarly sophisticated strategy may need to be employed, depending on the half-life of the medication and the possible hangover effects. Many sleeping pills, for instance, are
metabolized by means of the 3A4 pathway, which is blocked by a number of antidepressants. Sonata may be relatively safe, and several reports indicate that Prozac and Ambien work well together, though more studies are needed.
Many of you may be faced with making some tough choices: If you are a shift worker you may have to find a day job. If your work involves travel, you may have to find employment that keeps you close to home. You may have to change from a fast career track to one not so demanding. Students who burn the midnight oil are particularly susceptible. All-nighters are a necessary fact of academic life, but many of them can be avoided by staying on top of course loads. As for me, my Herculean struggle to bring my system into conformity with Eastern Standard Time was compounded by the spring changeover into Daylight Saving Time. I literally felt like poor Sisyphus, forced to push a rock uphill for eternity, only to have it roll down to the bottom just as he neared the summit. But yes, I am happy to report I finally made it, and I stay where I am by sticking to a strict lights-out policy no matter how wide awake I may feel. And yes, this does limit my options somewhat, but the alternative - the possible onset of another severe depressive episode - is simply unthinkable. For an excellent website devoted to sleep and sleeping disorders, check out Florence Cardinal at About.com. For three free issues of my depression and bipolar newsletter, mailto:jmcmanamy@snet.net and put "Subscribe" in the subject line and your email in the body.
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