Thanks, Bobby!  Didn't happen last night, but I did make a startling
discovery this morning:  Either my doctor screwed up or the pharmacist
screwed up, but one of my night-time meds was accidentally doubled in dosage
from 50mg to 100mg!  I didn't look closely until this morning, but I got the
script filled Tuesday.  I guess I just figured that it was a different
generic.  My insurance carrier insists on generics when available, and the
chain pharmacy I use is constantly switching suppliers, so the "look" of the
meds I take changes constantly.

I'm really honked off about this, because it's a med that's supposed to be
titrated slo-o-o-wly,
not doubled overnight.  Wonder if it had anything to do with this sleep
issue...

Kyle

-----Original Message-----
From: BG Greer, PhD [mailto:[log in to unmask]]
Sent: Thursday, September 18, 2003 8:28 PM
To: [log in to unmask]
Subject: Re: A strange problem...


Kyle

       Here is an abstract I found on PubMed.

Situational factors affecting sleep paralysis and associated hallucinations:
position and timing effects.

Cheyne JA.

Department of Psychology, University of Waterloo, Waterloo, Ontario, Canada.
[log in to unmask]

Sleep paralysis (SP) entails a period of paralysis upon waking or falling
asleep and is often accompanied by terrifying hallucinations. Two
situational
conditions for sleep paralysis, body position (supine, prone, and left or
right
lateral decubitus) and timing (beginning, middle, or end of sleep), were
investigated in two studies involving 6730 subjects, including 4699 SP
experients. A
greater number of individuals reported SP in the supine position than all
other positions combined. The supine position was also 3-4 times more common
during SP than when normally falling asleep. The supine position during SP
was
reported to be more prevalent at the middle and end of sleep than at the
beginning suggesting that the SP episodes at the later times might arise
from brief
microarousals during REM, possibly induced by apnea. Reported frequency of
SP
was also greater among those consistently reporting episodes at the
beginning
and middle of sleep than among those reporting episodes when waking up at
the
end of sleep. The effects of position and timing of SP on the nature of
hallucinations that accompany SP were also examined. Modest effects were
found for SP
timing, but not body position, and the reported intensity of hallucinations
and fear during SP. Thus, body position and timing of SP episodes appear to
affect both the incidence and, to a lesser extent, the quality of the SP
experience.

PMID: 12028482 [PubMed - indexed for MEDLINE]