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What Causes Excessive Daytime Sleepiness?

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Posted on Mon, 28 Sep 2015
Question: You may have an answer for me.I am72years of age, Bedtime is around 12 Midnight & get up between 7:30 & 9:00 am have slight sleep apnea..confirmed as I have a HEREDITARY Flat narrow STENOSIS..
I use Estradot patches .no probs there-- BUT IN May this year I had light anaesthetic for Colonoscapy- ALL CLEAR .IN RECOVERY I REPEATEDLY STOPPED BREATHING - each time FOR TOO LONG A space of time.
Now taking Pradaxa ,I've been taken off Lasix after needing to take it for over 40 years. bad Toxaemia especially during pregnancy at that time, and Now since stopping Lasix
I also take 12.5 mg Valdoxan @ Night And Metaprolol 2times daily
Fluid retention has returned with a vengeance !
QUESTION ---Plus I drop off to sleep a lot- with a giddy head in the early afternoon , sleep for a couple of hours.
Would combination of PRADAXA & Metaprolol cause this.
As using VENTOLIN and Nitrolingual approx 3- 5 times daily.[ always before walking or exercise ]
doctor
Answered by Dr. Shashi Dangwal (3 hours later)
Brief Answer:
It cuold be due to sleep apnoea.

Detailed Answer:
Hello XXXX,

Thanks for posting your query on HCM.

The symptoms of day time sleepiness that you are having could be due to sleep apnoea that you are suffering from.

Though you have not mentioned about your heart problem and your weight but even that is contributing towards day time sleepiness as there may be water in the lungs which becomes worse when you lie down and does not let you sleep at night resulting in day time somnolence.

You need to undergo sleep studies(polysomnography) at a sleep centre. You should consult a cardiologist to sort out the heart problem.

No the day time sleepiness is not because of pradaxa and metoprolol combination.
But valdoxan can cause some drowsiness.

Once heart issues are sorted out and if your day time sleepiness continues, you may have to use a CPAP or BiPAP.



Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
Dr.
Dr. Shashi Dangwal

Pulmonologist

Practicing since :1979

Answered : 1157 Questions

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What Causes Excessive Daytime Sleepiness?

Brief Answer: It cuold be due to sleep apnoea. Detailed Answer: Hello XXXX, Thanks for posting your query on HCM. The symptoms of day time sleepiness that you are having could be due to sleep apnoea that you are suffering from. Though you have not mentioned about your heart problem and your weight but even that is contributing towards day time sleepiness as there may be water in the lungs which becomes worse when you lie down and does not let you sleep at night resulting in day time somnolence. You need to undergo sleep studies(polysomnography) at a sleep centre. You should consult a cardiologist to sort out the heart problem. No the day time sleepiness is not because of pradaxa and metoprolol combination. But valdoxan can cause some drowsiness. Once heart issues are sorted out and if your day time sleepiness continues, you may have to use a CPAP or BiPAP.