Sleep is often disturbed in chronic Lyme disease. Lack of adequate sleep worsens pain, causes fatigue, increases inflammatory cytokines and suppresses the immune system. It appears that in response to infection, the excess inflammatory cytokines produced by the immune system disturb the sleep centers of the brain. A restorative amount of sleep is 7-9 hours of sleep a night. Sleep during the few hours before midnight is most restorative.
Before trying the prescription sleep medicines outlined in this article, be sure to follow the recommendations in Sleep 101: The Basics. It is most important to follow the recommendations on lowering cytokines and sleep hygiene. In addition you may want to try the supplements and herbs recommended in Sleep: The Natural Medicines. The natural sleep medicines may also be used in combination with the prescription medicines listed below.
General RX Approach for Sleep in a Lyme Disease Treatment
People with chronic Lyme can have problems falling asleep, staying asleep, or both. Because of this I break medications into two groups the get you outs and the keep you outs. Medicines in the