Sleep is often disturbed in chronic Lyme disease. Lack of adequate sleep
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 natural sleep medicines outlined in this article, be sure to follow the recommendations in Sleep in Lyme Disease. The Basic Steps. It is most important to follow the recommendations on lowering cytokines and sleep hygiene. If you are looking for information about prescription slee medicines see Sleep: The Prescription Medicines.
A variety of herbs can support sleep as can prescriptive medicines. Often given the severity of the sleep disturbances seen in chronic Lyme disease, prescriptive options are necessary. It is common to layer supplements and prescriptive medicines together.
Curcumin lowers inflammatory cytokines made by the immune system that cause dysfunction of the sleep centers of the brain. It is an essential herb for any natural or prescription sleep regimen.
Herbs and nutrients that may induce sleep do so through a variety of mechanisms. Some like l-theanine and 5-hydroxy-tryptophan (5-HTP) raise neurotransmitters that induce sleep. Others, like valerian root, interact with GABA brain receptors on nerves that induce sleep. Some sleep herbal combination products include a variety of sleep herbs like valerian, wild lettuce, l-theanine, passion flower and hops. The hormone melatonin is produced by the brain in relation to light exposure. Day-time light suppresses its production. Before sleep time, there is a natural surge in production which induces sleep. Melatonin seems to work best in those with sleep cycle disturbances. It helps restore a natural sleep cycle if it is taken 1 hour before the designated sleep time. To correct sleep cycle disturbances move the designated sleep time back slowly in 15 minute increments every 3 to 7 days.
Try any of the following herbs alone or in combination. Curcumin is essential and should always be used. Be careful when mixing the L-theanine products. Try to limit the total l-theanine a night to no more than 600 mg. Each product should help within 1 to 2 nights. If one helps partially but not all the way consider taking it in combination with another. If the herbs do not work, then see your healthcare practitioner for prescription sleep medications to obtain 7-9 hours of sleep a night.
For more difficult sleep issues try combinations of L-theanine, 5 hydroxy-tryptophan, an herbal sleep combination, melatonin and curcumin. You could also include a THC containing medical marijuana product.
Read Medical Marijuana, Cannabis, & CBD for Lyme for additional information about how to use medical marijuana for sleep. Note it can be mixed with the supplements and herbs above.
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Marty Ross, MD is a passionate Lyme disease educator and clinical expert. He helps Lyme sufferers and their physicians see what really works based on his review of the science and extensive real-world experience. Dr. Ross is licensed to practice medicine in Washington State (License: MD00033296) where he has treated thousands of Lyme disease patients in his Seattle practice.
Marty Ross, MD is a graduate of Indiana University School of Medicine and Georgetown University Family Medicine Residency. He is a member of the International Lyme and Associated Disease Society (ILADS), The Institute for Functional Medicine, and The American Academy of Anti-Aging Medicine (A4M).
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