I seem to remember something about some folks being prone to nightmares
on it, but I don't think that is universal by any means.  Just be aware
if you seem to be having more bad dreams on it, that could be the
cause.

how do you feel when you wake up in the morning?  Do you feel rested
then?  Generally sleep disturbances result in you not feeling rested
when you get up.  IIRC, you also have some sinus/allergy problems and
those can lead to that foggy feeling, too, so it would help if you can
identify any possible pattern.  (LOL - I well recall deciding Benadryl
wasn't worth it as it left me even foggier than a major allergy attack
does!)

Nann

Diane,

Can't help with the Melatonin. But you would be surprise how two simple
things have made me less foggy.

One is drinking more water. I just wasn't hydrating enough and it impaired
my alertness and ability to concentrate.

The other is the medicinal imbibing of small amounts of caffeinated drinks.
I got the idea from a co-worker who said she had ADD. She didn't like the
way the rx's made her feel, so she would drink coffee and Pepsi all day.
Well, just as a lark, I tried drinking a cup of coffee or Coke in the am for
a week. The next week, I went back to no caffeine. I can honestly say I was
better organized (mentally) and more able to do what needed to get done on
the days I had caffeine. Can't explain it. It just worked.

Too bad my gut reacts to many of the drinks which contain caffeine. <sigh>
Well, ya can't have everything.

Have been an insomniac since I was a young kid. Some of it was anxiety. Some
of it is hormonal. Recently discovered sugar keeps me awake at night, so no
sweets or really sweet drinks after 8:00 pm.

Some of it was not having the good sleep habits of waking up at the same
time of day every day, seven days a week. When the kids were little, and
their 'tummy alarms' went off at the same time each morning, I actually woke
up the same time each day. For that time, I rarely had insomnia.

Mental fogginess can be a symptom of other things (sleep apnea or other
sleep disturbance, as your doc currently surmises, depression, fibro...).
Don't want you to think I'm not aware of that. Your Dr. is trying to do
right by you. But it seems to me that sometimes we are so used to chalking
things up to our chronic conditions that we forget that sometimes a symptom
might improve if we keep to healthier habits.

Good luck with it
Adelle

My sister used to be on Prozac for mild (thankfully!) clinical
depression.  When hot flashes and night sweats began, her doc switched
her over to Paxil saying it helps some with those symptoms.  She has
noticed a significant change.  Don't know where you are at this point,
but if you can try Paxil, it might be better for you.

heehee, I know what you mean - I'm not a morning person either!  The
years I had to be at school or work at 7 am were pure torment - in that
regard.  But if I could sleep on MY schedule, I'd feel rested when I
got up.  That all vanished for a while, especially when pain was
hitting hard around 4 or 5 am.  That's been much bette since Lexapro
and more pain meds, but it hasn't helped my natural night-owl-ness any!
LOL  I force myself to aim for a midnight-8 am sleep schedule, but
would much prefer 3-6 am!  (of course, my current morning wakefulness
only lasts about 90 minutes - then I fake it and drink caffeine until
naptime!)

Nann