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Medical Forum / Diseases and Disorders / Sinusitis / December 2005

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Extreme Drowsiness

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Fred - 05 Dec 2005 20:32 GMT
I have had a lifetime of sinus problems.  At different intervals in my
life, i have had some serious episodes of drowsiness.  These episodes
have happend in high school classes, in business meetings, and while
driving.  I learned through trial and error that cigarette smoke and
red wine are triggers.  I have also had to deal with these drowsy
episodes as a delayed reaction with an allergen trigger. I have been
punished in classes for "dozing off".  I have been laughed at for the
same reason.  35 years ago I rolled a car after an evening at a bar
exposed to a lot of cigarette smoke and drinking the equivilent of one
glass of red wine.  I live in Denver.  I used to go up to the mountains
to ski.  I would drive home and would have extreme drowsy attacks.  The
culprit was hot spiced wine - a Burgandy with spices and sugar.  This
was not enough to get drunk but more than enough to have serious drowsy
issues.  I have been fired from jobs for "nodding off" in business
meetings where several people were smoking.  The positive is that I
have a lot of control over a lot of these issues.  I don't go into
smoky bars by choice.  I avoid red wine.  Other than a few allergens
such as some pollens in the summer months, I am relativly drowsy free.
I do carry some afrin and a nasal steroid in my car when I need it.  If
I have a drowsy episode while driving, I get off the road.  After 20
minutes, the symptoms pass and I continue driveing.  I have not had to
pull over for several years now because I can use my nasal sprays
before I have any severe symptoms.
Don Brady - 05 Dec 2005 20:55 GMT
>I have had a lifetime of sinus problems.  At different intervals in my
>life, i have had some serious episodes of drowsiness.  These episodes
[quoted text clipped - 19 lines]
>pull over for several years now because I can use my nasal sprays
>before I have any severe symptoms.

You may well be right.

The cause and effect could also be the otherway around.    You may not be
sleeping well due to unexplained factors, and that lack of sleep may be causing
the sinus probelems.   That would be my guess......
Fred - 05 Dec 2005 21:06 GMT
I have thought of that.  I do have sleep apnea.  I cannot wear a cpap
mask.  I have not had any of these drowsy episodes for quite some time
now.  I am very careful about the red wine thing and cigarette smoke.
The result is a minimum of these drowsy attacks.  There is a difference
between sleepiness and drowsiness.  If it was a critical sleep
deprivation, I would still be a very dangerous person on the road.  I
do think that there are others that have this sinus drowsy problem.
There is the issue of self medicating for this.  Many will reach for a
cigarette for a Nicotine rush.  Also there are those that will have a
caffinated beverages to knock out the drowsiness.  Even Codine in low
dosages will knock out the drowsiness.  The irony is that every drug
that I mentioned comes from a plant alkaloid that people use to self
medicate against drowsiness.
Don Brady - 05 Dec 2005 22:08 GMT
>I have thought of that.  I do have sleep apnea.

I thought that might be the case.

> I cannot wear a cpap
>mask.  I have not had any of these drowsy episodes for quite some time
[quoted text clipped - 3 lines]
>deprivation, I would still be a very dangerous person on the road.  I
>do think that there are others that have this sinus drowsy problem.

Yes but it deos not have to be anywhere near critical before lack of sleep will
affect you sinuses.

Unfortuantely there are some "vicious circles" here - each factor making the
other worse.

You will have to try to get out of that circle one way or another (losing
weight might be one easy way to help with the sleep apnea in some cases - I am
sure there are others....)

>There is the issue of self medicating for this.  Many will reach for a
>cigarette for a Nicotine rush.  Also there are those that will have a
>caffinated beverages to knock out the drowsiness.  Even Codine in low
>dosages will knock out the drowsiness.  The irony is that every drug
>that I mentioned comes from a plant alkaloid that people use to self
>medicate against drowsiness.
Murray Grossan - 06 Dec 2005 17:40 GMT
On 12/5/05 1:06 PM, in article
1133816794.407647.169840@g44g2000cwa.googlegroups.com, "Fred"
<fenisz@aol.com> wrote:

> I have thought of that.  I do have sleep apnea.  I cannot wear a cpap
> mask.  I have not had any of these drowsy episodes for quite some time
[quoted text clipped - 9 lines]
> that I mentioned comes from a plant alkaloid that people use to self
> medicate against drowsiness.

Don't misunderstand me, but you are trying to understand your sleep apnea,
whereas doctors spend a year or more of special education to get an
understanding of what sleep apnea is and what it does and how it affects
different persons. Self treatment is OK for a common cold, but that is not
what I am hearing here.  
Murray Grossan - 06 Dec 2005 17:34 GMT
On 12/5/05 12:32 PM, in article
1133814750.025540.232390@g49g2000cwa.googlegroups.com, "Fred"
<fenisz@aol.com> wrote:

> I have had a lifetime of sinus problems.  At different intervals in my
> life, i have had some serious episodes of drowsiness.  These episodes
[quoted text clipped - 19 lines]
> pull over for several years now because I can use my nasal sprays
> before I have any severe symptoms.

Again, I don't think it is allergy but it is simple to make a test. You can
take the product you think is a cause and have a brain wave test - EEG done.
But first, rule out sleep apnea.
Of course Afrin wakes you up it is a stimulant.
 
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