Dr. Oz Insomnia: How far are you going for a good night’s sleep? What’s wrong with sleep in America? Michael Jackson’s death shocked the world with his extreme measures for sleep, and his doctor who is facing imprisonment for his controversial treatment. Joining Dr. Oz today is good friend and College Dr. Michael Roizen, one of the first doctors to bring Propofol into this country and Dr. Michael Breus. Dr. Roisen has been contacted by experts from both sides of the Michael Jackson case. Dr. Oz said Americans are guilty of going to extremes to treat insomnia. But what happens when one pill doesn’t work? How easy is it to amp up and combine medications to sleep, what lengths are you willing to go to get one good night’s sleep? Dr. Oz had people on the show today who went to just these lengths just to get a good night’s.
Michael Jackson’s death has put the spotlight on the insomnia epidemic in America and the desperate measures people are taking to fight insomnia – Propofol for sleep, the drug at the centre of the controversy .
In the spring of 2009, jackson hired Dr. Conrad Murray to care for him which included administering powerful drugs for Michael to get to sleep. On june 25th 2009, starting about 1:30 A.M. Dr. Conrad Murray says he gave Jackson numerous anti-anxiety drugs and sedatives both orally and intravenously to help Michael Jackson get some sleep but nothing worked.
Dr. Murray said:
“He continued to complain about he cannot sleep and so after an hour, I decided ok, I’m going to give him a different agent.”
By morning Dr. Murray says Michael begged for a hospital strength Antisetic called Propofol, a drug he hoped he could get Jackson to stop using.
Dr. Murray Said:
“Three days before his death, I started to wean Mr. Jackson from Propofol.”
By 10:40 A.M. June 25th, 2009 Dr. Murray relented and gave Jackson Propofol, finally by 11:00 A.M. Jackson fell asleep and never woke up.
Dr. Mike Roisen helped bring this drug to this country and explained what is Propofol. Propofol is an an Antisetic given intravenously which induces a coma that helps block pain and give you sleep.
Dr. Roizen gave his expert opinion on why Michael Jackson died:
If Jackson had just had a heavy water loss from a workout or dress rehearsal under hot lights, his blood volume would be decreased. If he then took a mix of narcotic pills and sedative hypnotics (including the intramuscular shot of Demerol that was reported), they would have gone into a smaller volume of blood, which means they would have been more concentrated and have a greater effect — more depression of breathing. That’s what I think is likely.” says Dr. Roizen.
Dr. Oz asked Roizen if he thinks Conrad Murrray should go to jail?
“let me put 3 points, first he practiced below the standard of care in 3 ways. He let drugs available to Michael Jackson which he should of never left available, he didn’t monitor him appropriately, he didn’t resuscitate him appropriately. If he had done those things Michael Jackson would have lived past that time, but the third is does that rise to the level of criminal. It does in my mind because even if he told Michael Jackson I can’t do this, I don’t know how to do this, he then went ahead and did it.”
Roizen says Propofol is the best antisetic we have, but it needs to be given by someone who knows how to monitor and treat the problems, Propofol is not a sleep.
Suffering From Insomnia: Today Holly said she literally chewed tylenol PM in hopes of it working to get some sleep because she couldn’t turn of her mind. Holly started taking tylenol as a teen after being prescribed sleep medication Ambien. Abien caused a bad side effect that made Holly stop taking it, she apparently called her friend 35 times through the night and she had no recollection of it. So now Holly takes 4 tylenol PM every night before bed. At 3 in the morning she said she is so tired but her mind is still racing! She told Dr. Oz she she is desperate and will doing anything for those few hours of sleep.
Dr. Oz Dangerous Side Effects Of Sleep Medications
Here Dr. Breus explains about over the counter sleep meds (OTC PM medications) and how two will lead to three and then on to 4 pills, he said he had one patient ask him if it was ok take to a box of benadryl a night (18 – 10mg tablets). Breus went on to say there are different types of insomnia and believes Holly’s insomnia may be genetically based because she has had problems since she was a young girl. Dr. Breus said he is very concerned about the effect OTC sleep meds will have on her liver.
Dr. Oz told Holly to go back to her doctor along with everyone else out there who can’t sleep and say I need a world expert here, I am desperate and need professional help for sleep.
Combining Sleeping Pills And Alcohol: The next lady who went to extreme measures to get some sleep she woke up in another state. In 1996 she started drinking at night just to get herself in the mood to get some sleep as she attributed her insomnia to her high stress job. Early 1997 alcohol wasn’t working anymore, the oTC stuff wasn’t working and that is when she started using Ambien. She could take ambient and continue doing things, she couldn’t remember doing them but did them anyway. She remembers sitting in her fiends living room in Philadelphia not remembering how she got there as she lived in New Jersey.
After taking ambient she was on taking Lunesta, tried taking melatonin, her doctor prescribed ativan and most recently on Xanax. When you take one medication then take another medication and they both don’t work you try putting both of them together to see if it will give you 4 or 5 hours of sleep.
She said if you have never gone without sleep then you don’t know what measures you will take to get some sleep. Currently she is taking 60mg melatonin, 3 Motrin PM’s and 1 Excedrin PM at night and spend the next day groggy and out of focus.
Dr. Breus said she has done the triple cocktail, prescription medications, OTC and naturopathic, her dosage of melatonin in particular is very scary because the number one side effect of melatonin is night terrors.
Dr. oz said he found that sleeping pills on average add only 20 to 30 minutes of sleep each night…now that is shocking!
3 Questions you should be asking yourself about why you can’t sleep?
1. 1. Was your sleeping problem triggered by A major event
2. Do you need to mix and match sleep medications to fall asleep?
3. Do you exceed the recommended dosage of a sleep medication?
Dr. Breus The Insomnia Blog:
Here’s some potentially good news for the millions of women who are coping with insomnia as a consequence of menopause: a recent study indicates that the herbal supplement valerian is an effective treatment for women with post-menopausal insomnia.
One of the tools sleep doctors and sleep specialists use to help monitor and understand your sleep is a sleep diary. This diary will help you see what your sleep looks like over time. You can then take this diary to your doctor to discuss your entries to see if a sleep specialist may be someone you need to talk to.
The questions you will answer are simple but effective in telling your doctor about both the quantity and quality of your sleep.
Every night you should write down what time you get into bed. Then put the diary away and get some sleep! In the morning, quickly fill out the questions that are appropriate for you.
The diary will be most effective if you fill it out every day, don’t try to remember what happened earlier in your week.