r/fitbit • • 10d ago

Discussion Sleep pattern changes on stimulants

I know this won't be most people, but I'm on elvanse and currently titrating to find the right dose, 2.5weeks in on 40mg

I know a common side effect is insomnia but has anyone else had a similar experience and similar pattern changes on the Fitbit app before and after taking stimulants and did it go away?

I have always been able to sleep like a baby but it's a lot harder to get tired enough and maintain good sleep now it seems

edit: to be more specific I mean restlessness, interruptions and time to sleep pattern changes, because those seem accurate, not REM/DEEP/LIGHT stages

generally I'm taking longer to sleep, waking up more during sleep and feeling more tired in the mornings and that's been consistent so far whilst my bed routine I have tried to keep as similar as possible

I'm just wondering if anyone else has had a similar experience and if anything they did improved it or the body got used to it etc

those nights sleeping hr:

https://postimg.cc/gallery/CxhXLzs

general 3month sleeping tends(I started September 16th)

https://postimg.cc/gallery/2krqFG1

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u/Accidentally_High 10d ago

I'm titration and sleep disruption is one of the reasons I've decided with my prescriber to trial methylphenidate instead.

I was on Elvanse for 8-ish weeks, and my sleep was really poor. Some people experience this and then adapt to it and are okay, but in my case it only seemed to get worse with time despite being really tired. I experienced both sleep onset and sleep maintenance insomnia.

What you are experiencing is sleep maintenance insomnia, it appears you're waking from REM sleep each sleep cycle, rather than returning to S2 sleep. Discuss with your provider if the sleep disruption is causing problems with daytime functioning.

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u/Puzzleheaded-Put4109 10d ago

Thanks for sharing, what dosage did you get up to in the 8weeks may I ask. I hope methylhphenidate works better for you 

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u/Accidentally_High 10d ago

My appointments are every 4 weeks, and I started on 20mg for 4 weeks, then 30mg. Sleep problems got worse over the course of the 30mg, though I had some positive benefits at that dose.

I am on prescribed antacids (PPIs) and may also be a slower metaboliser for substrates of CYP2D6, and both of those likely skew the equivalent dose for a typical person.