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Hello everyone! I'm new to this site, so please bear with me! Hoping this is a good spot for my question :) I'm currently being treated for optic neuritis with prednisone (started Sept 7th), of which I am now taking the tapered dose of (1 less tablet of 5mg every 5 days). The insomnia I've been experiencing however is taking a toll on me. I still had these sleeping pills my neuro prescribed for me 6 months ago with my last prednisone dose, and they are not working even half as well as they were this previous time. Without the sleeping pills, I barely sleep 2 hours over the entire night. With them, taking the dosage recommended by my neuro, I can manage about 5 hours of uninterrupted sleep overnight. I am very, VERY mentally exhausted from this. The lack of sleep is affecting my mood greatly, I'm unable to function normally in a social setting and it's bringing me down at work because I'm so short tempered. It also seems to be bringing me some serious depression. I've tried adjusting my diet to include water instead of sugar/caffeine, but I just feel more energetic than ever with all the water. Any suggestions? I'm going to be on this tapering dose until October 30. I miss having rested sleep :( Thanks!

Hi @makkydoll , this is a good place for a question. :wink: Here's a short piece on sleep problems, which may help:- http://www.mstrust.org.uk/atoz/sleep.jsp Steroids are normally provided at a high dose over 3-5 days (http://www.mstrust.org.uk/atoz/steroids.jsp), so can I assume that your present dosage is a subsequent taper, following the high dosage? Anything less than the high dosage is not felt to be effective. Given your current problems, you need to speak to your medical team to resolve this sleep problem. Amitriptyline may be an answer, it is used for neuropathic pain relief in MS. But, it does tend to knock you out a bit, so should be taken 12 hours before you intend to rise the next day.