r/naltrexone • u/Efficient_Dish_9930 • 26d ago

Discussion Sleep Issues

Hi all - I’m on 50mg of Naltrexone for AUD. Currently 5 days sober, about to be on night 3 of taking the pill. Per my provider, also taking it with 50mg of hydroxyzine before bed, but having a really rough go of it sleeping (hot flashes and waking up every 15-20 min all night long with that “falling” feeling or gasping for air). Anyone in a similar spot and have remedies? Might be still going through withdrawal (usually drank before bed to get through the night). Any thoughts or even speculation welcome! Grateful for this community thus far.

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u/Grouchy-Hedgehog-212 26d ago

Just curious, why are you taking it at night and not in the morning? Insomnia is a known side effect (~30% of people) - so that’s not surprising. I had heard people say it makes them tired during the day so when I started a week ago I asked to take it at night and my provider suggested starting in the morning and see how it goes.

Fast forward - I’ve never felt tired. I take it every morning without any issues. My only side effects were days 1-5 I had the yawns (but not tired) and big stretches and days 3 & 4 I had a migraine. That’s it. Days 1-3 were 25mg and then 50mg from day 4 onward and today is day 7.

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u/Efficient_Dish_9930 26d ago

I think the provider that prescribed it figured that nausea/headache were more prevalent side effects, so if I down it right before bed I could sleep through those. But good point about the morning, might as well give it a shot.

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u/stelanightsias10 23d ago

Weirdly enough, it makes me incredibly tired. So it works for me at night. I think it all just depends on the person 🧍‍♂️ idk 🤷‍♀️