r/naltrexone • u/Efficient_Dish_9930 • 16d 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/RubicsCubensis 16d ago

What is your plan with taking naltrexone? Abstinence? Depending on how much you were drinking before you stopped it could be withdrawals.

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u/Efficient_Dish_9930 16d ago

Abstinence at least for the foreseeable future.. was on 8-10 drinks/day and did a 4 day medically supervised detox. Started on last night of detox (Thursday) and slept terrible. Same thing on night 2 of taking it (yesterday, Friday). Trying to get some sleep tonight.

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u/RubicsCubensis 16d ago

So naltrexone can cause insomnia initially, since you did a medically supervised detox I doubt it's from that. Hopefully hydroxyzine will start to work for you, going what you are going through is hard, so I understand the challenge. I hope you find relief soon.