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Marge - Sleep and smoking

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Marge,

I'm not sure about whether the dreams/nightmares side-effect would

diminish or stop as the time you are on Elavil increases. That would be

something to ask your physician or pharmacist about.

I'm very worried that you aren't sleeping.

Maybe now would be a good time to jump in with Stacey and Heidi and quit

smoking? Smoking does have an association with sleep disturbance and, in

addition, as I'm sure you're aware, its harmful effects on the immune

system are well-documented. If you choose not to quit at this time,

maybe avoiding smoking close to bedtime or when you wake in the middle

of the night would help (since nicotine is a stimulant).

A study abstract entitled, " The relation between cigarette smoking and

sleep disturbance " :

http://www.lef.org/protocols/abstracts/abstr-063.html#13

" Fact about Insomnia " from the National Institutes of Health National

Heart, Lung, and Blood Institute:

http://www.nhlbi.nih.gov/health/public/sleep/insomnia.txt

" If You Breathe, (and want to keep breathing), Don't Smoke! " from

Sleepdisorders.About.com:

http://sleepdisorders.about.com/library/weekly/aa112999a.htm

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