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Re: Sleep Sitting

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Hi

Welcome to the group. As you state, motor activity during sleep to the

point of sitting up, is not normal. If this is occurring during REM

(rapid eye movement) sleep, when the muscles are normally relaxed, this

could represent a mild case or an early sign of so-called " REM Sleep

Behavior Disorder " (RBD). It is interesting that you are taking doxepin

(Sinequan), which is a tricyclic antidepressant. Drugs of this group

have been associated with RBD. Unfortunately, the only way to make the

diagnosis is by a sleep study to confirm the stage of sleep and the

motor activity. The " sitting " or other actions is felt by some to

represent the acting out of a dream. Such behavior is frequently seen in

young children, before their brain is mature, and is normal. (As in the

case of Jeanne's grandchild). RBD should respond to discontinuance of

the doxepin. If it doesn't, Klonopin has been found to be very effective

in treating RBD. The problem with RBD is that the motor activity can

progress to the point where the patient injures themself, as is the case

with sleep-walking.

The first step is to see somone knowledgeable in sleep medicine and get

a diagnosis. I do not think this is related to your RLS or Sinemet.

Dr. Levin

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