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Posted
2 hours ago, thesetat said:

I suggest you have a sleep test done at the hospital. A few thousand baht for a room overnight and a couple thousand for the test. 

I will explain why. 

For a couple years I would wake up in the middle of the night and be unable to sleep for another hour or 2. I thought maybe noises or needing to go to the toilet was the reason. I mentioned it to my doctor and they began testing me for the reasons. I tried sleeping pills and tried antihistamines and even tried CPAP machines that push air into my mouth while I sleep but nothing changed. Finally, I agreed to a sleep test in the hospital. It turned out that my breathing would stop many times an hour and that would wake me up. They call it sleep apnea. 

X Rays showed I had blockage in my nose and throat. 

I just recently had surgery to clear the blockage in my nose and throat. Prior to the surgery they tried to get a camera inside through my nose. They were unable to do so and later told me that my airway was blocked 80%. I never thought this could have happened. I breathed normally I thought. But in sleep the position of the body and the way you breathe changes. Throat becomes more relaxed. 

Since the surgery, I have been able to sleep all night a full 8 or even 9 hours without waking up. Whereas usually i was awake within 3 or 4 hours. 

So perhaps you should consider what I wrote here and find a serious approach. A sleep clinic can not help you if they do not know the cause of your problem. 

I just spent 9 days in Bangkok Pattaya Hospital. 250,000 THB. But that was all inclusive, insurance covered. So I don't think a few thousand will cover one night. But, YMMV.

Posted
12 hours ago, thesetat said:

I suggest you have a sleep test done at the hospital. A few thousand baht for a room overnight and a couple thousand for the test. 

I will explain why. 

For a couple years I would wake up in the middle of the night and be unable to sleep for another hour or 2. I thought maybe noises or needing to go to the toilet was the reason. I mentioned it to my doctor and they began testing me for the reasons. I tried sleeping pills and tried antihistamines and even tried CPAP machines that push air into my mouth while I sleep but nothing changed. Finally, I agreed to a sleep test in the hospital. It turned out that my breathing would stop many times an hour and that would wake me up. They call it sleep apnea. 

X Rays showed I had blockage in my nose and throat. 

I just recently had surgery to clear the blockage in my nose and throat. Prior to the surgery they tried to get a camera inside through my nose. They were unable to do so and later told me that my airway was blocked 80%. I never thought this could have happened. I breathed normally I thought. But in sleep the position of the body and the way you breathe changes. Throat becomes more relaxed. 

Since the surgery, I have been able to sleep all night a full 8 or even 9 hours without waking up. Whereas usually i was awake within 3 or 4 hours. 

So perhaps you should consider what I wrote here and find a serious approach. A sleep clinic can not help you if they do not know the cause of your problem. 

BPH quoted me 30k baht for an overnight sleep study (approximately $1k US). I'd had a recent study done in the US, which was free on my plan. Confirmed sleep apnea. Brought a print-out of the study with me. Would not accept it, insisted on doing their own. I passed. It's not severe, most nights I sleep OK (no snoring, or gasping for air). 

Posted
27 minutes ago, Travis179 said:

BPH quoted me 30k baht for an overnight sleep study (approximately $1k US). I'd had a recent study done in the US, which was free on my plan. Confirmed sleep apnea. Brought a print-out of the study with me. Would not accept it, insisted on doing their own. I passed. It's not severe, most nights I sleep OK (no snoring, or gasping for air). 

Siriraj let me rent a CPAP machine to test them.. I rented 4 different ones for up to a month for all of them... cost was like 50 baht a day... Unfortunately for me the CPAP could not push the air past the blockage so none of them worked. My mom uses a CPAP and swears by it. Claims once she began using it her sleep apnea disappeared. Siriraj ear, nose and throat clinic would be the ones you should talk to. They would most likely accept the test you had as well. They accepted mine from another hospital. 

  • Thanks 1
Posted
On 1/1/2025 at 10:22 AM, PJ71 said:

Same in Thailand.

Not really. There are pharmacies (not many) that break the law and sell them, but they risk losing their licence for just stocking these prescription drugs. (only hospitals are allowed to have them on hand) To make up for the risk they charge 5 to 10 times of what you pay for them in Phnom Penh. 

Posted
On 1/1/2025 at 4:08 PM, Sheryl said:

Varies with the antihistamine, and the patient. Some antihistamibnes have been linked to cardiac issues especially in elderly people or people wih pre-existing heart problems.

 

At normal dosages, this specific antihistamine (Sominar, which contains doxylamine) rarely causes cardiac problems. The most common side effects are sedation, dizziness, confusion  and balance problems (sometimes leading to falls). These are all more pronounced in the elderly

 

Contraindicated for people with glaucoma, and people on other medications should research possible interactions.

 

That said, it is considered safe enough that it is sold over the counter in the US. Can even get it on Amazon.

Unfortunately, Sominar is effective only for a few days. 

At least, that is my experience. 

Zolpidem works for a few weeks. Mirtazapine for years. 

Posted
8 hours ago, thecyclist said:

Unfortunately, Sominar is effective only for a few days. 

At least, that is my experience. 

Zolpidem works for a few weeks. Mirtazapine for years. 

Antihistamines, the " Z" class sleep meds and certainly benzos should not be taken every single night, and best not any 2 nights in a row. 2-3 times a week is best.  Otherwise tolerance will develop.

  • Agree 1
Posted
10 hours ago, thecyclist said:

Not really. There are pharmacies (not many) that break the law and sell them, but they risk losing their licence for just stocking these prescription drugs. (only hospitals are allowed to have them on hand) To make up for the risk they charge 5 to 10 times of what you pay for them in Phnom Penh. 

There's loads of them.

 

5 to 10 times is still so so cheap....

Posted
On 12/29/2024 at 9:45 AM, Hummin said:

Anthihistamine is effective for many, if taken before sleep in the night.

Not advised for the elderly. At least not for anything beyond very occasional use (last resort). Studies have linked its use to memory loss / dementia. A commonly known side effect.

Posted
19 hours ago, thesetat said:

Siriraj let me rent a CPAP machine to test them.. I rented 4 different ones for up to a month for all of them... cost was like 50 baht a day... Unfortunately for me the CPAP could not push the air past the blockage so none of them worked. My mom uses a CPAP and swears by it. Claims once she began using it her sleep apnea disappeared. Siriraj ear, nose and throat clinic would be the ones you should talk to. They would most likely accept the test you had as well. They accepted mine from another hospital. 

Thanks for the info. They're in BKK? Was hoping for something more local (Pattaya). 

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