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Adrenaline surges at night while falling asleep.


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I have not been diagnosed with dysautonomia but have many symptoms since I had Covid in November. Just recently I am experiencing adrenaline surges at night right when I drift off to sleep. It happens al night long. It went away for about a week and a half but now it’s back. I am 49 and noticed it might be related to hormones because the surges come when I am about to start my period. I do feel anxiety when I am having these but when they dissipate I feel fine. Any suggestions?

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@Churt - a SSRI or SNRI might help. I take Lorazepam 0.5 mg at times when I am too wired to fall asleep, and it helps. But I don;t take it often due to the high risk of dependency. I used to not be able to sleep, mostly waking up after 3 hours, when the adrenaline level is supposed to drop to accomodate REM sleep. 

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@Pistolthanks for your response. I am not sure I want to try an anti depression med yet. I have considered it but I hate taking meds. I am not sure if these adrenaline surges are caused from anxiety or if my nervous system is messed up from Covid. I’m one of those long haulers and have had tachycardia, chest pain and nerve pain since I had it in November. 

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  • 1 month later...
On 4/17/2021 at 6:11 PM, CallieAndToby22 said:

It happens to me every time I try to sleep or rest and when I wake up it kicks in. I'm supposed to see an endocrinologist so I'll update on that. 

Hi - know this post has been awhile, but did you ever talk to the doctor about this?  I get this in attacks, usually if I have done something more physical - keep awakening with tachycardia, internal shaking, muscles jerking, anxiety and extreme chills.  I believe its possibly adrenaline surges.   I've also seen people say this is related to adrenal fatigue, so that is why I am curious as to the endocrinologist's opinion - I know there is the whole thing with dysautonomia as a result of disruption of the HPA axis? ? Thanks. 

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I have used, with some success, something called "Cortisol Manager' -- a supplement by Integrative Therapeutics.  I have the same experience and this has helped calm it down some.  Not a panacea, but a tool.  It is awful, and I so sorry that you are dealing with this, as well as any other symptoms since you had Covid, @Churt

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On 4/14/2021 at 6:36 PM, Churt said:

it might be related to hormones because the surges come when I am about to start my period

My period has always been a major trigger for an increase in dysautonomia symptoms - I have heavy periods so I think it's just due to less blood being in circulation.  I had a Mirena IUD fitted about 12 years ago and found it a tremendous help - a couple of months after I have it inserted my periods stop and I generally get about 3 years without a monthly bleed and when my periods do restart I get another one put in!

The thing that I have found most helpful for night-time adrenaline surges is 100 mg of Trazodone around 6pm - a low-dose antidepressant which helps me sleep better and for longer periods of time.  Before Trazodone I rarely slept before 3am and only slept for 30-60 minutes at a time before waking with a jolt, now I get to sleep around 1am and sometimes sleep for as long as 3 hours at a stretch.  I have no grogginess the next day and I have no other side effects from it

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On 5/21/2021 at 10:25 AM, Amyschi said:

Hi - know this post has been awhile, but did you ever talk to the doctor about this?  I get this in attacks, usually if I have done something more physical - keep awakening with tachycardia, internal shaking, muscles jerking, anxiety and extreme chills.  I believe its possibly adrenaline surges.   I've also seen people say this is related to adrenal fatigue, so that is why I am curious as to the endocrinologist's opinion - I know there is the whole thing with dysautonomia as a result of disruption of the HPA axis? ? Thanks. 

Oh you know I was referred to 3 endocrinologists in my city and they all denied my referral. Now I've been accepted to Mayo Clinic in Jax and I have to wait till July. They think I could have adrenal hyperplasia or PCOS, the adrenal hyperplasia makes a lot of sense to me symptomatically though. 

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