Hi all, I completed 2nd cycle of cisplat/pemetrexed 10 days ago. Premed 10mg dex IV on chemo day then 8 mg daily x 2 days thereafter. Insomnia hits me hard, at a week post-chemo (I.e. Wake in bed at 2400, awake out of bed 0200 to 0400). Dr denies this is steroid related because it's delayed. I am not experiencing financial, relationship, family, work or health anxieties or concerns (other than this terrible insomnia). I am perf level 0, stage 3 NSCLC, very active, medical professional. Ambien, lorazepam, antihistamine, these help with sleep onset-- but I still awaken 2 hr later. The insomnia with the first cycle lasted 7 days then went away. I am hoping for the same this cycle. Anyone have comments? I don't believe stopping dex would be advised; as I am having some nausea still with this highly emetogenic regimen. I wonder if prednisone might be less problematic. Any advice or even empathy would be appreciated (since I sure feel I am not getting it from my medical team).
Thank you