Drugs Eradicate the Need For Sleep
MattSparkes writes "New Scientist is running an article on lifestyle drugs that claim to help you function on little or no sleep. I'm dubious, but the interviewee in the article claims they work well. 'Yves (not his real name), a 31-year-old software developer from Seattle, often doesn't have time for a full night's sleep. So he swallows something to make sure he doesn't need one.'" But, sleep is where I'm a Viking!
Speaking as a scientist who used to study sleep and sleep disorders, I have to say this is troubling. Sleep has evolved for a purpose and a number of studies have shown that sleep is necessary or crucial to consolidate long term memories, stabilize mood and more. If you are a simple automaton in your job, then *perhaps* you might be able to get away with something like modafinil for short periods of time, but if your job requires thought and the use of memory and higher cognitive function, then you are doing yourself a disservice by taking these drugs. I worry that the long term effects will not become apparent until years later, like I suspect might happen with PDE inhibitors like Viagra, Cialis and Levitra.
Humans have evolved an organized architecture of sleep where we progress through a number of stages of sleep. In other words, sleep is an active state that is not homogenous in that there are five generally accepted states of sleep separate from consciousness. Stages 1 and 2 are light sleep whereas 3 and 4 are deeper, more restful states of sleep with lower brain metabolic rates and more cortical synchronization. Stage 5 or REM sleep is actually a very active stage of sleep with very high metabolic requirements rivaling that or exceeding wakefulness and its thought that REM sleep may be necessary for memory consolidation. The trick is that the architecture of sleep is broken up into various stages and you do not really approach the most intense REM periods until after you have progressed back and forth through some of the other stages including a more brief period of REM sleep earlier in the night. So, the most intense REM period is late into sleep and often early in the morning. If you short change yourself of the other sleep periods, you reduce the quantity and quality of your REM sleep period.
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I did sleep studies for a year. I was the guy that brought patients in, hooked up electrodes for brain activity, belts for breathing, electrodes on the legs for leg movement, etc -- then I sat in a small office staring at a computer screen for sometimes 12 hours on end watching them sleep making sure nothing went wrong, as well as making notes on potential sleep disorders. Apnea, Periodic Leg Movements, mainly. Obviously this job required that I work graveyards. After about 8 months on the job, my sleep schedule began to skip. I met my wife, I was trying to maintain a social life in the afternoons, etc. I started staying up when I got home until sometimes 2PM before going back to work at 8PM. Bad news. We obviously had a doctor on the staff, and he called us sleep techs into a room and we discussed the latest discoveries, etc. What came up was Modafinil. He mentioned that while he recommended Melatonin, Modafinil is approved for graveyard workers. Shortly thereafter I started taking Modafinil. I'll tell you, it works. Caffine is a terrible substitute. I used to drink so much coffee on top of caffine pills I OD'd more than once on it. Modafinil had 0 side effects (for me), other than the occasional slight bit of anxiety. It kept me awake, and it made me feel like I didn't even need sleep. When I'd get home, I could easily go to sleep because while it made you not FEEL like you didn't need to sleep, actually falling asleep wasn't difficult. When I would wake up I felt rested. I used Modafinil for about 4 months total -- and if I ever feel compelled to ruin my life with another graveyard shift, I'll be taking it up again. It's a marvellous drug.