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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"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.'"
It's refreshing to see evolution still at work.
Mod me down with all of your hatred and your journey towards the dark side will be complete!
They should try selling this to new parents. My wife would surely love to get her hands on some.
'Loose' is when your pants are three sizes too big. 'Lose' is when you misuse 'loose'.
But, sleep is where I'm a viking!
Don't worry, Taco! After 100 hours or so awake, you'll BE a viking, raping and pillaging and showing those pink elephants who's boss!
If I have been able to see further than others, it is because I bought a pair of binoculars.
This just in: New Scientist discovers cocaine. Story at 11.
Jack Bauer's big secret is out. What chance does he stand next season when the terrorists can go 24 hours without sleeping as easily as he can?
Doctor: Now, what seems to be the problem? ... I need some modafinil--or my life will fall apart! ... I'm a ... software developer. ...
Patient: I got it bad, doc, I barely get any sleep
Doctor: Now hold on there, I don't go around giving prescriptions of that to just anyone! You're young, you look like you're in good shape, why don't you get any sleep?
Patient: Well, it's just that
Doctor: My GOD! Why didn't you say anything? *yells out the door* Nurse! I'm going to need a lifetime's supply of modafinil--stat!
Patient: Oh thank you, doc, thank you so much!
Doctor: Everything's going to be alright, plus it seems your company's health care is willing to provide 100% of the funding for this with no deductable, can't say I've seen that before. Now you say that you're married as well? Then I'm going to recommend you take two of these every day with fifth of bourbon
My work here is dung.
Slashdot Burying Stories About Slashdot Media Owned
This story appeared in the New Scientist in mid-February 2006.
Sleep eradicates the need for this drug.
It's reassuring to see that pharmaceutical companies can make a pill to solve every problem, even ones that weren't a real problem before they came up with a pill.
"In 10 to 20 years we'll be able to pharmacologically turn sleep off." Wow! Right around that time I should be able to stay awake behind the wheel of my flying car powered by a comercially available fusion generator! In 10-20 years, everything will be great!
20th century Marxism is not progress...
If it's artificially interfering with a normal function of life and it's not involved in preventing a life threatening disease, it's just a bad idea. Myself, I only need four to six hours a night and I can function well. I actually natrually wake up after six hours even without an alarm clock. I've always been that way. If I really need to puch myself I can get by with two hours sleep. This is perfectly natural. Back in the 90s I read a book on sleep and it stated that most humans need the typical eight hours of sleep. It also revealed that in a few sleep studies where the subjects are kept from knowing the real time or seeing any cues (daylight), that they tended to sleep more on the order of 10 hours a night with their sleep cycle drifting an hour later each day (ie. they would go to sleep an hour later each day without realizing it). But, they did concede that every human is different and there indeed people who don't need much sleep and others who actualy need a lot more sleep than is culturally possible (13-15 hours a day) to be at their best. Sadly, humans are WAY too flexible in their traits which means that there is no "one size fits all" approach. In the case of this drug however, I'd say that it will be revealed eventually just how detrimental it's effects are while simultaneously being denied by the pharmaceutical companies that produce it.
-"...bad old ideas look confusingly fresh when they are packaged as technology" - Jaron Lanier (Digital Maoism on Edge.o
"To die; to sleep; to sleep perchance to dream! Aye, there's the rub. For, in that sleep of death, what dreams may come when we have shuffled off this mortal coil?"
Give a man a match: warm him for an instant. Douse him in petrol and set him aflame: warm him for the rest of his life.
Now your dreams will really miss you.
The clearance system sounds logical. It is not. It is completely arbitrary. -- John Bolton
The concept behind this drug seems akin to that behind painkillers: Eliminate the symptoms, not the problem. Sure, with a sufficient dose of painkillers, I could run while my foot is broken without feeling any ill effects, but that doesn't nullify the damage that would be caused by doing this.
This message printed on 100% post-consumer recycled electrons.
But the car's going to have autopilot and land automatically. So why do you want to stay awake?
Schering-Plough has just annouced the first prescription drug on the market to eliminate the need to go to the can. The drug, "Excretefree", will allow people to work and play continuously without the need for potty breaks. The drug causes the anus and urethra to close tightly preventing waste products from leaving the body. There is no chance of accidental or voluntary release for 24 hrs.
Side affects include internal rupture, massive swelling of the abdomen, oral (reversed) flatulence, abdominal pain, and epic post-medication trips to the bathroom.
It is by the juice of the coffee bean that thoughts acquire speed, the teeth acquire stains. The stains become a warning
is if this works exactly as described. How long will it take until employers (or anyone who demands time in our lives) expects us to be available for 18 or 20 hour days? How disruptive would this be to society? If expectations change, anyone who doesn't want to disrupt their life to the extent that might be demanded will be at a competitive disadvantage.
between not feeling sleepy, and not needing sleep.
There is quite fascinating research into this subject actually with old people. Research determined that it's not that they need less sleep in old age, but that they can't sleep more and it is speeding up the consequences of old age.
So even if you don't feel sleepy, you need sleep and the effects would be quite devastating on a medium/long term. The problem with the drug industry is that it's more profitable for them to treat/mask sympthoms than to actually cure something. There are various anti-flu pills for example that only mask the sympthoms, so it will take a month or two to recover from a simple cold instead a week or two.
It takes a man to suffer ignorance and smile
Be yourself no matter what they say
Have a newborn child. You won't be getting any sleep for a long time.
"To those who are overly cautious, everything is impossible. "
So this pill will surely have some side-effects, and some of them will likely be negative. Fine.
Now think about the value of your time. You get ~100 years here on Earth and that's all. You are wired to spend about a third of that time unconscious. An entire third of your life will be spent not doing or experiencing anything.
How much effort do you expend just to shave ten minutes off your commute? Or to save three minutes standing in line?
What, then, would 33 extra years be worth?
FATMOUSE + YOU = FATMOUSE
I'm now in my late 40's and I can only sleep 6 hours, no more even if I try, but, I need that 6 hours or I cannot function.
I know what you mean. I'm coming up on 40, and I've noticed that I sleep less now than I did 5 years ago. Which is scary, because I always assumed that the "getting older = less sleep" thing didn't happen until you were MUCH older.
I guess we're all only as young as we feel, but still older than we think.
VOTE!
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.
The true horror of this drug is that if it does become commonplace and people need less sleep, my bet is that capitalism will adapt itself to this new reality and we will soon be working 14-16 hour days.
Dont believe it? Look what happened as women entered the workplace in larger numbers in the last few decades (of course this is a good thing). As the number of workers increased, the relative incomes fell. When once a single worker could bring in enough money to support himself, his spouse, and his 2.5 kids, now it is almost necessary for both parents to work to be able to make ends meet. Think what it would be like if capitalism hadnt adapted to this influx of workers - each parent could work a 20-hour week and have the same relative income as 50 years ago.
Likewise, as waking time becomes less scarce, those willing and able to work longer hours will get the jobs and steadily raise the bar and the expectations of what's a normal amount to work each week. Maybe they'll get paid more and the increasing wealth will cause the cost of goods and services to rise, which increases the need for working the longer hours.
IANAE (I am not an Economist) so I'm probably wrong on some details, but this seems like a likely general trend, IMHO.
I tend to agree with you. However I find the same phenomenon occurs for me when I'm playing with my kids, playing Everquest, and reading articles that aren't in my field.
Germans used amphetamines in ww2. It's not much of a secret that armies have used drugs since they became available. Originally all they had was booze and stuff like magic mushrooms (berserkers), but it's been going on a long time. The scary stuff to me is the reverse manchurian candidate stuff,the work to make drugs that make them lose all sense of right or wrong, just follow orders, no matter what the orders might be.....anything... then blank out the memories so they don't suffer remorse or PTSD type effects.
"Ethical" discussions tend to take the ironic form of, "Hey, stop doing that. I get to say how you live."
We have nothing to fear but fear itself.
As copyright owner of this comment, I authorize everyone to defeat any technological measure which limits access to it.
Anyway the article this drug is about is Modafinil, also known as Provigil, a narcolepsy drug, which I've been prescribed for ADHD. And it does the same damn thing. Your body needs sleep, trust me I know, no matter what it is after two or three days your mind begins to break down. This drug certainly doesn't help with that, and if you RTFA (what are the chances of that?) the software developer in question mentions some of the things I pointed out. This worries me, greatly, because after going through a year of hell I'm now seeing articles like this discussing the potential for a "sleep-free" lifestyle, I have very little doubt in my mind that such a thing is not possible without great damage to the brain.
I am not everyman and I do have an extremely addictive personality, but I've seen friends who don't (have addictive personalities) fall into the same trap as I did under the allusion of "work more, work faster, sleep is for wimps!"
Anyway this is just my experience, but I thought I would share...
What's interesting about this drug, is that it seems to do something very similar to what people have been doing with polyphasic sleeping for years now. Basically, you only "need" 2 hours of sleep, but it has to be almost 100% REM. If you can trick your body into denying itself all the rest of the "unnecessary" sleep cycles, you can get by with just those two.
Polyphasic sleeping accomplishes this by limiting yourself to brief 15-20 minute naps, which are far more efficient than sleeping in large blocks because the brain can be trained to go directly into REM. Unfortunately, this training can take weeks or months (depending on how fastidious you are with your schedule), and the adjustment period can be extremely unpleasant.
A drug like this could be very useful for those of us who do don't experience much physical exertion and sleep very little as it is anyways, but couldn't get past the adjustment hump of the polyphasic cycle.
Money I owe, money-iy-ay
Most people grow when they sleep. Then, their vertebrae compress during the day and they go to bed shorter. While horozontal the discs uncompress, resulting in "growth." Astronauts get about 2 inches taller in low gravity, but for us earthbound folk it is less, maybe 1-2 cm. Here is a link I found.
Man, you really need that seminar!
Now if you believe (like many) that the brain is no more than a big computing unit, then it must abides by those rules and the sleep is nothing else than the physical manifestation of 'garbage disposal'. Keep it up for too long and it will... crash.
Non-Linux Penguins ?
Being bipolar, when my medication doesn't work I can go for days without sleep. This is not good. The brain starts doing strange things after day 3 or so. I can only imagine what would happen WHEN, not IF, people start abusing something like this. Sleep is incredibly important to anyone with an illness of any kind, be it physical or mental. Without it, the condition worsens.
Imagine what would happen if this became commonplace. There's a reason that they don't give anti-depressants to make everyone happy. In a small % of the population it can/will cause a psychotic episode. Severe sleep deprivation can do the same thing, set off things in the brain that a person only had a tendency for before. Your great grand-mother was a paranoid schizophrenic? Great, now that you decided to cram for a test for 3 days, you set it off. The chances are low, granted, but do you really want to play with something like that? Get your 8 hours and be happy that you can.
I did 8 days awake once (with nothing stronger than moderate quantities of Red Bull, a little booze, some really nice fried breakfasts and cups of tea, and a lot of distraction, parties, and sheer bloody-minded determination).
It was a sort of experiment; I was the control, and a friend was the "experiment", who did the same 8 days awake, but "aided" by dropping a 100mg-150mg pill of methylenedioxymethamphetamine phosphate (pretty good ecstasy) every time the previous pill wore off (and, of course, remaining appropriately hydrated - I don't remember how many he got through, but it was definitely over 50 in total, and looking back, I find it amazing he didn't die - by the end, they weren't having any effect except monging him out and despite frankly loving the drug, he couldn't bear touching it for the next 6 months afterwards - "too much of a good thing").
Of the two of us, I think I actually got the weirder experience. Sleep deprivation is fucked up.
I could feel myself lapse slightly after a couple of days, and really didn't know what day it was after about 2 and a half. 3 days in, I swear the rabbits that were native to the university campus (for where else do you conduct such crazy experiments?) were plotting against me.
I've done drugs since then, and I would really equate sleep deprivation to magic mushrooms in terms of the sheer depth of hallucinations - we're talking some deeply weird, very convincing stuff here. Fortunately I've always been aware that I was hallucinating because I had a pretty good idea what I was getting into - so it didn't actually turn my mind into slushie (permanently).
I needed about 1 and a half days' sleep afterwards, by the way, and woke up pretty groggy but triumphant, ate a little, played a few games to wind down again, went back to sleep for another half day, then I was pretty much back to normal.
(Posting anonymously, for obvious reasons, but this really happened (in 2001). I am not as insane as I used to be, but, as many do, had a wild experimental phase in university. Do not try this at home. You might die.)
My brother is brilliant but couldn't concentrate on a book long enough to read 15 pages of it. Writing was similarly impossible. He figured he was a lazy and disorganized, and just couldn't concentrate due to insufficient moral fiber. So, despite being brilliant, he counted himself out of any kind of intelectually rewarding career. Then he learned about ADHD and tried some medication. It was like throwing a switch- now he can concentrate and work hard, and he does. ADHD meds made it possible for him to thrive at law school, where so much counselling, introspection, self-blame, and "lifestyle changes" did nothing.
Overdiagnosed as ADHD is, there are lots of cases out there like my brother's, and you cannot dismiss the reality of ADHD without considering them.
The problem with Ritalin (ie speed) is that it's an 'always on' drug, and ADHD appears to either lack or activity or overactivity of certain brain regions (both types of ADHD exist, which is why Ritalin doesn't always help). With neurofeedback you end up trainign those brain parts to perform as required (ie switch on and off as required) which is much more effective, and the results are permanent.
The nice thing is that you'll know within one or two sessions if it works, no need for months to wait before you know it works. I've seen plenty of kids being more or less 'rescued' from a life with Ritalin, that alone is worth a try..
Insert
I think most new children are newborn by default.
sleep is where I'm a maths genius half the time and a poet the other half?
Eloi are stupid, throw morlocks at them!
I have been studying dreams for a couple of years now, and for me sleep is vital. I record my dreams after I wake up and use their symbolism to better understand what my unconscious is trying to help me understand. I believe that the unconscious mind uses dreams to send messages to the conscious mind to help humans become more successful and live longer.
If that were removed I can imagine our psychology would find another way to send messages to the conscious mind while we were awake, which might me much more dangerous and stressful on our biology.
This drug really sounds pretty dangerous if someone were to use for extended periods of time.
I also did some sleep deprivation self-studies when i was in high school (over the summer mostly)... my longest stint with no chemical assistance was a bit over 9 days (221 hours.)
Things I've noticed several times I've went sleep deprived
Day 1) Hard to stay up at "Bedtime".
o Normal functioning
o Memory, Speech, and Physical abilities normal
Day 2) Easy to stay up
o Normal functioning
o Memory, Speech, and physical abilities mostly-normal
o Trouble concentrating on complex mental things, like programming a simple 3d game
Day 3) Easy to stay up
o Normal functioning
o Memory, Speech, anad physical abilities mostly-normal
o Trouble concentrating on complex mental things, like programming a simple 3d game
o Minor issues with memory and extremely complex speech (like most complex poetry or tongue twisters)
Day 4) Tired, can't get comfortable or will fall asleep
o Impaired functioning
o Memory, Speech, and physical abilities considerably lessened
o Can't concentrate longer than a few minutes
o Complex speech is impossible you sound like you had a stroke
o Physically exhausted and "sore"
o Minor visual only halucinations
Day 5) Tired, can't get comfortable or will fall asleep
o Impaired functioning
o Memory, Speech, and physical abilities considerably lessened
o Can't concentrate longer than a few minutes
o Complex speech is impossible you sound like you had a stroke
o Physically exhausted and "sore"
o Hallucinations getting severe with all senses hard to tell from reality
o Diminished appetite
Day 6) Exhausted, effort required to stay awake
o extremely impaired functioning
o Memory, Speech, and Physical abilities are crap
o can't concentrate for over a minute
o speech is going in the crapper
o body is sore like you've worked out for hours
o Hallucinations are so severe you can't tell them from reality at all
o time lag when in conversations
o everything takes on a surreal cast, nothing seems like its normal
o Pissy and angry, snapping at people
o Diminished appetite
Day 7) Exhausted, effort required to stay awake
o extremely impaired functioning
o Memory, Speech, and Physical abilities are crap
o can't concentrate for more than a few seconds
o speech is horrible, monotone, and increasingly rare, very start and stop
o no energy hard to move
o Hallucinations are so severe you can't tell them from reality at all
o time lag when in conversations
o everything takes on a surreal cast, nothing seems like its normal
o Lethargic and slow to respond
o No appetite
Day 8) Exhausted, effort required to stay awake
o extremely impaired functioning
o Memory, Speech, and Physical abilities are crap
o can't concentrate for more than a few seconds
o speech is horrible, monotone, and increasingly rare, very start and stop
o no energy hard to move
o Hallucinations are so severe you can't tell them from reality at all
o time lag when in conversations
o everything takes on a surreal cast, nothing seems like its normal
o Lethargic and slow to respond
o No appetit
Shadus
I am aware that Cephalon is spending a fortune on viral marketing.
Without the hype induced placebo this drug is nothing more than a MDMA/Ephedra mix without the bad music.
Stop buying into the hype.
Fed up of seeing the same exaggerated claims appearing repeatedly, recycled specially in Slashdot.
signed: An ex-modafinil user.
Sleep is NOT behavior that has evolved 'for some reason'. Sleep is a metabolic imperative. It is the 'normal' state of life. Being awake is a temporary state that is actually destructive to the metabolism of cell life. Being awake is necessary to move around and obtain food and to procreate, but being awake is not necessary for anything beyond this. After the food has been obtained and the procreative act is complete then the life form able to end the destructive metabolic state of 'being awake' and return to the constructive metabolic state, otherwise known as sleep. Asking the question why do we sleep is akin to asking the question why do we live. The answer is that we do. Asking the question why do we wake up is a question that actually makes sense and can be answered with ease.
The only way to understand sleep / awake is to first understand anabolism / catabolism, balancing metabolic states. Sleep and Awake are balancing metabolic states, nothing more, nothing less. Just because we can exhibit 'behavior' when we are awake does NOT mean that sleep has anything to do the the notion of behavior. And just because we can measure brain activity during periods when we are awake or asleep does NOT mean that sleep is anything more than a metabolic state. Sleep is the Normal, Natural state of any living organism. Awake is just heightened activity and enhanced skills necessary to obtain food and procreate. Making too much of what being awake is is the source of all the confusion and misunderstanding about what sleep is.
Cones do not detect color, rods do not detect black and white.
.3mm concentration of cones in the center of your eye, thus the center of your eye is completely incapable of helping you in these conditions.
Cones are sensitive to daylight conditions while rods are sensitive to low-light conditions. Your cones are inactive during night lighting conditions and you still construct your visual field in color. As a result of being keyed to daylight, cones are also used for edge perception. As such, you will find it quite impossible to read by moonlight, as reading requires your cones to distinguish very fine edges and your cones are inactive in nigh-light. (regardless of how bright the moon is.)
Rods are particularly good at sensing motion, though not edges. As you may guess, this means humans are better at sensing motion *at night*. As such, you will not be able to tell which claw a bear is swinging at you in your peripheral vision, though you will be able to tell a large object is hurtling toward you. In fact, due to the physical setup of your eye, it is advisable to "look" at objects in night conditions without focusing directly at them. You have a
This setup (being able to distinguish edges and detail better during the day and being better at detecting motion at night) seems to suggest that humans were on the defensive at night and actively engaged in the world during the day.
The human vision system is much more effective (for things that we need to be spending time on) in daylight conditions, I find it *highly* unlikely humans were nocturnal in anything that might resemble recent history.
We also do not detect 3 colors and then construct other colors out of a combination of these. Our S, L and M cones are tuned to respond most agressively to specific wavelengths of light, though they are still responsive to wavelengths that are "near" those. There is even a theory that some women posses a gene (that can only be carried on a second x chromosome) that produces a fourth type of cone. These cones are tuned to detect light in between the wavelengths of the L and M cones, giving these women the ability to distinguish between colors that a tri-chromatic individual would see as identicle. These women are ingeniously deemed "Tetrochromatic superwomen".
Don't be sad if all this contradicts what you were told in high school. High school teachers, by and large, aren't on the bleeding edge of cognitive science.
I have a diagnosed "sleep disorder", but the actual root cause is my job -- I run an OPS group, so insanely long and/or irregular hours are the norm ( guaranteed to have to work 48 hours straight about once every three months, and have to run on 2-3 hours of sleep pretty regularly ).
To "manage" this, I have a perscription for Ambien ( just switched to CR, `cause it makes it easier to go back to sleep after having to wake up and work for two hours in the middle of the night ) and a perscription for Provigil ( 400 mg/dy ). The pharma is what lets me cope with this schedule when I need to, otherwise I'd be jello.
I have nothing but good things to say about Provigil, it lets me do what I need to do without worrying about whether or not my body can keep up. Not to mention the newfound ability to drive from NYC to Miami with nothing but gas an bathroom breaks. However, there are a couple big things that get overrepresented, or that don't get considered:
1) This stuff lets you operate for long periods of time without sleep and more-or-less without accruing sleep debt, and it lets you function semi-normally on very little sleep. However, it does not keep extended periods of sleeplessness from taking a mental toll -- the longer you go without sleep the more your cognitive ability and short-term memory suffer, modafinil doesn't change that. So yeah, I can run 40 hours straight no problem taking 400 mg of this shit every 12-14 hours, but you get gradually dumber over that span even though you can stay alert and responsive. By the end of a 40-hour run I'm functioning at low-normal to low intelligence, my short term memory is basically nonexistant, and I'm extremely distractable...to the point where sometimes I trail off in the middle of a sentence. So if you do anything other than long-haul trucking, your work will suffer as time goes on.
2) Potential for psychological dependency is very high among the subset of the population likely to use it for its "lifestyle" effects. It improves your concentration by orders of magnitude and lets you run at that high level for quite a while before secondary fatigue effects (see above) start taking a bite out of your performance. For people who derive large portions of their self-worth from their mental abilities, this shit is anabolic steroids -- won't hook you physically, but it makes you *way* better at what you do. And you start to miss it if it isn't there.
3) It gives you headaches -- not all the time, but often enough. Since I started regular use, I get headaches at least 30% more than I used to. Also it can make you really nauseous -- although it also seems to have an appetite supressant effect, and an empty stomach combined with coffee consumption and smoking more heavily than normal could explain the nausea. Also, it makes your urine smell really bad, which has a nice synergistic thing with the nausea...
remember the wisdom of Mahatma Gandhi: If enough peasants die horribly, someone will probably notice
There was a case of a woman who lost the ability to have REM sleep for over a year. It was thought for years that a person needed to enter this period of sleep but it turns out you don't, because she didn't suffer any serious effects. I don't doubt that in 50 years we will have a complete understanding of the human brain and how it works. At that point we can manipulate our genetics through drugs or gene therapy to eliminate the need for sleep. I know personally that I hate sleeping and would gladly do away with it if I could. From the article. "The study also backs up reports of patients who lost both their dreams and their REM sleep for up to a year after taking certain antidepressant drugs. "These people don't go mad," says Horne. They are completely normal and have no memory problems."
When I was at uni, I left an OpenGL software project too late before deadline. I underestimated the massive amount of work it would take. It was due in Friday, I realised Sunday evening. I worked late into the night, until it was so late, I figured I might as well not bother sleeping. So I didn't. I stayed up for five days coding solidly, including throughout the night (coffee fuelled), stopping just to fulfil basic body functions. The project got done, and it looked great.
:) (But it did take another week to fully recover from my sleep depravation).
But, I learnt a few things.
My body followed the daily cycles despite not sleeping. Each day I would be at my least attentive between 4am-8am. Then, by mid-day I'd be feeling a lot more awake and alert. I did not hallucinate in any way, but I did feel like crap pretty much all the time.
In hindsight, because I waas so tired during the days, I'd have probably got exactly the same amount of work done if I'd followed the normal cycles and slept during the nights. It definitely doesn't do you any favours to skimp on the sleep.
And on the fifth day, after I handed it in, I slept very well.
Do not try this at home kids.
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